Ohio Licensed DME Clinical Advisor

A company is looking for a DME Clinical Advisor to ensure the delivery of medically appropriate durable medical equipment, orthotics, and prosthetics while maintaining cost-effectiveness.

Key Responsibilities

Perform complex clinical reviews of rehabilitative DME, orthotics, and prosthetics based on established standards and guidelines

Provide guidance to medical directors on medical necessity determinations and participate in interdisciplinary care management rounds

Develop and deliver training sessions on DME regulations and collaborate with care management teams to ensure appropriate care

Required Qualifications, Training, and Education

Bachelor's degree in Occupational Therapy, Physical Therapy, or Speech Therapy required

A minimum of four years of direct patient care experience focused on rehabilitative DME or a related field

Utilization management experience is preferred

Current, unrestricted state license as an Occupational Therapist, Physical Therapist, or Speech Therapist is required

MCG Certification is required within 6 months of hire