Physical Therapist / Occupational Therapist - Utilization Management - Remote

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
As a member of this dynamic team, you will manage a caseload of physical therapy treatment plans for consumers though health care providers.

Primary Responsibilities:

• Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community
• Take initiative to control utilization trends without losing sight of quality and outcomes for health care consumers
• Support the Medicaid health plan structure You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
• Make determinations of medical necessity/clinical appropriateness of treatment
• Be knowledgeable on and apply all necessary regulatory requirements for assigned regions
• Assist in the development and implementation of clinical policy, guidelines and applications
• Responsible for appropriate utilization management (prospective, concurrent and retrospective) and implementation of healthcare affordability initiatives in all the UnitedHealthcare regions
• Implement specific strategies that improve the quality and outcomes of care for consumers

Required Qualifications:

• Proficiency in MS Office
• Access to high-speed internet from home (Broadband cable, Fiber or DSL)
• Ability to be consultative with others including supervisory, clinical and non-clinical professionals
• Dedicated workspace from home
• Ability to interpret guidelines, research, etc. in the context of traditional Physical Therapy or Occupational Therapy practice
• 5+ years of clinical experience
• Current and unrestricted license to practice Physical Therapy or Occupational Therapy in your state of residence
• Proficient knowledge of practice guidelines, including office procedures, current research and scope of practice

Preferred Qualifications:

• Clinical experience performing case review
• Experience in a managed care environment (health plan, medical group, etc.)
• Experience as a Physical Therapist working with the pediatric and/or adult population

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by lower 48 law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.