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Physical Therapist Reviewer


  • Louisiana, Louisiana
  • Missouri, Missouri
  • Iowa, Iowa
  • Wisconsin, Wisconsin
  • Illinois, Illinois
  • Minnesota, Minnesota



Title:  Physical Therapist Reviewer

Location: Remote; candidate must reside in Central Time Zone

Build the Possibilities. Make an extraordinary impact. 
The Physical Therapist Reviewer is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational therapy, and/or speech-language pathology) were medically necessary and filed appropriately.

How you will make an impact:
•    Follows the system guidelines that makes decisions on approval for care for a patient.
•    Processes system generated decisions for authorization requests, meeting all contract requirements, processes, and operational unit goals to ensure customer satisfaction. 
•    Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary.
•    Acts as a resource for internal and external customers.
•    May participate in intradepartmental teams, projects, and initiatives.
•    Maintains quality and productivity standards and ensures reviews are conducted within required time frames.

Minimum Requirements:
•    Requires BA/BS in physical therapy and minimum of 3 years clinical experience; or any combination of education and experience, which would provide an equivalent background.
•    Current licensed physical therapist in applicable state required.

Preferred skills, capabilities and experiences: 
•    Pediatric Developmental Delay experience preferred. 
•    Outpatient Orthopedic experience preferred. 

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

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