Cook Children's Health Plan


Utilization Review - Physical Therapist, Health Plan (44935670)
Location: Fort Worth, Texas - United States
Posted: 1/14/2018

Utilization Review - Physical Therapist, Health Plan

Full-Time Days
Responsible for the coordination and efficient utilization of therapy health care resources for Cook Children's Health Plan (CCHP) members. Works with the Department Manager to assure the provision of quality care throughout the continuum of care. The Physical Therapist Utilization Management (PT -UM) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers, health plan medical directors, and all other members of the health care and health plan team. The PT-UM Reviewer assesses and identifies the patient's clinical findings and determines, in conjunction with the Medical Director utilizes protocols, pathways, and evidence based clinical tools, to assess the level of therapy care appropriate for the member. The PT UM Reviewer communicates with providers of care/services to facilitate appropriate levels of therapy care. The PT UM Reviewer participates with the Department Manager reviewing and updating evidence-based standards of physical and other therapy care and services for CCHP.

QUALIFICATIONS:

Master's degree (M. A.) in Physical Therapy, health plan utilization management experience preferred.
Bilingual preferred but not required.
Strong skills in the following areas:

oral and written communication, critical thinking, organization and time management, and customer service.
Licensure, Registration, and/or Certification: Current, unrestricted licensure for Physical Therapist in the state of Texas.

Additional Requirments / Information

Job Capacity:Employee (full-time)
Minimum Education Level:See Job Description
Visa Sponsorship: No
Related Industries:Physician Assistant

Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of seven entities - a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan and Health Foundation. Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.


Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise - to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day. For more information, please visit www.cookchildrens.org.


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