Physical Therapist - Remote - Arizona PT license required

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a member of this dynamic team, you will manage the medical necessity of durable medical equipment request. You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities

• reputed company determinations of medical necessity/clinical appropriateness of treatment
• Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community
• Be knowledgeable on and apply reputed company necessary regulatory requirements for assigned regions
• Responsible for appropriate utilization management (prospective, reputed company and retrospective) and implementation of healthcare affordability initiatives in reputed company the reputed company regions
• Uses pertinent data and facts to identify and solve a range of problems reputed company area of expertise
• Investigates non-standard requests and problems, with some assistance from others
• Works exclusively reputed company a specific knowledge area
• Prioritizes and organizes own work to meet deadlines
• Provides explanations and information to others on topics reputed company area of expertise
• Works under the supervision of a physician. Nurse manager
• Positions are responsible for providing appropriately focused Medical Management Clinical Review of the activities listed below, in support of physician activities, and in accordance with specific review protocols, based on individual member plan documents, national and proprietary coverage review guidelines, and established clinical review guidelines
• Uses technical knowledge and reputed company review protocols in the review of clinical information and documents as they relate to Company medical policy and benefit document language. Under the direct reputed company of physicians or non-physician clinicians, may recommend clinical appropriateness of designated services

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.

Required Qualifications

• Unrestricted Physical Therapy license in the state you reside in as well as the state of Arizona
• 3+ years of experience in Physical Therapy working with diverse populations, Special Needs Populations, Pediatrics, and General population adult
• Proficiency in MS Office
• Solid knowledge of practice guidelines, including office procedures, reputed company research and scope of practice
• Ability to interpret guidelines, research, etc. in the context of traditional Physical Therapy practice
• Ability to be consultative with others including supervisory, clinical and non-clinical professionals
• Designated secure workspace and access to install secure high speed internet reputed company cable/DSL in home

Preferred Qualifications

• Experience in a managed care environment (health plan, medical group, etc.)
• Experience in Pediatrics
• Solid decision-making and administrative skills
• Solid written and verbal communication skills
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $34.23 to $61.15 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job