Physical Therapist Case Manager - Remote

UnitedHealth Group • Eden Prairie, MN • 16h ago

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team 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 make 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.

Hours: Monday through Friday 8AM-4:30PM in your time zone

Clinical reviewers at Optum Physical Health are part of a team focused on improving clinical outcomes for our members and promoting the current best evidence in the utilization of therapy services. The role as a clinical reviewer is focused on reviewing clinical submissions/prior authorizations as well as interacting with providers regarding their questions on the clinical submission process and clinical review outcomes.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Make determinations of medical necessity/clinical appropriateness of treatment

Assist in the development and implementation of clinical policy, guidelines and applications

Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community

Be knowledgeable on and apply all necessary regulatory requirements for assigned regions

Responsible for appropriate utilization management (prospective, concurrent and retrospective) and implementation of healthcare affordability initiatives in all the UnitedHealthcare regions

Take initiative to control utilization trends without losing sight of quality and outcomes for health care consumers

Implement specific strategies that improve the quality and outcomes of care for consumers

Support many @types of health plan structures (Fully Insured, Medicare, Medicaid, Workers Compensation and Auto liability)

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:

Active and unrestricted license to practice Physical Therapy in the state of residence

5+ years of experience working in Adult Orthopedic environment

Experience with and the ability to interpret guidelines, research, etc. in the @context of traditional Physical Therapy practice

Experience with and the ability to be consultative with others including supervisory, clinical and non-clinical professionals

Proficiency in MS Office Suite Tools (Outlook, Word, Excel, MS Teams)

Proficient knowledge of practice guidelines, including office procedures, current research and scope of practice

Dedicated, distraction free workplace with access to high speed internet from home (Broadband cable, Fiber or DSL)

Preferred Qualifications:

Active and unrestricted Physical Therapist license in the one of the following states: Arizona, New Mexico or Minnesota

3+ years of clinical experience performing case review

1+ years of experience as a Physical Therapist working with the adult neuro and/or geriatric population

Experience in a managed care environment (health plan, medical group, etc.)

*All employees working remotely will be required to adhere to UnitedHealth Group'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 (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all 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 UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, 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.

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

Similar Jobs

Medical Assistant - Minnetonka

North Memorial Health Care • Minnetonka, MN • 13h ago

Hospital & Medical

Medical Assistant - Minnetonka Minnetonka, MN Posting Date: Jul 03 2025 Apply now ( https://secure.dc4.pageuppeople.com/apply/1023/gateway/default.aspx?c=apply&lJobID=511156&lJobSourceTypeID=802&sLanguage=en-...

13h ago

Go to Apply

Medical Coding Specialist

Minnesota Urology • Bloomington, MN • 13h ago

Hospital & Medical

Minnesota Urology is looking for a dedicated Coding Specialist to join our team! Monday- Friday No Weekends, Holidays, or Evenings Eligible for Hybrid Work Options after minimum of 90 days in office PRIMARY OBJECTIVE: To...

13h ago

Go to Apply

Athletic Trainer (Sports Medicine)

UMPhysicians • Minneapolis, MN • 17h ago

Hospital & Medical

Why M Physicians? he specialists at M Health Fairview Sports Medicine Clinics include team physicians, certified athletic trainers, and physical therapists. We know sports injuries come in all shapes and sizes, and we ar...

17h ago

Go to Apply

Manager of Finance, Women's Health and Benefits Hub - Remote

UnitedHealth Group • Eden Prairie, MN • 22h ago

Hospital & Medical

22h ago

Go to Apply

Medical Assistant/LPN Allergy

Ridgeview Medical Center • Chaska, MN • 1d ago

Hospital & Medical

Purpose of Job This position is responsible for performing a variety of patient care related activities including: assisting the providers and performing a variety of diagnostic Lab and X-ray procedures according to esta...

1d ago

Go to Apply

Medical Assistant/LPN Allergy

Ridgeview Medical Center • Chaska, MN • 1d ago

Hospital & Medical

1d ago

Go to Apply

Medical Assistant/MA - Dermatology Clinic

Fairview Health Services • Bloomington, MN • 1d ago

Hospital & Medical

Job Overview Bring Your Possibilities to Fairview At Fairview, we believe in the power of possibility - within ourselves, our teams, and the communities we serve. We believe that leadership isn't just a title - it's a mi...

1d ago

Go to Apply

Medical Assistant/MA - Dermatology Clinic

Fairview Health Services • Bloomington, MN • 1d ago

Hospital & Medical

1d ago

Go to Apply

Nursing Assistant

Friendship Village • Minneapolis, MN • 2d ago

Hospital & Medical

Community: Friendship Village of Bloomington Address: 8100 Highwood DriveBloomington, Minnesota 55438 Pay Range $15.16-$20.85+ Hourly Live your purpose. Grow your career. Thrive through teamwork. Create meaningful, perso...

2d ago

Go to Apply

Medical Assembler

Aerotek • Hopkins, MN • 2d ago

Hospital & Medical

Job Title: Medical Assembler Job Description Join our team as a Medical Assembler, where you will play a vital role in assembling medical devices with precision and care. You will utilize hand tools and a microscope to a...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.