This job has closed.

Elevance Health · 2 days ago

Therapy Services Reviewer

Los Angeles, CA

Full-time

Hybrid

Entry Level

$34.11/hr - $42.64/hr

1+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The Therapy Services Reviewer is responsible for reviewing medical records to determine the medical necessity of therapy service requests and ensuring compliance with guidelines and regulations.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

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

Documents findings, develops analyses, and submits reports to the appropriate departments in accordance with government regulations and requirements

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 timeframes

Qualification

Physical TherapyOccupational TherapySpeech Language PathologyLicensure/CertificationClinical Experience

Required

Graduate of a college level program in physical therapy, occupational therapy, or speech language pathology or an accredited two-year program for a Physical Therapist Assistant, Occupational Therapist Assistant, or Speech Language Pathologist Assistant and minimum of 1 year of clinical experience; or any combination of education and experience, which would provide an equivalent background

Current active unrestricted license or certification as a physical therapist assistant, occupational therapist assistant, or speech language pathologist assistant in applicable state required

Certification and/or licensure appropriate to field of specialty is required

Candidates must reside in PST Time Zone

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Paid Time Off

Medical

Dental

Vision

Short and long term disability benefits

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)