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Pennsylvania Physical Therapy Association - Physical Therapy Career Center

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General Information


Job title: Medical Management Therapists/Physical Therapists
Job location: Harrisburg, PA 17177 United States
Requisition code: 12-575-302
Date posted: 12/07/12
Job type: Full-Time
Compensation: Very competitive, market-driven compensation and benefits.

Job Classification

Job Category:Physical Therapist

Job Description

Job description:
Focus on Physical Therapy Utilization Review:

Capital BlueCross seeks experienced, licensed Physical Therapists to determine medical necessity review for pre-authorization of physical therapy.

Using InterQual Guidelines and Medicare Guidelines, and upholding our quality service goals, you will review appropriateness of the physical therapy treatment plan to make sure the plan aligns with the member’s benefit structure. The Medical Management Therapist will work closely with the providers addressing
pre-authorization issues and providing feedback on medical necessity determination. The Medical Management Therapist will also collaborate with other clinical staff as necessary to ensure the delivery of quality and cost effective care.

EOE/AA. Excellent compensation/benefits.

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Job Requirements

Education, training, experience:
Qualified candidates will have an active Physical Therapy license and 5+ year of clinical experience. Experience with managed care principles and emerging treatment modalities, patient education and problem solving, and excellent verbal/written communication skills are also essential.
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