Clinical Peer Reviewer Job at Healthfirst

Job Description

The Clinical Peer Reviewer (Phyiscal Therapy) Utilization Management (UM) plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations. This role ensures appropriate, evidence-based utilization of Physical Therapy (PT), services across lines of business while maintaining regulatory compliance and supporting optimal functional outcomes for members. The Clinical Peer Reviewer will leverage advanced clinical expertise to support optimal member health outcomes while promoting cost-effective care delivery. This role partners closely with UM nurses, Appeals & Grievances, Network Management, Medical Director and Quality teams to ensure consistent, defensible, and member-centered decision-making.

Job Responsibility

Review complex prior authorization, concurrent review, and retrospective cases related to Outpatient Rehab services to promote member-centered decision making
Ensure all determinations are rendered within applicable regulatory and internal turnaround timeframes and meet CMS, NYS DOH, and Healthfirst standards
As needed, conduct peer-to-peer discussions with treating providers
Collaborate with Medical Directors on complex or escalated cases
Participate in annual Inter-Rater Reliability (IRR) testing
Lead or support development and refinement of PT-related clinical policies
Analyze trends in PT utilization including but not limited to visit frequency and duration patterns, outlier provider behavior, high-cost cases
Collaborate with Delivery Systems Engagement on education regarding documentation requirements, evidence-based therapy standards, functional improvement expectations
Participate in provider case discussions as needed
Additional duties as assigned

Requirements

Masters of Physical Therapy (MSPT)
Active, unrestricted NYS PT license
Minimum 5 years post-residency clinical practice
Experience in managed care or utilization management
Knowledge of rehabilitative medicine and PT clinical standards
Familiarity with Milliman Care Guidelines (MCG) or other medical necessity criteria
Work experience requiring independent clinical judgement and critical thinking
Ability to manage high-volume caseload while meeting turnaround standards

Nice to have

Doctor of Physical Therapy (DPT)
Experience reviewing therapy services in Medicaid or Medicare Advantage
Payer-side review experience
Understanding of therapy treatment progression, frequency/duration standards and discharge planning
Prior work experience requiring written documentation skills with defensible rational articulation

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

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Clinical Peer Reviewer

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