Physical Therapist (Remote Opportunity - Must Reside In The State Of Alabama)

Kepro Birmingham , AL 35201

Posted 1 week ago

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. Kepro is seeking resumes for a highly experienced professional.

Physical Therapist (Remote - Must reside in the state of Alabama)

We are excited to announce that we are expanding operations into Alabama, in anticipation of new business in utilization management. We are looking for motivated, energetic individuals to help us stand up this new contract. We want you to help be a vital part of this newly created team! While you must reside in the state of Alabama, the work for this role can be done remotely.

Summary Description

In this part-time or full-time position, the physical therapist will perform utilization reviews on our Alabama Utilization Management contract. The Physical Therapist will utilize clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking and decision-making skills to determine medical appropriateness, while maintaining production goals and QA standards. This person will also ensure day-to-day processes are conducted in accordance with NCQA, URAC and other regulatory standards.


  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Determines approval or initiates a referral to the physician consultant and processes physician consultant decisions ensuring reason for the denial is described in sufficient detail on correspondence.
  • Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate means. Accurate and timely submission of all administrative and review related documents to appropriate parties.
  • Performs ongoing reassessment of review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, adherence to HIPAA polices.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Kepro policies, procedures and guidelines.
  • Actively cross-trains to perform duties of other contracts within the Kepro network to provide a flexible workforce to meet client/consumer needs.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.


  • Active unrestricted Physical Therapy license with the Alabama Board of Physical Therapy and Board of Medical Examiners (if applicable).
  • Must reside in the state of Alabama
  • May not hold a concurrent working relationship with a Medicaid-enrolled provider while working on this contract.
  • Vast Knowledge of Medicare & Medicaid wheelchair policy
  • Must be available to work from 9A-4PM and may not hold a concurrent working relationship with a Medicaid-enrolled provider.

Knowledge, Skills, Abilities

  • Knowledge of InterQual criteria strongly preferred.
  • Knowledge of current NCQA/URAC standards strongly preferred.
  • Medical record abstracting skills required.
  • Knowledge of the organization of medical records, medical terminology, and disease process required.
  • Strong clinical assessment and critical thinking skills required.
  • Excellent verbal and written communication skills required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills needed.
  • Must be proficient in Microsoft Office and internet/web navigation.


  • Minimum two years of clinical experience in physical therapy/rehab environment required.
  • Previous utilization management experience highly preferred.

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

Kepro offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please. Visit our website at for more information on the Kepro Family of Companies.

EOE AA M/F/Vet/Disability

Kepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Physical Therapist Assistant PRN

Noland Health Services

Posted 4 days ago

VIEW JOBS 7/28/2021 12:00:00 AM 2021-10-26T00:00 Shift: PRN Summary of Duties Implements physical therapy services under the direction of the Physical Therapist. Responsible for providing optimal patient care, for adult and geriatric patients, according to the hospital and departmental policies and procedures and JCAHO standards and requirements. Accountable for the delivery of direct patient care, progression of established treatment plans, and communicating patient progress in the medical record and to the Physical Therapist. Essential Job Functions * Carries out under the supervision of the Physical Therapist, the Physical Therapy Treatment Plan that is individualized based on the age appropriate needs of all patients. * Observes and reports patient responses to treatment to the Physical Therapist. * Maintains adequate documentation for patient and departmental records in accordance with hospital and departmental policy. * Supervises performance of staff under his/her supervision and assists in problem solving with the staff under his/her supervision. * Interacts with physicians and other healthcare professionals when indicated concerning orders, treatment plan revisions, interpretations, etc. in relation to the care of patients. * Participates in the multidisciplinary care for patients by communicating with the patient. their family, and the other members of the healthcare team participating in the care of that patient. * Performs other duties as assigned. Responsibilities * Utilizes appropriate communication and displays compassion in customer interactions. * Applies principles of collaboration and teamwork to job responsibilities. * Exercises sound resource utilization and creativity in completing work assignments. * Displays customer relation behaviors and utilizes continuous quality improvement principles. * Maintains current knowledge of hospital and departmental events by reviewing notices, memos, and minutes of meetings available to staff. * Maintains established departmental policies and procedures. objectives. quality assurance program, safety, environmental, and infection control standards. * Assists in maintaining a clean and safe patient care environment reporting all hazardous conditions to the supervisor. * Reports all incidents/accidents, no matter how minor, to the supervisor immediately. * Reports defective equipment to the supervisor immediately. * Maintains the confidentiality of patient information and respects patient privacy and dignity. Cooperates with other staff members to achieve department goals and promotes good inter/intra departmental relations and public relations. * Participates in staff development programs, staff meetings, and all mandatory inservices. * Participates in performance improvement activities. * Serves on hospital committees and multidisciplinary teams as assigned. Education Associates Degree from an American Physical Therapist Assistant Program; Current Licenses to practice as a physical Therapist Assistant from the State of Alabama. Experience None. Three months of on-the-job training will be provided for the individual to become proficient in performing the duties of the job. Specific Requirements * Must have CPR certification within thirty (30) days of employment. * Must possess effective communication skills and have a good command of the English language. * Must have the ability to adapt to changes in routine. * Must demonstrate the ability to efficiently use the computer. * Must learn and utilize software applications or systems used in the Division, for example Human Resources and payroll (Workflow, ADP, Kronos), online policies, procedures and forms (Replica and NHS Forms), order entry, admissions (CPSI), reporting (L-drive Excel files), communication (e-mail). * Must complete online training (Noland Online!). * Must be responsible for seeking help if required to use electronic systems. * Must have the ability to organize and prioritize work. * Must possess the ability to deal tactfully with personnel, patients, visitors and the general public. * Must have the ability to minimize waste of supplies and misuse of equipment. * Must be able to follow written and oral instructions. * Must possess the ability to make independent decisions. * Demonstrates the ability to research using resource manuals. Noland Health Services Birmingham AL

Physical Therapist (Remote Opportunity - Must Reside In The State Of Alabama)