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Chart Utilization Review Jobs in Alabama (NOW HIRING)

Hospice Registered Nurse RN PRN

Pell City, AL · On-site

$31 - $41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review, and infection control activities as requested. * Attends appropriate inservices, and participates in continuing education. * Ensures accurate and current patient chart information ...

Care Manager

AL · On-site

Chart Review and Documentation * Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance. * Document all findings and ...

Chart Review and Documentation * Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance. * Document all findings and ...

Chart Review and Documentation * Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance. * Document all findings and ...

Showing results 41-55

Chart Utilization Review information

What are the key skills and qualifications needed to thrive as a chart utilization review specialist, and why are they important?

To thrive as a Chart Utilization Review specialist, you need a background in healthcare, strong knowledge of medical terminology, and experience with patient care documentation, often supported by an RN or LPN license. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Professional in Utilization Review (CPUR) are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately reviewing charts and collaborating with healthcare providers. These abilities ensure compliance, optimize patient care, and support cost-effective healthcare delivery.

What is chart utilization review?

Chart Utilization Review is a process commonly used in healthcare settings to assess the necessity, appropriateness, and efficiency of medical services provided to patients. It involves reviewing patient charts and medical records to ensure that treatments and procedures are justified according to established guidelines and policies. This process helps in improving patient care, managing costs, and ensuring compliance with regulatory requirements. Utilization review professionals work closely with medical staff, insurance companies, and regulatory agencies to support quality and cost-effective care.

What are some common challenges faced by professionals in chart utilization review, and how can they be addressed?

Professionals in Chart Utilization Review often encounter challenges such as navigating incomplete or inconsistent medical documentation, staying current with ever-evolving healthcare regulations, and balancing productivity with accuracy. To address these challenges, it is important to maintain open communication with clinical staff, participate in ongoing training, and utilize robust electronic health record systems. Additionally, collaborating closely with interdisciplinary teams can help clarify documentation and ensure compliance with regulatory standards.

What is the difference between Chart Utilization Review vs Chart Review Specialist?

AspectChart Utilization ReviewChart Review Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires medical or coding certifications
Work EnvironmentHealthcare facilities, insurance companies, utilization management teamsMedical offices, insurance companies, coding firms
Employer & IndustryHospitals, insurance providers, healthcare organizationsMedical billing companies, insurance firms, healthcare providers
Primary FocusAssessing medical necessity and appropriateness of servicesReviewing medical records for coding accuracy and completeness

While both roles involve reviewing medical information, Chart Utilization Review focuses on evaluating the necessity of healthcare services, whereas Chart Review Specialists primarily verify medical documentation for coding and billing accuracy. Understanding these distinctions helps professionals choose the right career path or job search focus.

What cities in Alabama are hiring for Chart Utilization Review jobs?

Cities in Alabama with the most Chart Utilization Review job openings:

Infographic showing various Chart Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Hospice Registered Nurse RN Full Time 10K Sign On Bonus

Aveanna Healthcare LLC

Gardendale, AL • On-site

$38 - $42/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

63rd of 240 rated social care providers


Job description

Hospice Registered Nurse RN Full Time 10K Sign On Bonus

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Job Details

Requisition #:

216013

Location:

Gardendale, AL 35071

Category:

Nursing

Salary:

$38.00 - $42.00 per hour

Position Details

Position Overview:

$10,000 Sign On Bonus

TheHospiceRegistered Nurseis responsible for pain management, symptom control in the delivery of care to hospice patients, as established by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director.

Schedule: Monday through Friday with on call rotation

Territory: Jefferson County

Position Overview:

  • Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family, operating within the plan of care as established by the hospice team and attending physician.

  • Assesses the total needs of the patient/family during regularly scheduled and after hour home visits; Documents: assessment, identified problems, nursing interventions, goals, and outcomes of interventions.

  • Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other providers; documents such coordination.

  • Collaborates with the interdisciplinary team in the development, review and revision of the clinical component of patient/family plan of care, including exchange of information, review of problems, assessing effectiveness of interventions and documenting outcomes.

  • Ensures continuity of care between patient/family, team members, ancillary providers, long term and inpatient care facilities, and the attending physician.

  • Communicates patient/family/caregiver needs, ongoing nursing assessment, interventions, goals and outcomes through the interdisciplinary process.

  • Provides and documents continuing education of the hospice concept of care to patients and their families/caregivers.

  • Supervises the delivery of patient care provided by Hospice Aides, Licensed Practical Nurses; ensuring compliance with the established plan of care and completing required documentation of supervision.

  • Facilitates the delivery of hospice services to patients residing in long term care facilities, documenting joint coordination of care with facility professional staff, and attending facility care plan meetings as appropriate.

  • Participates in on-call rotation for delivery of care after office hours, on weekends, and holidays.

  • Provides ongoing monitoring of patient appropriateness for hospice services and completes required documentation for certification and recertification.

  • Interfaces with the patient/family/caregiver, the hospice team, other health care providers in a respectful, professional and courteous manner.

  • Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice and Professional Standards of Nursing Practice, and agency specific policies and procedures.

  • Supports community education of hospice for growth and development of the program.

  • Dispenses medical supplies in a cost effective manner, as dictated by the plan of care and patient needs.

  • Participates in quality improvement, utilization review, and infection control activities as requested.

  • Attends appropriate inservices, and participates in continuing education.

  • Ensures accurate and current patient chart information by timely and consistent documentation.

  • Maintains a professional, well-groomed appearance, adhering to the agency dress code.

  • Maintains sound privacy and security practices and prevents privacy or security breaches. If breach occurs, takes corrective action

Qualifications:

  • Current license as a Registered Nurse in the State of Alabama

  • Minimum of one (1) year medical/surgical experience. Hospice/Home Health experience preferred.

  • Valid CPR and Drivers license

Comprehensive Benefits (Full-time positions)

Aveanna offers benefits designed to support youinside and outside of work, including:

  • Competitive pay

  • Medical, Dental, Vision, and Life insurance

  • Voluntary Pet Insurance for your fur babies

  • 401(k) with Company match

  • Vacation time, Sick time, Paid Holidays, and Floating Holidays

  • Tuition reimbursement and tuition discounts

  • Free continuing education units (CEUs) for nurses

  • Employee Assistance Program and Employee Relief Fund

  • Employee Stock Purchase Plan

Our Mission

Our mission is torevolutionize the way homecare is delivered, one patient at a time. We are committed to innovation, clinical excellence, and compassionate care—because outcomes improve when care is personal. Join the revolution and make a meaningful difference in the lives of patients and families every day.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html)

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About Aveanna

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Aveanna Healthcare is one of the nation's leading providers of pediatric and adult homecare in the nation. We lead with clinical quality and compassion, delivering care in over 200 locations in 23 states. While we have a national presence, we are very much a local provider in each community we serve. Our stated mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time, and we hope you will help us fulfill that mission by joining the 30,000 nurses who already call Aveanna home. Apply today.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US