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Chart Utilization Review Jobs in Arizona (NOW HIRING)

Pharmacist - Clinical

Tucson, AZ · On-site

$112K - $133K/yr

... chart reviews that will assist in the optimization of medication therapy, implement up-to-date pharmacotherapy and treatment guidelines with providers, conducts Drug Utilization Reviews and prepares ...

Pharmacist - Clinical Per Diem

Tucson, AZ · On-site

$112K - $133K/yr

... chart reviews that will assist in the optimization of medication therapy, implement up-to-date pharmacotherapy and treatment guidelines with providers, conducts Drug Utilization Reviews and prepares ...

Pharmacist - Clinical

Tucson, AZ · On-site

$114K - $136K/yr

... chart reviews that will assist in the optimization of medication therapy, implement up-to-date pharmacotherapy and treatment guidelines with providers, conducts Drug Utilization Reviews and prepares ...

... chart auditing process as well as coordinating the dental QA program with the center wide QA ... Establishes utilization review for dental referrals. * Devises specialty development strategies for ...

... chart auditing process as well as coordinating the dental QA program with the center wide QA ... Establishes utilization review for dental referrals. Devises specialty development strategies for ...

... chart auditing process as well as coordinating the dental QA program with the center wide QA ... Establishes utilization review for dental referrals. * Devises specialty development strategies for ...

RN Clinical Documentation

Phoenix, AZ · Remote

$32.75 - $44/hr

... chart. * Communicates and interacts with physicians and clinical staff, verbally and through the ... years Utilization Review/Case Management Preferred * 7 years patient care in critical care or ...

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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.

Infographic showing various Chart Utilization Review job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Pharmacist - Clinical

Tucson Medical Center

Tucson, AZ • On-site

$112K - $133K/yr

Full-time

Re-posted 19 days ago


Tucson Medical Center rating

7.5

Company rating: 7.5 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

300th of 1,058 rated hospitals


Job description

Pharmacist - Clinical
Job CategoryProfessional
ScheduleFull time
ShiftRotating Shift

SUMMARY:

Clinical Pharmacist is responsible for providing clinical services in an inpatient and/or clinic setting. Responsibilities include collaboration with nursing and medical staff with medication chart reviews that will assist in the optimization of medication therapy, implement up-to-date pharmacotherapy and treatment guidelines with providers, conducts Drug Utilization Reviews and prepares Drug Review Criteria for medical staff review at Pharmacy & Therapeutics Committee. In addition, Clinical Pharmacist is an active preceptor for PGY1 residents, pharmacy students and pharmacy staff.

Pharmacist Grad performs functions under the supervision of a Licensed Registered Pharmacist (RPH).

ESSENTIAL FUNCTIONS:

Interprets and clarifies written orders for all types of medications.

Prepares compounds, labels, and packages medications and pharmaceuticals, in accordance with established professional protocols and standards.

Provides medications and drug information relative to circumstances and patient conditions in emergency codes in the hospital.

Communicates drug-related side effects, dosages, potential complications to health care professionals.

Advises patients and/or their representatives on use of various medications, including dosage, side effects and composition.

Remains informed about current developments concerning new drugs or test results regarding drug usage; research drug information requests and responds promptly.

Promotes effective use of formulary system through drug product selection and therapeutic alternative produce suggestion for non-formulary orders.

Monitors drug therapy as assigned by physicians; suggest alternative drug therapy when appropriate.

Consults with and advises medical staff personnel regarding utilization of drugs and pharmaceuticals.

Oversees work of Pharmacy Technicians/Pharmacy Interns participating in the preparation, documentation and dispensing of medications and pharmaceuticals.

Adheres to TMCH organizational and department-specific safety, confidentiality, values policies, and standards.

Provides education to pharmacy interns, students and PGY1 residents.

Participation in rounds and care coordination conferences as appropriate.

Participation in quality improvement committees as assigned.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION: Doctor of Pharmacy degree from an AACP-accredited College of Pharmacy or bachelor's degree from an AACP-accredited College of Pharmacy.

EXPERIENCE: None required.

LICENSURE OR CERTIFICATION: Current Arizona Pharmacist license upon hire. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) required (ACLS requirement waived for clinical pharmacist working in the retail pharmacy department).

KNOWLEDGE, SKILLS, AND ABILITIES:

Knowledge of drugs, possible side effects or interactions with other drugs, and how to compound medication in accordance with professional standards and practices.

Skill in following physicians' orders and prescribed medications and relaying any procedures and concerns to the patient.

Skill in responding to patients' questions or concerns.

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

Ability to write reports, business correspondence, and procedure manuals.

Ability to effectively present information and respond to inquiries or complaints from employees, patients and/or their representatives, and the public.

Ability to apply advanced mathematical concepts such as exponents or logarithms.

Ability to apply mathematical operations to such tasks as frequency distribution, single or multiple regressions, determination of test reliability and validity, correlation techniques, sampling theory and factor analysis.

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.

Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, etc.).

Ability to deal with a variety of abstract and concrete variables.

Employment Type: FULL_TIME

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