1

Chart Utilization Review Jobs in Arizona (NOW HIRING)

Ensure staff prepare patient chart summaries for physician appointments. * Ensure staff print and ... Ensure staffs review weekly batches for accuracy and scan into public folder. * H.R. - coaching and ...

Patient chart maintenance: You will be responsible for scanning, filing, data entry, and completing ... You will be responsible for reviewing patient charts for enrolling trials, creating telephone ...

Patient chart maintenance: You will be responsible for scanning, filing, data entry, and completing ... You will be responsible for reviewing patient charts for enrolling trials, creating telephone ...

Patient chart maintenance: You will be responsible for scanning, filing, data entry, and completing ... You will be responsible for reviewing patient charts for enrolling trials, creating telephone ...

Ensure staff prepare patient chart summaries for physician appointments. * Ensure staff print and ... Ensure staffs review weekly batches for accuracy and scan into public folder. * H.R. - coaching and ...

Showing results 41-53

Chart Utilization Review information

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 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 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, 82% Full Time, 12% Part Time, 2% Temporary, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Full-time

PTO

Re-posted 27 days ago


Job description

Office Manager oversees the day-to-day operations of the office(s) under the supervision of the regional director, operations. The Office Manager leads training for new front office employees. Performs certain administrative duties in the absence of the Administration.
Responsibilities include:
  • Oversees, manages, and supervises all clinical and office functions involving patient care and office operations:
    • Day-to-day staffing (ensure staff show up on time for work, approve vacations, arrange coverage, etc.).
    • Coordinate the daily activities of the office staff to ensure proper coverage at all times.
    • Management by Walk About (MBWA) - be visible and present.
    • Manages, and monitors office and assigned medical staff in achieving customer service excellence and customer relationship management.
    • Staff oversight (ensure staff are trained and do the job correctly):
      • Ensure staffs schedule/reschedule patient appointments accurately and timely.
      • Ensure staffs register new patients in the practice management (PM) system, by accurately entering their demographic and insurance information.
      • Ensure staffs acquire medical records on all new patients to be scheduled. Triage for urgency.
      • Ensure staffs obtain referral or authorization on all necessary patients.
      • Ensure staff provide first pass request for labs and testing on follow up patients.
      • Ensure staff prepare patient chart summaries for physician appointments.
      • Ensure staff print and scan patient demographic originals and updates.
      • Ensure all equipment is ready and works prior to daily activities.
      • Ensure staffs review weekly batches for accuracy and scan into public folder.
  • H.R. - coaching and counseling, interviewing replacements, payroll, and time clock:
    • Compile employee payroll information for payroll approval.
    • Provide office orientation for new staff.
    • Supervise all staff training.
    • Maintain Staff PTO Calendar.
  • As assigned conducts training programs as required, patient records, purchasing and procurement, facilities and other areas as required by administration.
  • Leads the implementation, monitoring and determining adherence of staff compliance to policies and procedures.
  • Prepares, compiles, develops, and presents a variety of regularly scheduled and/or ad hoc narrative, statistical and/or other reports and presentations.
  • Oversees, and works in a complex organization.
  • Serves as a resource to clinical staff in proving support and assistance to patients, families, medical office staff and others having business with Panoramic Health.
  • Oversees, works in and on a sophisticated computer system performing data entry, completing forms, conducting statistical analysis and related office support tasks:
    • Athena dash boards: MD, staff and practice staff buckets, hospital buckets, supervisor buckets, dashboard, clinical in-box.
    • End of day reconciliation - perform all Athena related tasks including bank deposits, credit card close outs, etc..
  • Arrange for maintenance/repairs for all office machinery.
  • Oversees and/or orders, office supply, medical equipment, tracks, and monitors office utilization
    • Office supply oversight (ensure streamlined ordering through central supply).
    • Track inventory and prepare order for office supplies within office budget guidelines.
  • Serves as facility representative for new patients and families, visiting physicians and other medical practice representatives.
  • MD schedule: ensure all schedules are booked correctly, accurately, and timely.
  • Address all day-to-day issues and day-to-day needs.
  • Inform Administration of operational problems and concerns.
  • Assist with marketing-Panoramic Health Ambassador in the community.
  • Coordinates, works with, and assists vendors, contractors and others as required.
  • Back up front desk and office positions, when necessary (as qualified).
  • Maintain patient confidentiality.
  • Manage multiple phone lines; answer phones, route calls and take accurate messages.
  • Page physicians as necessary.
  • Coordinates weekend physician coverage in collaboration with managing partner.
  • Attends required meetings and participate in committees, as requested.
  • Perform other duties and responsibilities as required, assigned, or requested.

Qualifications:
  • High school diploma or GED.
  • Certification as a Medical Assistant preferred.
  • Minimum 5 years' experience in medical office operations.
  • Knowledge of medical terminology, insurance and government payer regulations and other third-party requirements.
  • Proficient in the use of office equipment, such as computer, copier, printer, fax, POS machine.