... chart review. 4. Safety Sensitive: NO In the interest of protecting the health and safety of all ... Help maintain a quality control system to assure effective utilization of hospital facilities and ...
... chart review. 4. Safety Sensitive: NO In the interest of protecting the health and safety of all ... Help maintain a quality control system to assure effective utilization of hospital facilities and ...
... chart review. 4. Safety Sensitive: NO In the interest of protecting the health and safety of all ... Help maintain a quality control system to assure effective utilization of hospital facilities and ...
... chart review. 4. Safety Sensitive: NO In the interest of protecting the health and safety of all ... Help maintain a quality control system to assure effective utilization of hospital facilities and ...
Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review. * Effectively organizes workflow to consistently complete assignments in a timely manner.
Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review. * Effectively organizes workflow to consistently complete assignments in a timely manner.
Case Manager PRN
Conway, AR · On-site
Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review. * Effectively organizes workflow to consistently complete assignments in a timely manner.
Case Manager PRN
Conway, AR · On-site
Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review. * Effectively organizes workflow to consistently complete assignments in a timely manner.
... chart review and collaboration with the healthcare team. You will monitor patient progress ... Minimum of 2 years experience in previous Utilization Review or Case Management preferred.
... chart review and collaboration with the healthcare team. You will monitor patient progress ... Minimum of 2 years experience in previous Utilization Review or Case Management preferred.
... chart review and collaboration with the healthcare team. You will monitor patient progress ... Minimum of 2 years experience in previous Utilization Review or Case Management preferred.
... chart review and collaboration with the healthcare team. You will monitor patient progress ... Minimum of 2 years experience in previous Utilization Review or Case Management preferred.
... chart review and collaboration with the healthcare team. You will monitor patient progress ... Minimum of 2 years experience in previous Utilization Review or Case Management preferred.
... chart review and collaboration with the healthcare team. You will monitor patient progress ... Minimum of 2 years experience in previous Utilization Review or Case Management preferred.
This exciting opportunity will require a n RN Concurrent Review Nurse (Chart Review) who can ... Educate providers on utilization and medical management processes Qualifications Requirements for R ...
This exciting opportunity will require a n RN Concurrent Review Nurse (Chart Review) who can ... Educate providers on utilization and medical management processes Qualifications Requirements for R ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
... chart review and collaboration with the healthcare team. The RN, Case Manager monitors patient ... Experience in previous Utilization Review or Case Management preferred. Certifications: ACM or CCM ...
Program Director - Behavioral Health / Substance Use Disorder
Conway, AR · On-site
$60K - $65K/yr
Monitor documentation and conduct regular chart audits. * Maintain compliance with Arkansas ... utilization review, and program management. * Strong leadership, organizational, and problem ...
Quick apply
Program Director - Behavioral Health / Substance Use Disorder
Conway, AR · On-site
$60K - $65K/yr
Monitor documentation and conduct regular chart audits. * Maintain compliance with Arkansas ... utilization review, and program management. * Strong leadership, organizational, and problem ...
Program Director - Behavioral Health / Substance Use Disorder
Conway, AR · On-site
$60K - $65K/yr
Monitor documentation and conduct regular chart audits. * Maintain compliance with Arkansas ... utilization review, and program management. * Strong leadership, organizational, and problem ...
Quick apply
Program Director - Behavioral Health / Substance Use Disorder
Conway, AR · On-site
$60K - $65K/yr
Monitor documentation and conduct regular chart audits. * Maintain compliance with Arkansas ... utilization review, and program management. * Strong leadership, organizational, and problem ...
OP El Dorado 1099 Therapist
El Dorado, AR · On-site
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart, or other treatment items Requires the ability to sit for long periods of time and ...
Quick apply
OP El Dorado 1099 Therapist
El Dorado, AR · On-site
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart, or other treatment items Requires the ability to sit for long periods of time and ...
OP El Dorado 1099 Therapist
El Dorado, AR · On-site
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart, or other treatment items Requires the ability to sit for long periods of time and ...
OP El Dorado 1099 Therapist
El Dorado, AR · On-site
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart, or other treatment items Requires the ability to sit for long periods of time and ...
OP El Dorado 1099 Therapist
El Dorado, AR · On-site
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart, or other treatment items Requires the ability to sit for long periods of time and ...
OP El Dorado 1099 Therapist
El Dorado, AR · On-site
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart, or other treatment items Requires the ability to sit for long periods of time and ...
School-Based Therapist-Vilonia (Part-Time or Contract)
Vilonia, AR · On-site
$41K - $56K/yr
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart or other treatment items Requires the ability to sit for long periods of time and ...
School-Based Therapist-Vilonia (Part-Time or Contract)
Vilonia, AR · On-site
$41K - $56K/yr
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart or other treatment items Requires the ability to sit for long periods of time and ...
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart or other treatment items Requires the ability to sit for long periods of time and ...
Quick apply
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart or other treatment items Requires the ability to sit for long periods of time and ...
School-Based Therapist-Vilonia (Part-Time or Contract)
Vilonia, AR · On-site
$41K - $56K/yr
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart or other treatment items Requires the ability to sit for long periods of time and ...
School-Based Therapist-Vilonia (Part-Time or Contract)
Vilonia, AR · On-site
$41K - $56K/yr
Work with administrative support and utilization review staff to facilitate scheduling, prior and ... chart or other treatment items Requires the ability to sit for long periods of time and ...
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?
| Aspect | Chart Utilization Review | Chart Review Specialist |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications | Often requires medical or coding certifications |
| Work Environment | Healthcare facilities, insurance companies, utilization management teams | Medical offices, insurance companies, coding firms |
| Employer & Industry | Hospitals, insurance providers, healthcare organizations | Medical billing companies, insurance firms, healthcare providers |
| Primary Focus | Assessing medical necessity and appropriateness of services | Reviewing 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 are popular job titles related to Chart Utilization Review jobs in Arkansas?
For Chart Utilization Review jobs in Arkansas, the most frequently searched job titles are:
What job categories do people searching Chart Utilization Review jobs in Arkansas look for?
The top searched job categories for Chart Utilization Review jobs in Arkansas are:
Unity Health (Arkansas) rating
6.0
Based on 40 frontline employees who took The Breakroom Quiz
751st of 893 rated healthcare providers
Job description
1. Education: Should have a high level of clinical knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD-CM and CPT coding systems. Skilled in the use of the computer and photocopier. Good people and phone skills required.
2. Training and Experience: Should have past experience working with Medical Staff, patients, hospital associates and insurance companies. Must be capable of following verbal and written instructions. Should practice diplomacy in dealing with Medical Staff, patients, associates and insurance companies. Will participate in ongoing education through workshops, in service programs and updates from CMS, AFMC and other government and private agencies.
3. Job Knowledge: Must be able to communicate verbally and in written format with the Medical Staff, review organizations, administration and others as indicated. Must be able to apply current nursing knowledge to determine appropriate acuity levels and appropriate care by chart review.
4. Safety Sensitive: NO
In the interest of protecting the health and safety of all patients, associates, and guests, Unity Health has classified some positions as “safety sensitive.” A “safety sensitive” position is any job position in which impaired performance could result in harm to the health and/or safety of self or others. Any associate that is actively engaged in the use of medical marijuana, even if in possession of a valid medical marijuana card, will be excluded from employment in a “safety sensitive” position.
DESCRIPTION:
Should have the ability to work under pressure and in conditions of frequent interruptions. He/she needs considerable initiative and judgment while performing duties in an area where procedures are standardized but where frequent independent decisions are required. Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical practices within the hospital based on pre-established criteria. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring all patients receive “the right care, the right cost, right time, and in the right setting.” This position requires knowledge in the care of patients served as indicated: Infant to adolescence is 0 to 17 years, Adult is 18 years to 65 years and Geriatric is 65 years and above.
Physical Effort: Sits at desk when he/she is not locating records and other various information for nurses, doctors, etc. or is on the nursing stations performing concurrent review. Works in a well-lighted, air conditioned office.
What Unity Health (Arkansas) employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Unity Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Searcy, AR, US
Year founded
1967