ZipRecruiter

Log In

1

Chart Utilization Review Jobs in Colorado (NOW HIRING)

Holly Nursing Care Center

MDS Specialist

Holly, CO · On-site

$40 - $45/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: * You care. * RN License MDS ...

New

Holly Nursing Care Center

MDS Specialist

Holly, CO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: * You care. * RN License MDS ...

New

Firefly Health

Virtual Primary Care Physician

Denver, CO · On-site

  • Medical

  • Retirement

... utilization across the care continuum * Participate in clinical quality improvement, peer review, and chart audit activities to promote consistent, evidence-based care delivery across assigned pod(s)

Firefly Health

Virtual Primary Care Physician

Denver, CO · On-site

  • Medical

  • Retirement

... utilization across the care continuum * Participate in clinical quality improvement, peer review, and chart audit activities to promote consistent, evidence-based care delivery across assigned pod(s)

CNSCares

Director of Nursing - Home Healthcare

Westminster, CO · On-site

$95K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Review and audit admission paperwork * Will perform chart audits as assigned * Reviewing and ... Maintains an overall utilization of patient care hours of 95% or above * Other duties as assigned ...

CNSCares

Director of Nursing - Home Healthcare

Grand Junction, CO · On-site

$95K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Review and audit admission paperwork * Will perform chart audits as assigned * Reviewing and ... Maintains an overall utilization of patient care hours of 95% or above * Other duties as assigned ...

next page

Showing results 1-20

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Colorado

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 are popular job titles related to Chart Utilization Review jobs in Colorado? For Chart Utilization Review jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Chart Utilization Review jobs in Colorado look for? The top searched job categories for Chart Utilization Review jobs in Colorado are:
What cities in Colorado are hiring for Chart Utilization Review jobs? Cities in Colorado with the most Chart Utilization Review job openings:
Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

MDS Specialist

Holly Nursing Care Center

Holly, CO • On-site

$40 - $45/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Job description

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an organization that supports your growth?
WHAT WE'RE ABOUT
We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction.
Requirements:
  • You care.
  • RN License

MDS Specialist Perks:
  • Generous Bonuses
  • Growth Opportunities
  • Health Benefits
  • 401K

POSITION SUMMARY
Assists the Director of MDS in the development, completion and transmission of the resident assessment in accordance with the state requirements and policies and goals of the facility.
DUTIES AND RESPONSIBILITIES
  • Demonstrates commitment to company's mission, values and standards of ethical behavior.
  • Models a positive and professional image that emulates the organization's mission and encourages a spirit of cooperation with co-workers. Provides assistance to co-workers and promotes teamwork by sharing information useful to achieving desired results.
  • Ensures that all residents are treated fairly, with kindness, dignity, and respect, and their rights are protected at all times
  • Respects and upholds all residents' personal and property rights whenever carrying out duties, including knocking before entering a resident's room.
  • Complies with all company and departmental policies and procedures.
  • Participates in development and completion of preliminary and comprehensive resident assessment (MDS) and Care Plan in accordance with current rules, regulations, and guidelines, including the implementation of CAAs and Triggers and Plan of Care.
  • Ensures that care plan includes measurable objectives and timetables to meet resident's medical, nursing, mental and psychosocial needs, that appropriate health professionals are involved in assessment, and that schedule of activities is developed as required.

KNOWLEDGE, SKILLS, ABILITIES & QUALIFICATIONS
  • 1-3 years' experience providing direct care to multiple patients/residents, one years' previous MDS experience in Skilled Nursing environment preferred
  • Nursing degree from accredited college or graduation from approved RN program
  • Must possess current, unencumbered license to practice as an RN in Colorado
  • Current valid CPR certification
  • Knowledge of clinical standards of practice, regulations and reimbursement governing long term care and Medicare participation
  • Commitment to the company mission to consistently deliver high quality, person-centered care with dignity, respect, compassion and integrity, and to enrich every life we touch. Embracing the company values of care & compassion, community, honesty & integrity, teamwork, innovation and safety.

BENEFITS
  • Medical insurance with Rx benefits
  • Dental insurance
  • Vision care
  • Paid vacation

Apply