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Chart Utilization Review Jobs in Colorado (NOW HIRING)

Surgery Partners

Charge Entry Clerk

Durango, CO · On-site

$20.99 - $32.64/hr

... Utilization, Laboratory, Implants and Ancillary Services. * Completes chart audits to ensure ... For further information, please review the Know Your Rights notice from the Department of Labor.

Animas Surgical Hospital

Charge Entry Clerk

Durango, CO · On-site

$20.99 - $32.64/hr

... Utilization, Laboratory, Implants and Ancillary Services. * Completes chart audits to ensure ... For further information, please review the Know Your Rights notice from the Department of Labor.

UCHealth (Colorado)

Clinical Pharmacist

Aurora, CO · On-site

$57.50 - $80.50/hr

... utilization of UCHealth pharmacies, and working under collaborative practice agreements to ... reviewing/authorizing medications that do not meet the protocol criteria. • Work under ...

New

UCHealth (Colorado)

Clinical Pharmacist

Aurora, CO · On-site

$57.50 - $80.50/hr

... utilization of UCHealth pharmacies, and working under collaborative practice agreements to ... reviewing/authorizing medications that do not meet the protocol criteria. • Work under ...

New

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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.

Pharmacist Clinical Outpatient/Ambulatory

UCHealth

Aurora, CO • On-site

$57.50 - $80.50/hr

Full-time

Posted 21 days ago

UCHealth (Colorado) rating

7.4

Company rating: 7.4 out of 10

Based on 452 frontline employees who took The Breakroom Quiz

268th of 887 rated healthcare providers

Job description

Description
You Must Reside In Colorado For This Fully Remote Position
Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora
Department: Patient Line Refill Center
Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
Shift: Days
Pay: $57.50 - $80.50 / hour. Pay is dependent on applicant's relevant experience Summary:
Position Overview
This position is within the Patient Line Refill Center (PLRC) and is non-patient facing. Clinical Pharmacists are responsible for following a standardized CDTM refill protocol approved by the UCHealth P&T Committee to ensure appropriate monitoring and authorizing of medications for UCHealth primary care and specialty clinics. The PLRC team includes Pharmacy Technicians, Medication Access Specialists (MAS), Clinical Nurses and Clinical Pharmacists. They process over 80,000 refill requests per month on behalf of UCHealth providers. Clinical Pharmacists establish collaborative working relationships with clinic staff, providers, and patients across the UCHealth system to authorize, troubleshoot, and resolve prescription refill issues. Additional duties may include identifying patient non-compliance and medication overuse, evaluating medication safety and efficacy based on patient specific data, advocating for utilization of UCHealth pharmacies, and working under collaborative practice agreements to implement medication changes.
Job Duties
• Authorize medication requests using the UCHealth Refill Renewal Protocol.
• Document pertinent patient information related to medication, labs and office visits in the chart.
• Evaluate the impact of patient specific disease states on the safety and efficacy of their medications.
• Recommend appropriate dose adjustments based on applicable laboratory parameters.
• Exercise clinical judgement when reviewing/authorizing medications that do not meet the protocol criteria.
• Work under collaborative practice agreement to switch patients to appropriate medication therapy as necessary.
• Lead a small team of PLRC staff in prioritizing work, meeting performance standards and collaborating with other teams when necessary.
• Serve as a medication expert for PLRC Clinical Nurses, Medication Access Specialist, Pharmacy Technicians, and Pharmacist Interns.
• Participate in updating protocols, workflows and providing clinical education to the team.
• Communicate with providers, patients, pharmacies, and PLRC team members in a clear and professional manner in person, over the phone, and in writing.
• Precept pharmacy students, interns and residents.
Requirements
• Doctor of pharmacy
• Active pharmacist license in the State of Colorado
• At least 1-year experience in ambulatory pharmacy clinical services
• Preferred Qualifications:
o Completion of PGY1 residency training
o Board Certified Ambulatory Care Pharmacist (BCACP) or eligible for board certification within 1-year of hire
Preferred Skills
• Experience working in Epic.
• Proficiency in using all Microsoft Programs (Outlook, Teams, Word, etc.)
• Ability to quickly learn new computer programs.
• Ability to adapt to change
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