Preferred BSN, MSN, LCSW, LPC, LMFT * Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a ...
Preferred BSN, MSN, LCSW, LPC, LMFT * Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a ...
Preferred BSN, MSN, LCSW, LPC, LMFT * Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a ...
Preferred BSN, MSN, LCSW, LPC, LMFT * Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...
Coordinator-Advance Care Planning
$18 - $24.25/hr
Performs chart reviews as necessary for utilization review of goal concordant care associated with ACP. Physical Demands * Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time * Weight Carried: Up ...
Coordinator-Advance Care Planning
$18 - $24.25/hr
Performs chart reviews as necessary for utilization review of goal concordant care associated with ACP. Physical Demands * Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time * Weight Carried: Up ...
Coordinator-Advance Care Planning
Gainesville, GA · On-site
$18 - $24.25/hr
Performs chart reviews as necessary for utilization review of goal concordant care associated with ACP. Physical Demands * Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time * Weight Carried: Up ...
Coordinator-Advance Care Planning
Gainesville, GA · On-site
$18 - $24.25/hr
Performs chart reviews as necessary for utilization review of goal concordant care associated with ACP. Physical Demands * Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time * Weight Carried: Up ...
Accounting Manager
Atlanta, GA · On-site
$70K - $75K/yr
... effective utilization of cash balances * Acting as day to day contact for banking and treasury ... and maintains chart of accounts * Files and makes payments for state sales tax. * Reviews ...
New
Quick apply
Accounting Manager
Atlanta, GA · On-site
$70K - $75K/yr
... effective utilization of cash balances * Acting as day to day contact for banking and treasury ... and maintains chart of accounts * Files and makes payments for state sales tax. * Reviews ...
New
PATIENT ACCESS SERVICES REP I, PATIENT FINANCIAL SERVS
$12.75 - $13.75/hr
Chart. * Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and ... utilization review companies; state regulatory agencies (GMCF, Medicaid); and attorneys.
PATIENT ACCESS SERVICES REP I, PATIENT FINANCIAL SERVS
$12.75 - $13.75/hr
Chart. * Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and ... utilization review companies; state regulatory agencies (GMCF, Medicaid); and attorneys.
PATIENT ACCESS SERVICES REP I, PATIENT FINANCIAL SERVS
Valdosta, GA · On-site
$12.75 - $13.75/hr
Chart. * Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and ... utilization review companies; state regulatory agencies (GMCF, Medicaid); and attorneys.
PATIENT ACCESS SERVICES REP I, PATIENT FINANCIAL SERVS
Valdosta, GA · On-site
$12.75 - $13.75/hr
Chart. * Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and ... utilization review companies; state regulatory agencies (GMCF, Medicaid); and attorneys.
Monitor and promote advancement of program performance using KPIs, service utilization, and outcome ... Conduct chart reviews, internal audits, and program evaluations * Serve on Continuous Quality ...
Monitor and promote advancement of program performance using KPIs, service utilization, and outcome ... Conduct chart reviews, internal audits, and program evaluations * Serve on Continuous Quality ...
Employee Health Nurse (LPN)
Springfield, GA · On-site
$21.50 - $28.50/hr
This chart serves as an ongoing record, capturing all relevant health information from the initial ... Resource Utilization Support: Assist new employees in comprehending and effectively leveraging ...
New
Quick apply
Employee Health Nurse (LPN)
Springfield, GA · On-site
$21.50 - $28.50/hr
This chart serves as an ongoing record, capturing all relevant health information from the initial ... Resource Utilization Support: Assist new employees in comprehending and effectively leveraging ...
New
Scheduler PCT
Douglas, GA · On-site
$16 - $21.25/hr
Scheduler/PCT Position requires utilization of clinical knowledge to maintain efficient outpatient ... Ability to maintain absolute confidentiality of material and information accessed and reviewed.
Scheduler PCT
Douglas, GA · On-site
$16 - $21.25/hr
Scheduler/PCT Position requires utilization of clinical knowledge to maintain efficient outpatient ... Ability to maintain absolute confidentiality of material and information accessed and reviewed.
Manages the completion of the mortality review for the organization. Cultivates strong working ... Experience with chart abstracted quality measures for CMS and TJC required. Quality certification.
Manages the completion of the mortality review for the organization. Cultivates strong working ... Experience with chart abstracted quality measures for CMS and TJC required. Quality certification.
Directs the service-based performance improvement efforts through focused and generic reviews of ... Experience with chart abstracted quality measures for CMS and TJC required. • Quality ...
Directs the service-based performance improvement efforts through focused and generic reviews of ... Experience with chart abstracted quality measures for CMS and TJC required. • Quality ...
Physician (Rheumatologist)
Augusta, GA · On-site
$257K - $332K/yr
Adheres to the Medicine's Department's goals of productivity, book ability, and utilization. * Completes all mandatory training, credentialing procedures, chart reviews. * Provided oversight to ...
Physician (Rheumatologist)
Augusta, GA · On-site
$257K - $332K/yr
Adheres to the Medicine's Department's goals of productivity, book ability, and utilization. * Completes all mandatory training, credentialing procedures, chart reviews. * Provided oversight to ...
Interventional Radiology RN - PRN
Marietta, GA · On-site
$2.4K - $3.2K/wk
... the utilization of the equipment for the diagnosis and/or treatment of diseases. The registered ... Completes chart reviews as needed p. Performs QA/QC functions as needed q. Assists in other Medical ...
Interventional Radiology RN - PRN
Marietta, GA · On-site
$2.4K - $3.2K/wk
... the utilization of the equipment for the diagnosis and/or treatment of diseases. The registered ... Completes chart reviews as needed p. Performs QA/QC functions as needed q. Assists in other Medical ...
... chart preparation, communication, scheduling of patient visits, appropriate utilization and logging ... Review and organize patient medical records in preparation for visits. * Ensure all necessary ...
... chart preparation, communication, scheduling of patient visits, appropriate utilization and logging ... Review and organize patient medical records in preparation for visits. * Ensure all necessary ...
... chart preparation, communication, scheduling of patient visits, appropriate utilization and logging ... Review and organize patient medical records in preparation for visits. * Ensure all necessary ...
... chart preparation, communication, scheduling of patient visits, appropriate utilization and logging ... Review and organize patient medical records in preparation for visits. * Ensure all necessary ...
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?
What is Chart Utilization Review?
What are some common challenges faced by professionals in Chart Utilization Review, and how can they be addressed?
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.
- Freelance Utilization Review Nurse
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Full-time
Medical, Dental, Vision, Life, Retirement
This job post has expired 1 day ago. Applications are no longer accepted.
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
493rd of 890 rated healthcare providers
Job description
Utilization Review (UR) / Utilization Management (UM) Coordinator (Licensed Therapist or RN)
The Utilization Review / Utilization Management Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical Records, Clinical Staff, Nursing, and providers to coordinate and communicate patient information to insurance companies for the assignment of benefits.
- Performs clinical reviews over the telephone and electronically.
- Utilizes ASAM criteria (DSM-V) to determine appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases.
- Adheres to accrediting and regulatory agency requirements in maintaining records to ensure compliance.
Apply online at https://jobs.uhsinc.com/turning-point-care-center
I nterested in relocating to our community? Learn more about the city of Moultrie and Colquitt County here:
https://moultriechamber.com ;
https://colquittcountyga.gov ;
https://moultriega.com.
Centrally located in South Georgia, our facility is 30 minutes from I-75, 1.5 hours north of Tallahassee, FL, 3 hours south of Atlanta, GA, and 2.5 hours west of Jacksonville, FL. Our employees reside in Moultrie or surrounding communities including Albany, Tifton, Thomasville, and Valdosta, GA.
Join our team and discover a rewarding, fulfilling career.
Turning Point Care Center, LLC
For more than 40 years, Turning Point Care Center has provided a place of healing and hope to adults who suffer from behavioral health disorders and/or substance abuse. We are committed to providing quality behavioral health care through our inpatient and outpatient gender specific programs in Moultrie, GA. Our serene, rural setting gives patients a secure environment where they can build their foundation for lifelong recovery. We believe in creating healthy communities, which start with healthy individuals, linked through sound relationships to their families, friends, neighbors and peers.
Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Visit our website at https://turningpointcare.com to learn more.
We offer a competitive and comprehensive benefits program including:
- Medical
- Dental
- Vision
- Life Insurance
- Flexible Spending Accounts
- Health Savings Accounts
- Short and Long Term Disability
- 401K with match
- Employee Stock Purchase Plan
- and additional voluntary benefits and discounts. (Even Pet Insurance!!)
Qualifications
- Licensure through state composite board for nursing or counseling/therapy:
- Minimum RN, LMSW, LAPC, LAMFT
- Preferred BSN, MSN, LCSW, LPC, LMFT
- Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness
- Knowledge and understanding of a variety of insurances including: Traditional Medicare, Medicare Advantage Plans, and Commercial Plans
- Knowledge and experience with chemical dependency programs, mental health programs, situational evaluations, and crisis intervention, preferred.
This opportunity offers the following:
- CEUs required for biannual licensure for Therapists (provided for free without having to use leave to attend)
- Rewarding work environment
- Growth and Development Opportunities within UHS and its 300+ Subsidiaries
- Excellent Medical, Dental, Vision and Prescription Drug Plan
- 401k plan with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
Apply online at https://jobs.uhsinc.com/turning-point-care-center
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com .
From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Utilization Review, UR, Utilization Management, UM
What Universal Health Services employees say
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Benefits
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US