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Chart Utilization Review Jobs in Georgia (NOW HIRING)

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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 cities in Georgia are hiring for Chart Utilization Review jobs?

Cities in Georgia with the most Chart Utilization Review job openings:

Infographic showing various Chart Utilization Review job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution.

Interventional Radiology RN - PRN

Wellstar Health System

Smyrna, GA • On-site

$2.4K - $3.2K/wk

Other

Posted 5 days ago


Wellstar Health System rating

7.4

Company rating: 7.4 out of 10

Based on 352 frontline employees who took The Breakroom Quiz

270th of 887 rated healthcare providers


Job description

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)PRN, 630a - 4pm Windy Hill Hospital Job Summary:

Functions under the direction of the Site Manager. He/she is responsible for performing a wide variety of clinical procedures
requiring independent judgement, ingenuity and initiative in the utilization of the equipment for the diagnosis and/or treatment of
diseases. The registered nurse is responsible for implementing the nursing process based on expanded knowledge and
experience. The nurse is responsible for providing patient care with an understanding and awareness of age specific needs.
Addresses the biological, emotional, developmental, psychosocial and patient/family education needs in providing care to the
patient and family. The nurse is able to independently perform job functions.


Core Responsibilities and Essential Functions:

1. Clinical Skills
a. Completion of V-ARU competencies
b. Provide pre and post procedure care of patients for invasive, interventional and surgical procedures
c. Able to use critical thinking skills
d. Able to deliver patient care in complex, multiple problem patient care situations
e. Prepares and may administer contrast. Understands preparation/administration of doses according to patients weight and physician order
f. Administers conscious sedation per system policy and procedure
g. Preps the patient for procedure
h. Demonstrates and understands steriile technique
i. Demonstrate IV administration competence and maintenance
j. Prepares trays and catheters for procedure
3. Job Responsibilities
a. Must be flexible with hours to meet department needs
b. Able to work scheduled and On-Call hours if necessary
c. Knows existing lines of communication and authority, handles communications properly and is dependable, cooperative and emotionally stable.
d. Introduces self to patient and/or guardian upon entering room utilizing proper scripting
e, Transports patients as needed
k. Provides privacy and comfort for patient/customers
l. Assists with maintenance of departmental records, Joint Commission standards, State and Federal Regulations and Performance Improvement
m. Completes necessary paperwork
n. Answers department phone using proper scripting
o. Completes chart reviews as needed
p. Performs QA/QC functions as needed
q. Assists in other Medical Imaging areas and as needed in other departments in the system, system wide
r. Maintain current successful completion of BLS and ACLS
s. Understands Scope of Service for Vascular Institute, VARU and Medical Imaging
t. Assist in inservice/training for other Medical Imaging staff as appropriate
o. Reviews case with the appropriate physician(s) as needed.
p. Recognizes that total patient care starts when the patient arrives at our facility and ends when the physician/patient have the imaging results.
q. Meets Service Recovery and Customer Service Guidelines as needed.
r. Reviews the case with appropriate physician(s) as needed
u. Coordinates daily schedule of patients
v. Maintains checking the crash cart in assigned Medical Imaging areas.
2. . Quality and Patient Safety
a. Verifies patient ID using 2 patient identifiers, ie. Armband, DOB, verbal identification
b. Verifies front of patient chart for same/similar name sticker
c. Verifies Written Order, seeks clarification is unclear
d. Understands and complies with verbal order RBAC and performs necessary follow-up with written order
e. Uses and understands preprocedural verification/time out form when appropriate
f. Understands and complies with site/side marking when indicated
4. Patient Education
a. Responsible for patient, family/support system education
b. Provide post procedural home care instructions as needed.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.


Required Minimum Education:
  • Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

  • ACLS - Advanced Cardiac Life Support or ARC-ALS - Amer Red Cross Advanced Life Support or ACLS-I - ACLS - Instructor or ACLS-P - ACLS-Provisional (180 Days) within 180 Days
  • BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor
  • RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact

Required Minimum Experience:

Minimum of 3 years experience in Interventional Radiology. Cardiac cath is a bonus!

Must be experienced in moderate sedation.

ICU / CCU /ER or previous Cath Lab experience required
Required Minimum Skills:

Ability to read, write and speak English language
Ability to optimize the use of technology to support clinical care
Possess basic computer skills
Possess Strong interpersonal possess
Possess collaborative skills
Possess customer service skills
Ability to function in a fast paced environment
Ability to respond to emergencies in using a decisive, composed and respectful manner
Possess excellent time management skills
practices nursing using evidence and analytical skills
possess strong critical thinking skills.

Join us and discover the support to do more meaningful workâ€"and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.


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