THERAPIST (MA/MSW)
Bloomington, IN · On-site
Ensures timely completion and documentation of outpatient utilization review. Assists with clinical chart audits and staff education associated with quality improvements. Exempt level position.
THERAPIST (MA/MSW)
Bloomington, IN · On-site
Ensures timely completion and documentation of outpatient utilization review. Assists with clinical chart audits and staff education associated with quality improvements. Exempt level position.
Withdrawal Management Supervisor (HLC)
Indianapolis, IN · On-site
$90K/yr
... Utilization Review Manual * Chart in Client case records all information relating to any chronic or acute illnesses, known withdrawal complications, and all medications given to client * Ensure the ...
Withdrawal Management Supervisor (HLC)
Indianapolis, IN · On-site
$90K/yr
... Utilization Review Manual * Chart in Client case records all information relating to any chronic or acute illnesses, known withdrawal complications, and all medications given to client * Ensure the ...
... Utilization Review Manual * Chart in Client case records all information relating to any chronic or acute illnesses, known withdrawal complications, and all medications given to client * Ensure the ...
... Utilization Review Manual * Chart in Client case records all information relating to any chronic or acute illnesses, known withdrawal complications, and all medications given to client * Ensure the ...
Specialty Reg Nurse
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse (BMG)
South Bend, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Specialty Reg Nurse (BMG)
South Bend, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Registered Nurse (SBS)
Granger, IN · On-site
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
... or utilization review. Performs nursing functions specific to the specialty practice and as ... Completing periodic chart audits for staff and providers. * Checking with staff during the day and ...
Clinical Director
Columbus, IN · On-site
$68K - $93K/yr
Conduct regular chart audits and support quality assurance, utilization review, and readiness activities. Staff Development & Performance Management * Lead onboarding, orientation, and ongoing ...
Clinical Director
Columbus, IN · On-site
$68K - $93K/yr
Conduct regular chart audits and support quality assurance, utilization review, and readiness activities. Staff Development & Performance Management * Lead onboarding, orientation, and ongoing ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
... chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of ...
PRN Occupational Therapist (OT)
$38.25 - $50.50/hr
... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Review medical chart and screen prior to completing evaluation to determine patients need for ...
PRN Occupational Therapist (OT)
$38.25 - $50.50/hr
... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Review medical chart and screen prior to completing evaluation to determine patients need for ...
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?
| 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 Indiana? For Chart Utilization Review jobs in Indiana, the most frequently searched job titles are:
- Registered Nurse Utilization Review
- Utilization Review Nurse
- Manager Utilization Management
- Part Time Utilization Review Nurse
- Remote Cvs Utilization Management Nurse
- Remote Chart Review Nurse
- Utilization Management
- Telecommute Medical Record Reviewer
- No Experience Utilization Review Nurse
- Night Utilization Review Nurse
What job categories do people searching Chart Utilization Review jobs in Indiana look for? The top searched job categories for Chart Utilization Review jobs in Indiana are:
Job description
Responsibilities
The Outpatient Therapist is a member of the multidisciplinary treatment team. Major job functions include: obtaining psycho-social assessments; conducting family/group therapy on assigned cases; complete documentation per Meadows policy and procedure; case coordination; coordinate inpatient referrals ; assist in developing and maintaining community resource information; performs marketing functions as assigned; assists in the maintenance of the program environment in compliance with policies of safety and security; ensures good clinical judgment to ensure optimum patient care; participate in continuing education activities. All above task shall be delivered in an age specific manner to all age groups.
Ensures timely completion and documentation of outpatient utilization review. Assists with clinical chart audits and staff education associated with quality improvements. Exempt level position.
Qualifications
Education : Masters degree in mental health or related field.
Experience : One to two years of program management experience required, Four to five years' experience working with adults and adolescents with substance abuse and mental health or co-occurring disorders, Outpatient experience preferred.
Licensure : Licensed Clinical Social Worker, LMHC, or Licensed Professional Clinical Counselor eligible.
Additional Requirements: Demonstrated leadership ability, strong organizational skills, and skills in writing and in working with statistical data. Ability to communicate effectively with diverse groups and individuals, and the ability to delegate appropriately. Knowledge of regulatory requirements and accrediting standards preferred. CPR certification and HANDLE WITH CARE training within 90 days of employment and prior to assisting in a restraining procedure. May be required to work flexible hours and overtime.
The Outpatient Therapist is a member of the multidisciplinary treatment team. Major job functions include: obtaining psycho-social assessments; conducting family/group therapy on assigned cases; complete documentation per Meadows policy and procedure; case coordination; coordinate inpatient referrals ; assist in developing and maintaining community resource information; performs marketing functions as assigned; assists in the maintenance of the program environment in compliance with policies of safety and security; ensures good clinical judgment to ensure optimum patient care; participate in continuing education activities. All above task shall be delivered in an age specific manner to all age groups.
Ensures timely completion and documentation of outpatient utilization review. Assists with clinical chart audits and staff education associated with quality improvements. Exempt level position.
Qualifications
Education : Masters degree in mental health or related field.
Experience : One to two years of program management experience required, Four to five years' experience working with adults and adolescents with substance abuse and mental health or co-occurring disorders, Outpatient experience preferred.
Licensure : Licensed Clinical Social Worker, LMHC, or Licensed Professional Clinical Counselor eligible.
Additional Requirements: Demonstrated leadership ability, strong organizational skills, and skills in writing and in working with statistical data. Ability to communicate effectively with diverse groups and individuals, and the ability to delegate appropriately. Knowledge of regulatory requirements and accrediting standards preferred. CPR certification and HANDLE WITH CARE training within 90 days of employment and prior to assisting in a restraining procedure. May be required to work flexible hours and overtime.
About Universal Health Services
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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