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Chart Utilization Review Jobs in Indiana (NOW HIRING)

Therapist

Rockville, IN · On-site

$55K - $88K/yr

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

Therapist

Sullivan, IN · On-site

$55K - $88K/yr

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

Therapist

Bloomfield, IN · On-site

$55K - $88K/yr

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

Therapist

Brazil, IN · On-site

$55K - $88K/yr

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

Therapist

Linton, IN

$55K - $88K/yr

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

Therapist

Spencer, IN · On-site

$55K - $88K/yr

... chart reviews, completing prior requests and pre-certification. • Perform Telehealth services ... utilization of available treatment resources. • Willingness to use reliable personal ...

Reviews requisition, patient's medical chart, and records oral history from patient to define ... Knowledge of all equipment, drug utilization and technical procedures (within assigned area)

Showing results 41-60

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.

Infographic showing various Chart Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

$55K - $88K/yr

Full-time

Re-posted 14 hours ago


Hamilton Center Inc. rating

4.0

Company rating: 4.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Position Summary
Provide a wide range of clinical services to consumers within limits of training and credentialing under Clinical Supervision.
Essential Duties/Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
• Conduct initial evaluation and consumer intake interviews; assess consumer’s presenting problems and formulate diagnosis.
• Develop, implement and modify, as necessary, consumer treatment plans.
• Carry out case management services related to consumers’ treatment.
• Maintain an active caseload, providing individual, group, family, marital, child, and adjunctive therapies as needed and within area of expertise and limits of credentials; assure procurement of additional services as needed.
• Provide behavioral interventions using evidence-based practice (crisis intervention, behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate)
• Provide crisis management for consumers, including on-call and community based (jail/legal, hospitals, schools, etc.) consults; make recommendations for interventions as appropriate.
• Follow Center procedures regarding the provision of consumer care and documentation
• Maintain consumer and program records in accordance with applicable standards and regulations, grant requirements etc.
• Acquire and maintain knowledge of human development and utilize age-appropriate and developmentally appropriate activities in treatment.
• Participate in continuing education activities, remain knowledgeable in area(s) of expertise, and meet requirements for professional staff membership
• Attend meetings as appropriate and meet regularly with Clinical Supervisor to exchange pertinent information and receive supervision.
• Serve as a resource person to Center and community in areas of expertise, including presenting classes, speaking engagements and agency consultation.
• Maintain a high level of ethical conduct regarding confidentiality, dual relationships and professional stature.
• Ability to demonstrate competent use of Electronic Medical Record
• Completion of required CANS and/or ANSA training and ongoing certification
• Timely completion of DARMHA Supported Consumer (DSC) paperwork and reassessments within specified deadlines
• Monitor caseload to assure compliance for third-party payers, including chart reviews, completing prior requests and pre-certification.
• Perform Telehealth services within scope of training and licensure
• Perform any other duties as assigned.
• Perform the above listed duties with or without reasonable accommodation.
Minimum Qualifications/Requirements
• Master’s degree in the field of mental health required.
• Advanced knowledge and skills in community-based mental health care.
• Demonstrate competence in assessment and treatment of chemically dependent consumers, including obtaining and interpreting information in terms of dependence.
• Knowledge of the natural history of dependence and the relevant biological and sociocultural factors.
• Good written and oral communication skills.
• Good interpersonal skills.
• Demonstrate competence in assessment of and treatment planning for children, adolescents and families.
• Understanding and knowledge of the range of treatment needed and appropriate utilization of available treatment resources.
• Willingness to use reliable personal transportation in work capacity.
Certificates, Licenses, Registrations
• Licensed in the State of Indiana preferred.
• Maintain current Crisis Prevention Intervention (CPI) certification (Onsite Therapists only)
• Maintain current CPR/First Aid certification (Onsite Therapists only)
• Valid driver’s license in accordance with motor vehicle policy.

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