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Chart Utilization Review Jobs in Massachusetts (NOW HIRING)

Evolve Treatment Centers

Clinical Director

Millbury, MA · On-site

$60 - $80/hr

Chart audits and utilization review done daily * Authentication in EHR of all clinical notes done daily * Facilitation of multi-disciplinary staff meetings * Coordinate with APN for all ancillary ...

New

Firefly Health

Virtual Primary Care Physician

Boston, MA · On-site +1

... utilization across the care continuum * Participate in clinical quality improvement, peer review, and chart audit activities to promote consistent, evidence-based care delivery across assigned pod(s)

Socket.dev

Behavioral Health Director

Greenfield, MA · On-site

$140 - $195/hr

Monitors access, productivity, utilization, and operational metrics. Integrated Clinical Care ... Participates in clinical risk management activities, peer review, chart review, and performance ...

New

The Dimock Center

Clinical Director, Askia

Roxbury, MA · On-site

$100K - $115K/yr

Ensure timely access to treatment and appropriate utilization of services. * Monitor client ... Conduct chart audits and quality improvement reviews to monitor service quality and outcomes.

The-Dimock-Center

Clinical Director, Askia

Boston, MA · On-site

$69 - $115/hr

Ensure timely access to treatment and appropriate utilization of services. * Monitor client ... Conduct chart audits and quality improvement reviews to monitor service quality and outcomes.

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Showing results 21-40

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Massachusetts

Chart Utilization Review information

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 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 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 Massachusetts?

For Chart Utilization Review jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Chart Utilization Review jobs in Massachusetts look for?

The top searched job categories for Chart Utilization Review jobs in Massachusetts are:

What cities in Massachusetts are hiring for Chart Utilization Review jobs?

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

Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Massachusetts as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.

Clinical Director

Evolve Treatment Centers

Millbury, MA • On-site

$60 - $80/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New

Key responsibilities

  • Supervise and monitor the clinical staff's services and documentation to ensure compliance with regulations and quality standards.

  • Coordinate clinical activities, including assessments, clinical services, and collaboration with other staff and external partners.

  • Provide training, professional development, and manage staff schedules and performance improvement plans.

Job description

Evolve Recovery Centers

Position Title: Clinical Supervisor

A first in class residential treatment center focused on mending the mind, body and spirit of those struggling with addiction and co-occurring disorders related to substance use. Each client will attend daily counseling, both individually or in a group setting to help aid in the lifestyle changes needed to achieve long term abstinence and recovery from addictive behaviors.

Additional emphasis is placed on Evolve's family component to aid in the support and long-term success of each individual. We believe a client’s recovery requires an all-out assault on addiction from various angles; we also strongly encourage the importance of discovering how to have healthy fun again, discovering new activities to enjoy and helping clients understand the value of nutrition and physical fitness in achieving not only recovery from addiction but their life's goals and ambitions.

Clinical Supervisor Job description

The Clinical Supervisor is responsible for the supervision of the clinical staff. The Clinical Supervisor maintains close communication with the clinical staff, provides any information relevant to the program’s operation and assists in developing and modifying the program. He/she monitors documentation by the clinical staff to ensure that documentation is maintained at the highest level and is responsible to provide day and evening management of the clinical function of the facility.

Clinical Supervisor Duties/Responsibilities
  • This individual works directly and indirectly with Executive Director and handles all administrative supervision of all staff
  • Responsible for monitoring all clinical services and documentation of staff, to ensure compliance with regulations and standard of quality established
  • Responsible for curriculum development
  • Responsible for coordinating and collaborating with senior management
  • Chart audits and utilization review done daily
  • Authentication in EHR of all clinical notes done daily
  • Facilitation of multi-disciplinary staff meetings
  • Coordinate with APN for all ancillary services to ensure regulatory requirements are consistently met
  • Maintain a small caseload
  • Perform assessments and other clinical services as needed
  • Coordinate with referents to ensure quality for mutual clients and ongoing communication regarding care of those clients
  • Provide training and professional development opportunities to staff
  • Participate in quality improvement efforts
  • Manage staff schedules and PTO
  • Implement performance improvement plans
  • Assist in policy and procedure development as needed
  • Participate in marketing and networking events as needed
  • Develop network of local resources
  • Ensures patient confidentiality in compliance with 42CFR, Part 2 and Affinity’s privacy policies, procedures and practices as required by federal and state law in accordance with general principle of professionalism as a health care provider
  • May access protected health information (PHI) and other patient information only to the extent that is necessary to complete their assigned job functions and may only share such information with those who have a need to know specific patient information to complete their job functions/responsibilities
  • Interacts with fellow team members and patients in a respectful, professional manner
  • Performs other duties as assigned
Clinical Supervisor Requirements
  • Master’s Degree in Psychology, Social Work or Health-Related Field
  • Knowledge of addiction and mental health a plus
  • LCSW or LICSW or LMHC
Clinical Supervisor Compensation

Salary is competitive with experience and location

Full time employees may be eligible for the following
  • Insurance: Medical, Dental, Vision, and STD options
  • Medical FSA and Dependent Care Account
  • 401k with company match up to 5%
  • Accrued Paid Time Off (PTO)
  • Education reimbursement
  • Career Advancement Opportunities

*** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***

If you are interested in this opportunity or know someone that you respect who would be a good fit for this position, please email: Ray Davis - Ray@Praesumhealthcare.com Talent Acquisition Manager

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