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Chart Utilization Review Jobs in Michigan (NOW HIRING)

Trinity Health

NP/PA CTVS/General Robotic

Ann Arbor, MI · On-site

... utilization review processes. In partnership with the supervising physician the NP/PA evaluates ... Dictation of discharge summaries, chart rounds, staffing conference summaries and consults as ...

Trinity Health

NP/PA CTVS/General Robotic

Ann Arbor, MI · On-site

... utilization review processes. In partnership with the supervising physician the NP/PA evaluates ... Dictation of discharge summaries, chart rounds, staffing conference summaries and consults as ...

Hospice of Michigan

Medical Assistant

MI · On-site

$17.25 - $22.25/hr

... notes, reviewing and updating chart with additional health information such as post-hospital ... recent utilization, current facility medication administration records, pending results, and ...

Hospice of Michigan

Medical Assistant

Ann Arbor, MI · On-site

$17.25 - $22.25/hr

... notes, reviewing and updating chart with additional health information such as post-hospital ... recent utilization, current facility medication administration records, pending results, and ...

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All JobsChart Utilization Review JobsChart Utilization Review Jobs in Michigan

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 Michigan?

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

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

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

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

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

Infographic showing various Chart Utilization Review job openings in Michigan as of September 2026, with employment types broken down into 72% Full Time, and 28% Part Time. Highlights an 94% In-person, and 6% Remote job distribution.

Case Manager-SW Afternoons

Detroit, MI • On-site

Henry Ford Health System
51 - 200 employees
Learn more about Henry Ford Health Systemexternal

$19.75 - $25.50/hr

Full-time

Re-posted 15 days ago

Job description

GENERAL SUMMARY: The Case Manager SW provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, and uninterrupted care in the hospital and to facilitate continuity of care in the community. Demonstrates positive interpersonal communication with patients, families, visitors, and co-workers in accordance with organization and departmental policies and procedures. EDUCATION/EXPERIENCE REQUIRED: Master's degree in Social Work required. Three (3) years of clinical experience. Knowledge of social work practices, individuals, case recording, chart documentation, community referrals, and effective networking techniques to coordinate services for patient outside of the hospital is required. Familiarity with general medicine psychiatry, psychology and sociology and how social, familial, economic, and individual factors affect how an individual functions required. Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and confidentiality and privacy, as applicable to the area of specialty is desired. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age-specific needs. Ability to make independent decision regarding clinical, psycho-social patient are and to provide input regarding the organization and functioning of the hospital unit required. Highly effective verbal and written communication skills are necessary to conduct successful counseling, social services, supervision of students, consultation with colleagues and documentation of patient counseling session. Strong collaboration, communication, and interpersonal skills. Excellent organization and time management skills. Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams. Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. Excellent written/verbal communication skills, critical thinking skills, creative problem-solving skills, good organization, and planning skills. Must be self-directed, have the ability tolerate frequent interruption and work in a fast-paced work environment. CERTIFICATIONS/LICENSURES REQUIRED: Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license. Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred.

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