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Chart Utilization Review Jobs in Michigan (NOW HIRING)

Hospice of Michigan

Medical Assistant, EverCare

MI · On-site

$17.25 - $22.25/hr

  • PTO

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

McLaren Medical Group

Clerk Nursing

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained. * Surgical charts checked and ... Attending required classes and reviews. * Demonstrating competence in all computer applications.

McLaren USA

Clerk Nursing Casual

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained E. Surgical charts checked and ... Attending required classes and review B. Demonstrating competence in all computer application C.

McLaren Health Care

Clerk Nursing Casual

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained E. Surgical charts checked and ... Attending required classes and reviews B. Demonstrating competence in all computer applications C.

McLaren

Clerk Nursing Casual

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained E. Surgical charts checked and ... Attending required classes and review B. Demonstrating competence in all computer application C.

McLaren Health Care

Clerk Nursing

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained. E. Surgical charts checked and ... Attending required classes and reviews. B. Demonstrating competence in all computer applications. C.

McLaren

Clerk Nursing

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained. E. Surgical charts checked and ... Attending required classes and reviews. B. Demonstrating competence in all computer applications. C.

McLaren USA

Clerk Nursing

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained. E. Surgical charts checked and ... Attending required classes and reviews. B. Demonstrating competence in all computer applications. C.

McLaren Bay Region

Clerk Nursing

Bay City, MI

Current chart copies of Ancillary Service reports maintained. E. Surgical charts checked and ... Attending required classes and reviews. B. Demonstrating competence in all computer applications. C.

McLaren Bay Region

Clerk Nursing

Bay City, MI · On-site

Current chart copies of Ancillary Service reports maintained. E. Surgical charts checked and ... Attending required classes and reviews. B. Demonstrating competence in all computer applications. C.

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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:

Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Michigan as of August 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 96% In-person, and 4% Remote job distribution.

Clinical Supervisor - Substance Use & Behavioral Health Services

Elmhurst Home Inc

Detroit, MI • On-site

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 9 days ago

Job description

SUMMARY OF MAJOR FUNCTIONS:

Lead. Mentor. Make a Difference.

Elmhurst Home, Inc. is seeking a dedicated and experienced Clinical Supervisor to lead and support our behavioral health and substance use treatment programs in both residential and outpatient settings. This leadership role is ideal for a licensed clinician who is passionate about mentoring teams, ensuring high-quality care, and creating meaningful outcomes for individuals in recovery.

What You’ll Do

As the Clinical Supervisor, you will oversee the delivery, quality, and compliance of all clinical services while supporting and developing a multidisciplinary treatment team. This position reports to the CCO.

Key Responsibilities

Clinical Leadership & Program Oversight

  • Ensure all therapy groups, counseling sessions, and clinical services are fully staffed and operating effectively
  • Provide direct clinical support and services when needed
  • Monitor admissions, discharges, census, and caseload distribution
  • Participate in case conferences, treatment reviews, and utilization reviews

Quality Maintenance of Direct Clinical Services:

  • Responsible for conducting and documenting fidelity checks (at least, quarterly) of group counseling sessions and didactics; provide feedback and, if necessary, additional training to each staff member.
  • Meet periodically with consumer group leaders to identify and discuss issues and concerns regarding direct services.
  • Coordinate closely with Quality Assurance staff to identify and resolve issues concerning Quality of Direct Services.

Quality Assurance & Compliance

  • Conduct regular fidelity reviews of counseling groups and didactic services
  • Ensure clinical documentation meets CARF, MDOC, DWMHA, and regulatory standards
  • Perform timely chart audits and documentation reviews
  • Provide detailed feedback to staff to ensure documentation accuracy and compliance
  • Approve reports, treatment documentation, and communication with criminal justice personnel

Additional Responsibilities:

  • Oversee drug screening procedures and reporting
  • Maintain compliance with organizational policies and procedures
  • Collaborate closely with Quality Assurance and administrative leadership teams

Qualifications Required Education & Licensure

  • Master’s degree in Behavioral Health, Human Services, Social Work, Counseling, Psychology, or related field
  • Current Michigan licensure as one of the following:
  • LMSW / MSW
  • LPC
  • Licensed Psychologist
  • LMFT
  • State of Michigan credential as a CAADC or CADC (must already be fully credentialed)

Required Experience

  • Minimum 3 years of clinical experience
  • Minimum 2 years of supervisory experience
  • Experience in substance use disorder and/or mental health counseling

Preferred Experience

  • Cognitive Behavioral Therapy (CBT) or pro-social skills training
  • Chemical dependency counseling experience
  • Experience working within residential treatment environments

Additional Requirements

  • Valid driver’s license and auto insurance
  • Ability to pass LIEN clearance
  • No active warrants, probation, parole, or open DOC cases
  • If in recovery, minimum 5 years of verifiable sobriety

Excellent Benefits

  • HRSA Certified and other Loan Forgiveness Programs
  • AI-Powered clinical note taking support
  • Competitive benefits package
  • Health, dental, vision & life insurance
  • PTO + Employee Assistance Program
  • Collaborative, mission-driven culture
  • Opportunity to lead meaningful change in the lives of others.

Job Type

Full-Time | In-Person

People with criminal records are encouraged to apply!!!!