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Chart Utilization Review Jobs in Minnesota (NOW HIRING)

Registered Nurse

Virginia, MN · On-site

$31.20 - $44.18/hr

... improve utilization of evidence-based practices on a more consistent basis. As part of our ... Provide chart audits, policy review, updating of policy and procedures as requested to assure ...

New

Registered Nurse

Virginia, MN · On-site

$31.20 - $44.18/hr

... improve utilization of evidence-based practices on a more consistent basis. As part of our ... Provide chart audits, policy review, updating of policy and procedures as requested to assure ...

New

... utilization of health care services and resources. * Performance of the team, through monitoring ... Conduct joint member visits with care coordinators, chart reviews and completion of audit tools.

... utilization of health care services and resources. * Performance of the team, through monitoring ... Conduct joint member visits with care coordinators, chart reviews and completion of audit tools.

Demonstrates a satisfactory working knowledge of PACS and if needed reviews scans with the ... chart to assist the physician in optimizing the performance and interpretation of the examination.

Demonstrates a satisfactory working knowledge of PACS and if needed reviews scans with the ... chart to assist the physician in optimizing the performance and interpretation of the examination.

Demonstrates a satisfactory working knowledge of PACS and if needed reviews scans with the ... chart to assist the physician in optimizing the performance and interpretation of the examination.

Demonstrates a satisfactory working knowledge of PACS and if needed reviews scans with the ... chart to assist the physician in optimizing the performance and interpretation of the examination ...

Reviews scans with the Radiologist as to important anatomical detail and areas of abnormalities ... chart to assist the physician in optimizing the performance and interpretation of the examination.

Reviews scans with the Radiologist as to important anatomical detail and areas of abnormalities ... chart to assist the physician in optimizing the performance and interpretation of the examination.

Demonstrates a satisfactory working knowledge of PACS and if needed reviews scans with the ... chart to assist the physician in optimizing the performance and interpretation of the examination.

Showing results 21-40

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.

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

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

Infographic showing various Chart Utilization Review job openings in Minnesota as of August 2026, with employment types broken down into 73% Full Time, and 27% Part Time. Highlights an 100% In-person job distribution.

Occupational Therapist Home Care

Ridgeview

Waconia, MN • On-site

$43.72 - $49.68/hr

Full-time

Posted 27 days ago


Ridgeview Medical Center rating

7.7

Company rating: 7.7 out of 10

Based on 20 frontline employees who took The Breakroom Quiz


Job description

Description
Purpose of Job
This position is responsible for the delivery of individualized assessment, care planning, intervention and discharge of Occupational Therapy clients through the Home Health agency or Rehab Specialties department, working within the professional scope of practice as defined by the American Occupational Therapy Association.
Job Functions
  1. Performs discipline specific evaluations, OASIS assessments, care planning, interventions, documentation of care, and discharge of client cases according to RMC, agency, and professional standards.
  2. Provides current and quality treatment, utilizing Ridgeview, agency, and professional resources to promote continued quality care.
  3. Communicates with the client, health care providers, insurer and others to ensure that client needs are addressed and authorization is obtained from appropriate parties for all visits made.
  4. Serves as client advocate to obtain referrals to advise and utilize appropriate Ridgeview, agency and community resources to meet client needs.
  5. Exhibits working knowledge of hours of operation, customer base, department operations, visit procedures, and chart audit procedures.
  6. Demonstrates competencies in the specialized area of Home Health, and utilization of reimbursement and regulatory guidelines for the provision of safe and effective care.
  7. Provides effective supervision of COTAs, home health aides, and other applicable caregivers when occupational therapy is provided.
  8. Participates in meetings, care conferences, and quality improvement initiatives as directed.
  9. Provides professional and courteous customer service to internal and external customers.
  10. Performs other duties as assigned.

Minimum Education/Work Experience
  • See License/Certification

Knowledge/Skills/Abilities
  • Ability to work independently and organize tasks.
  • Ability to exhibit flexibility, self-control and maturity in work and behavior.
  • Ability to serve patients in a friendly and efficient manner.
  • Ability to respond appropriately to unpredictable situations and diverse patient populations.
  • Ability to work autonomously and as a team.
  • Capable of making independent decisions with the use of good critical thinking and problem solving skills.
  • Ability to promote Home Health and Rehab Specialties Services.
  • Knowledge of basic computer functions and Microsoft Office applications.
  • Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above.

License/Certifications
  • Licensed Occupational Therapist, valid in Minnesota.
  • Current Healthcare Provider CPR Certification
  • Valid MN Driver's license and meets Ridgeview's age and insurability requirements.

Link to Employee Health Physical Demands
Compensation
Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.
Benefits
Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families. Click here to view the benefits available.
Requirements
Minimum Education/Work Experience/License/Certifications
  • Licensed Occupational Therapist, valid in Minnesota
  • Current Healthcare Provider CPR Certification
  • Valid MN driver's license, car insurance, and meets Ridgeview's insurability requirements
  • Must be at least 21-years old in order to meet Ridgeview's insurability requirements

Knowledge/Skills/Abilities
  • Ability to work independently and organize tasks
  • Ability to exhibit flexibility, self-control and maturity in work and behavior
  • Ability to serve patients in a friendly and efficient manner
  • Ability to respond appropriately to unpredictable situations and diverse patient populations
  • Ability to work autonomously and as a team
  • Capable of making independent decisions with the use of good critical thinking and problem solving skills
  • Ability to promote Home Health and Rehab Specialties services
  • Knowledge of basic computer functions and Microsoft Office applications
  • Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above

Preferred Qualifications
Click here to review the physical demands of this position

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