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Chart Utilization Review Jobs in Minnesota (NOW HIRING)

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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 July 2026, with employment types broken down into 3% As Needed, 80% Full Time, 14% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.
Registered Nurse - Weekends

Registered Nurse - Weekends

Range Mental Health Center

Virginia, MN • On-site

$31.20 - $44.18/hr

Part-time

Medical, Dental, Life, Retirement, PTO

Re-posted 19 hours ago


Range Mental Health Center rating

7.9

Company rating: 7.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

Description:

Job Title: Registered Nurse

Job Classification: Non-Exempt

Supervisor: Nurse Manager

Location: Detox

Status: Part-time

Shifts: Weekends 12 hour shifts

Pay Band/Wage: $31.20 - $44.18 (Pay Band 9) BOE

Benefits: Including but not limited to: Medical, Dental, Life, 401k, PTO, MN PFML

Sign-on Bonus: $2,000

About Our Workplace:

Range Mental Health Center is proud to be a Certified Community Behavioral Health Clinic (CCBHC). The goals of the Certified Community Behavioral Health Clinics program in MN are to 1) increase access to community-based mental health and substance use disorder services (particularly to under-served communities), 2) advance integration of behavioral health with physical health care, and 3) improve utilization of evidence-based practices on a more consistent basis.


As part of our commitment to supporting employees in their professional development, we offer 100% employer provided clinical supervision at no cost to staff in therapy positions or any role requiring clinical licensure. This includes weekly supervision in accordance with all licensing board requirements. Our structure also includes weekly multidisciplinary team meetings and monthly staff meetings. This reflects our broader philosophy of integrated treatment coordination and robust clinical support. Join a team where collaboration, professional development, and integrated care are built into the way we work, every single week.


Position Summary:

This role is direct patient care and administrative in nature, designed to meet the needs of our community consistent with our organization’s status as a CCBHC. The Registered Nurse will provide care across the organization, though it will most likely be focused in one area for most of their time. Programs that they will be involved with as part of this position include substance use disorder services (detoxification and inpatient residential treatment services), mental health intensive services (crisis and intensive residential treatment services), outpatient psychiatry services, and is collaborative with our community programs (ARMHS medication education).


General Duties/Responsibilities:

  • Registered nurses (RNs) work closely with supervising providers to assess and monitor patients’ needs and ensure treatment and care are conducted according to the facility’s procedures by:
  • Caring for patients
  • Record a patient’s medical history, symptoms, and vitals with prompt and professional documentation.
  • Update patient charts and electronic health records (EHR).
  • Perform medical tasks, including blood draws and administering shots, and responds to emergent medical needs such as first aid, CPR, wound care.
  • Administers medication and other treatment team-recommended treatment plans.
  • Complies with federal, state, and local nursing regulations, standards, and policies.
  • Collaborates with fellow staff, other departments and outside agencies.
  • Completion of continuing education requirements. Participates in yearly performance review process and provides peer reviews as directed.
  • Adherence to organization code of conduct, maintaining appropriate communication and boundaries with other staff, patients, and outside agencies.
  • Other duties as assigned are consistent within the RN scope of practice, meeting the needs of the organization and patients.
  • Attend at least 16 hours of training per year in areas specified by IRT and CS rules

Program-specific duties/responsibilities:

  • Provide chart audits, policy review, updating of policy and procedures as requested to assure compliance with regulatory requirements and assuring safe delivery of care. Report findings to clinical nurse manager, program director, medical director and other stakeholders as appropriate.
  • Provide training to LPN and unlicensed assistive personnel on medication administration, documentation of medication and health assessment, CPR, withdrawal protocols, etc.
  • Regularly attend program, treatment, and staff meetings, providing recommendations for improvement in patient care, program services, organizational needs.
  • Complete patient assessment and education visits consistent with meeting expectations of a CCBHC organization.
  • Collaborate with all inter-organizational departments to facilitate prompt and safe delivery of services to patients.
  • Communicate with other agencies including hospitals, clinics, pharmacies, social services, probation/ law enforcement, etc as appropriate and within privacy guidelines to facilitate prompt and safe referrals and delivery of care.
  • Flexibility to float to other programs/ services within the organization based on staffing needs and acuity of patients.
  • While every effort will be made to not require work outside of the standard hours, our organization does provide 24/7/365 medical services. Ability to work off shifts including evening, night, weekend, and when needed to assure patient and organizational needs are met

Required Skills/Abilities:

  • Exhibits strong clinical skills along with excellent verbal and written communication.
  • Capability to delegate tasks, and openness to receiving delegation, direction and feedback.
  • Strong prioritization and time management skills. Willingness to engage in problem solving.
  • Collaborates well with others under challenging circumstances, maintains composure in response to difficult situations, respectful in all interactions.
  • Proficient with Microsoft Office Suite or related software as well as working with an EHR.
  • Regular and reliable attendance is a requirement to this position

Education and Experience:

  • Current license as Registered Nurse in the State of Minnesota
  • CPR Certification required.
  • Must be able to pass a State of MN Dept of Human Services criminal background study.
  • Preference for previous experience in behavioral health, community health, substance use services.
  • Preference for BSN-prepared nurses due to community health component of that degree. Strong support of individuals pursuing BSN preparation.

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer, periods of standing, bending, and reaching, and must be able to lift up to 50 pounds at times.
  • Must be physically able to attend to medical emergencies.
  • 18 years of age
  • Ability to physically provide medical procedures, including injections.
  • Vision sufficient to utilize a computer monitor, monitor the people we serve and visitors and identify, measure, and dispense medications.
  • Hearing sufficient to communicate via telephone or in person either one on one or in a group setting.
  • Able to articulate the English language in a manner that is sufficiently clear as to be easily understood.
  • Maintain an acceptable level of cleanliness and physical appearance.
  • Must be able to maintain a Minnesota driver's license and auto insurance

EOE/AA

Requirements:



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