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Chart Utilization Review Jobs in Minnesota (NOW HIRING)

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.

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.

Review staff work product, including financial packages, to ensure its complete, accurate and ... Plans and monitors appropriate staffing levels and utilization of labor, including overtime.

Controller

Bloomington, MN · On-site

$120 - $180/hr

Review staff work product, including financial packages, to ensure its complete, accurate and ... Plans and monitors appropriate staffing levels and utilization of labor, including overtime.

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.

Review staff work product, including financial packages, to ensure its complete, accurate and ... Plans and monitors appropriate staffing levels and utilization of labor, including overtime.

Showing results 41-60

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 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.

Registered Nurse-Clinic (72 hours per pay period)

Mille Lacs Health System

Onamia, MN • On-site

$33.55 - $50.33/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago


Job description

Summary
The Clinic RN works in collaboration and continuous partnership with clinic patients and their family/caregiver(s),
clinic/hospital/specialty providers and staff, and community resources. The Clinic RN collaboratively assists MLHS
patients applying evidence practice to achieve optimal care.
Job Duties
The essential functions of this job are identified with an asterisk (*) at the end of the bullet point.
  • Perform Nurse visits*
    Facilitate process and work flows to augment quality initiatives (meaningful use, PCRS, MN community
    measures)*
  • Assist clinic staff and providers to enable efficient flow of patient care. Tasks to include but not limited to;
    rooming of patients, administering injections, facilitating patient requests by phone and patient portal and
    coordination of outside referrals*
  • Provide medication reconciliation and provide continuity of care by serving as liaison and primary contact for
    retail pharmacy staff; and other care providers*
  • Facilitates medication refills by protocol*
  • Connect patients to relevant community resources and services for patients (e.g. medications, medical
    equipment, home care etc.)*
  • Assist in development and management of anticoagulant program (TBD)
  • Create and promote adherence to a care plan, developed in coordination with the patient, primary care
    provider, and family/caregiver(s) (TBD)
  • Reduce emergency room utilization, hospital readmissions and increase quality of care by coordination of
    chronic care program (TBD)

If assigned a provider:
  • Chart prep; prepares for patient visit through EMR prior to visit
  • Rooming patient which includes height, weight, blood pressure, visual acuity, color vision/hearing screening.
  • Performs and fully completes all documentation in the EMR
  • Administration and documentation of oral and injectable medications and vaccinations
  • Proper storage, handling, and administration of vaccines. Be able to determine vaccines appropriate for patient
    based on past vaccine records, age, and the CDC and MDH vaccine schedules*
  • Complete continuance of patient care by coordinating diagnostic testing and referrals to inside and outside
    providers
  • Provides instructions and education to patients as instructed by providers
  • Sets up prescription refills and route to care team box
  • Review and execute phone notes and forms
  • Completes nurse box and flags
  • EKGs, ear lavages, assisting provider with procedures
  • Restocking of supplies in exam rooms

If assigned front desk:
  • Reception/Clerical task which include but is not limited to: Scheduling appointments, verification of insurance,
    checking in for appointments
  • Completing patient referrals
  • Ordering of supplies and equipment and restocking of supplies in exam rooms
  • Serve on various committees and task forces as assigned.
  • Willing to train and provide a productive learning environment for students, externs, and new staff, including, but not
    limited to Clinical Assistants and Patient Care Technicians.

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any
time with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety
policies, procedures, and rules. All will be expected to report unsafe conditions to a member of management.
Required Education and Experience
  • Graduate from an accredited school of nursing with current licensure as a Registered Nurse in the state of
    Minnesota
  • Knowledge of nursing principles, policies, procedures and medical ethics equivalent to years of experience
  • Excellent communication skills across disciplines and at various levels
  • Possession of attention to detail, organization and prioritization skills
  • Basic Computer skills and comprehension
  • Certifications: Basic Life Support required

Preferred Education and Experience
  • Ambulatory care experience
  • Experience in chronic care management
  • Knowledge of community advocacy and community resources

Additional Eligibility Qualifications
  • Excellent customer service skills
  • Culturally competent care of diverse clients
  • Accuracy in documentation
  • Proficient spelling, typing and computer abilities
  • Multitasks, flexible and team oriented
  • Maintain waived lab testing competency
  • Patient age specific competencies

Position Type/Expected Hours of Work
Monday through Friday day hours with occasional Monday evening and Saturday morning rotation. Occasional holidays
and work during inclement weather will be required. This position may require long hours depending upon patient need.
Supervisory Responsibility
Provides work direction in coordination with the Clinic Director.
Company Benefits Overview
  • Medical, Dental and Vision
  • Life Insurance and Voluntary Life Insurance
  • Paid Time Off
  • Tuition Reimbursement, Discounts and Scholarships Programs
  • Retirement Plans
  • Long-Term and Short-Term Disability
  • Health Savings Account
  • Flexible Spending Account
  • Wellness Program
  • Service and Pharmacy Discounts
  • Employee Assistance Program
  • Holiday Pay