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Chart Utilization Review Jobs in Ohio (NOW HIRING)

Occupational Therapist (OT) PRN

Madeira, OH · On-site

$36 - $47.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Review medical chart and screen prior to completing evaluation to determine patients need for ...

PRN Occupational Therapist (OT)

Youngstown, OH

$37.75 - $49.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Review medical chart and screen prior to completing evaluation to determine patients need for ...

PRN Occupational Therapist (OT)

Youngstown, OH · On-site

$38 - $50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Review medical chart and screen prior to completing evaluation to determine patients need for ...

Occupational Therapist (OT) PRN

Cincinnati, OH

$38.75 - $51/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Review medical chart and screen prior to completing evaluation to determine patients need for ...

Clinical Documentation Auditor

Portsmouth, OH · On-site

$28 - $37.75/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization, handling and maintenance of the client treatment records. Performs other duties as ... Review all notes to match ISP goals / clinical documentation. * Monitors accuracy of all currently ...

Assists the Utilization Management Department with all utilization activities as requested and ... Safety (15% of performance review) * Strives to create a safe, healing environment for patients and ...

Assists the Utilization Management Department with all utilization activities as requested and ... Safety (15% of performance review) * Strives to create a safe, healing environment for patients and ...

Showing results 41-60

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 Ohio are hiring for Chart Utilization Review jobs?

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

Infographic showing various Chart Utilization Review job openings in Ohio as of August 2026, with employment types broken down into 3% As Needed, 85% Full Time, and 12% Part Time. Highlights an 100% In-person job distribution.

Regional Director of Operations (RDO)

Communicarehealth

Blue Ash, OH

$85K/yr

Full-time

PTO

Re-posted 7 days ago


Job description

Job Address:

10123 Alliance Road, Sutie 300 Blue Ash, OH 45242


Regional Director of Operations (RDO) for the Cincinnati and Columbus Region.

Salary is $85K + 2% profit share for the region (profit share paid quarterly). Benefits, PTO, Mileage reimbursement.

Full time, daytime shift.

Purpose:

The (Regional) Director of Operations for Stepping Stone oversees the day to day functioning of the region assigned, providing insight and direction on all day to day activities. The RDO ensures Stepping Stone maintains targeted goals, remains on budget, and grows nationally while remaining strong locally. This role takes on responsibility for the success of the program and is available outside of regular business hours to ensure success of the team. The Regional Director of Operations maintains and demonstrates the upmost clinical and leadership integrity in day to day communications and actions.

Job Responsibilities:

As the Regional Director of Operations, you will:

Assist in Developing and execute strategic initiatives to achieve goals related to the successful operation of the overall strategic plan of the Stepping Stone program.

  • Oversee day to day responsibilities of clinical staff. Oversee daily operations for Stepping Stone by traveling to all facilities assigned to region.
  • Track and report all productivity trends for your region.
  • Complete weekly RDO reports for assigned region.
  • Provide overview and supervision of JCAHO survey preparedness / CARF, state licensure surveys, as necessary.
  • Assist with developing and leading SUD, TBS and co-occurring groups at various locations for the purpose of providing supervision and training
  • Act as primary clinician in the event of a call off or open position to ensure clients still receive services.
  • Assist with opening & overseeing new SUD PHP programs at various locations within your region.
  • Recognize and develop top talent throughout the service line with a focus on succession planning and leadership development; Recruit and train new staff, assist with onboarding
  • Support Clinical Director and Clinicians to assure consistent clinical content across program locations for outpatient programs
  • Provide clinical supervision to team as needed per policy.
  • Assist business development team with new program development ideas, meeting with community partners and SNF team training
  • Ensure employee charts are kept and up to date, including yearly clinical competencies for staff.
  • Attend weekly billing calls to look for reimbursement trends, improve reimbursement rates
  • Assist counselors with note completion when needed, to ensure month end billing closes on time
  • Directly oversee Telehealth clinical program and chart review, weekly supervision and direction within your region for tele health services.
  • Assist with developing, implementing, and maintaining a yearly budget; Implements controls for the effective and efficient utilization of physical and financial resources and monitors a system of accountability for the budget of the facility.
  • Support internship program as needed; provide direct supervision and assign weekly tasks to interns from various Bachelor and Masters Programs
  • Write and deliver 30/60/90-day reviews, yearly annual reviews and assist with issuing to various team members; assist with corrective actions as needed.
  • Assist all SUD and MH licensee holders with obtaining higher licensures as applicable
  • Communicate with SNF leaders and administrators to ensure consistent referrals and problem solve in real time
  • Ensure clinicians meet and stay at productivity, develop corrective action plans for clinicians who are not meeting targeted goals
  • Oversee contingency supply orders, and ensure clinicians have needed supplies and remain on budget each quarter
  • Attend and lead treatment team meetings on a regular basis.
  • Assist DCS/ADCS with regular chart audits, chart compliance; complete monthly QUAPI data/reports
  • Ensure and monitor group hour compliance for both PHP and IOP, and ensure the team meets targeted goals on an upward path
  • Train and implement the Stepping Stone program inside of new SNF
  • Lead weekly regional and/or growth meetings
  • Develop Stepping Stone Counselor employee manual, how-to; Develop Stepping Stone SNF partner manual
  • Manage regions contingency management supplies, orders and delivery.
  • Organize and send in all credit card receipts monthly for credit card reconciliation.

OTHER POSITION REQUIREMENTS

Work environment:

  • May work beyond normal working hours, on weekends and holidays, and in other positions temporarily, when necessary.
  • May be exposed to infectious waste, diseases, conditions, etc.
  • Is subject to falls, burns from equipment, odors, etc. throughout the workday.
  • Is subject to frequent interruptions.

Physical effort/demands:(With or Without the Aid of Mechanical Devices)

  • Ability to move (sit, stand, bend, lift) intermittently throughout the workday.
  • Ability to lift, push, pull, and move a minimum of 50 pounds.
  • Ability to assist in the evacuation of clients.

Mental effort/demands (With or Without the Aid of Mechanical Devices)

  • Ability to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the program.
  • Ability to function independently and have flexibility, personal integrity, and ability to work effectively with client, staff, family and support agencies.
  • In good health and demonstrating emotional stability.
  • Ability to cope with the mental and emotional stresses of the position.

Communication: (With or Without the Aid of Mechanical Devices)

  • Must be able to read, write and speak the English language in an understandable manner.

Sensory requirements:(With or Without the Aid of Mechanical Devices)

  • Ability to see and hear or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met.

This position description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties and skills required of employees in the above position.