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Chart Utilization Review Jobs in Ontario (NOW HIRING)

Home First Liaison

Sudbury, ON · On-site

CA$49.20 - CA$57.88/hr

Establish and maintain a systematic review and assessment of bed availability. Ensure appropriate ... REPORTING: Under the general direction of the Manager, Utilization, Care Transitions and ALC ...

Oversee the end-to-end reporting flow from Microsoft Dynamics 365 into OneStream, including chart ... Review gross margin, labour recovery/utilization, rental fleet utilization, maintenance spend ...

Oversee the end-to-end reporting flow from Microsoft Dynamics 365 into OneStream, including chart ... Review gross margin, labour recovery/utilization, rental fleet utilization, maintenance spend ...

Risk Analyst

Toronto, ON · On-site

CA$95K - CA$105K/yr

Review changes and interventions to ensure risk management service goals are achieved on the ... Distribution S Curve Graph, Sensitivity Analysis Tornado Chart and Deep Dive Schedule Logic ...

Responsible for writing and reviewing change request as a part of the change management process ... utilization of monitoring/resource/inventory management tools. * Collaborates with managers to ...

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 Ontario?

For Chart Utilization Review jobs in Ontario, the most frequently searched job titles are:

What job categories do people searching Chart Utilization Review jobs in Ontario look for?

The top searched job categories for Chart Utilization Review jobs in Ontario are:

Infographic showing various Chart Utilization Review job openings in Ontario as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

CA$49.20 - CA$57.88/hr

Full-time

Posted 12 days ago


Key responsibilities

  • Coordinate discharge and transition processes to ensure patients are safely discharged or transferred to appropriate destinations.

  • Review bed availability, determine discharge dates, and facilitate implementation of patient-centered care plans involving multidisciplinary teams and community agencies.

  • Act as the primary point of contact for escalation, issue resolution, and coordination related to ALC patients and discharge planning.


Job description

Competition #

10650 

Job Title

Home First Liaison 

Department

Access & Flow 

Status

Permanent 

Work Type

Full-time 

Affiliation

Non Union 

Shift Assignment

Days 

Bilingualism Required

Yes 

Police Check Requirement

Vulnerable Sector Check 

Site

RLHC-Non Union Non Managment 

Salary Information

$49.20 - $57.88 / hour

Application Closing Date

September 2, 2026

KEY FUNCTION:

Coordinate discharge and transition, and ensure patients are safely discharged or transferred to their appropriate destination. Establish and maintain a systematic review and assessment of bed availability. Ensure appropriate designation and management of Alternate Level of Care (ALC) patients.

REPORTING:
Under the general direction of the Manager, Utilization, Care Transitions and ALC Leading Practices.

DUTIES:

1. Determine the expected date of discharge; ensure all necessary assessments, investigations and other procedures are completed; ensure that discharge proceeds on the scheduled date.

2. Participate in implementing and coordinating a patient-centered care plan with patients, family members, significant others, and the multi-disciplinary team for the purpose of facilitating the patient's movement through the continuum of care.

3. Provide a link between the hospital community agencies and ALC facilities.

4. Review all incoming applications, liaise and establish contact with members of the multi-disciplinary team and appropriate community agencies.

5. Educate hospital staff to the various aspects of discharge planning and available resources.
6. Interact and engage patients and Substitue Decision Maker in initial and continued Home First Philosophy conversation.
7. Manage Point of Care System (PCS) documentation in Expanse for all ALC patients (e.g. new orders, changes and discontinuations).

8. Determine eligibility of all ALC designations in accordance with provincial guidelines, organizational policy and clinical criteria.
9. Promote early identification of barriers to achieving Estimated Date of Discharge and engage in solutions to those barrier.
10. Manage escalation process for at-risk and Long-Term Care (LTC) patients, resolving issues and barriers before escalation to management.

11. Act as the primary point of contact for escalation and knowledge of ALC patients for inpatient teams and external stakeholders, providing issue resolution and coordination prioir to escalation to management.

12. Act as a clinical resource for the acute inter-professional teams by providing information based on clinical knowledge and theory/practice related to clients with complex health care needs.
13. Attend and contribute to daily meetings (bed rounds, inpatient unit bullet rounds, etc.) and be aware of daily bed pressures.
14. Lead ALC rounds for the organization.

15. Develop strong relationships with physicians and interdisciplinary team members across the organization to develop clear plans and pathways to ensure strong support for individuals being served by the organization.
16. Document action taken and progress on Patient Action Manager or chart as required.
17. Engage third party participants in improvement intiatives as required.

18. Coordinate with related departments and functions to ensure appropriate information flow and understanding of overall process improvement direction.
19. Work with multi-organizational teams to identify and prioritize opportunities to further design, develop and/or improve future state processes and standards of work related to discharge planning and ALC avoidance.
20. Determine and align improvement projects with HSN's Strategic Plan; monitor and adjust to achieve goal outcomes.

21. Contribute to learner development by providing academic support, mentorship, preceptorship and supervision as required.
22. Participate in education and training specific to current, relevant federal and provincial health and safety legislation, standards and guidelines.
23. Educate and promote health, safety and wellness in the work place.

24. Represent the department or program on various committees and in meetings as required.
25. Perform other duties as required.

QUALIFICATIONS


EDUCATION AND TRAINING:
1. Minimum of a four (4) year Bachelor's Degree from an accredited university.

2. Current Certificate of Registration in good standing with a regulatory college is preferred.
3. Additional specialized training in geriatrics is preferred.
4. Ministry of Labour "Worker Health and Safety Awareness in 4 Steps" training certificate is required.

EXPERIENCE:
1. Minimum of five (5) years' experience working in a health care environment.
2. Experience in using utilization management principles and length of stay management strategies is preferred.

3. Experience in utilization of assessment tools (e.g. Appropriate Use of Antipsychotics (AUA), Barthel Index, Blaylock, etc.) is preferred.
4. Experience working with the elderly and their care givers/informal supporters is preferred.
5. Experience working with multidisciplinary teams, physicians, patients and families to improve outcomes is preferred.

6. Experience in leadership and project management is preferred.

KNOWLEDGE/SKILLS/ABILITIES:
1. Demonstrated ability to de-escalate crisis situations.
2. Demonstrated knowledge of risk assessement tools.

3. Demonstrated knowledge of health research and/or best practice guidelines in discharge planning and ALC avoidance.
4. Demonstrated knowledge of key system constraints based on analysis of date and trends.
5. Demonstrated excellent judgment and proven analytical skills.

6. Demonstrated training, experience or utilization of quality improvement methodology for process improvement.
7. Demonstrated ability to independently identify issues, plan improvements, measure success and continue improvement.
8. Demonstrated excellent computer skills with proficiency in Microsoft Office software (e.g. Word, Excel, Power Point and Outlook) and patient information systems.

9. Demonstrated superior, interpersonal and communication skills, both written and verbal.
10. Demonstrated effective time management and organizational skills with the ability to organize and prioritize as required.
11. Demonstrated ability to manage routine correspondence, multiple tasks/projects, diversified workload and rapidly changing priorities and challenging deadlines.

12. Demonstrated discretion and maturity when handling confidential information.
13. Demonstrated commitment to the safety of co-workers and patients.

PERSONAL SUITABILITY:
1. Successful Vulnerable Sector Check is required.
2. Ability to use tact and discretion in dealing with health care providers and patients.

3. Proven ability to work independently and in a team environment.
4. Demonstrated ability to work effectively as a member of an interdisciplinary team.
5. Demonstrated ability to perform with minimal supervision; to prioritize duties.

6. Excellent time management skills with ability to multi-task.
7. Demonstrated commitment to ongoing professional development.
8. Demonstrated professionalism in dealing with confidential and sensitive issues.

9. Demonstrated positive work record and excellent attendance record.
10. Ability to meet the physical and sensory demands of the job.
11. Ability to travel between local sites.

12. Demonstrated ability to work flexible hours as required.

Selection Process:  Candidates will be selected for this position on the basis of their skill, ability, experience and qualifications as identified in the resume and completed Application Form submitted. The Hospital reserves the right to conduct a formal interview where required. This posting is for an existing vacancy.
 

Health Sciences North is committed to providing accommodations to applicants with disabilities to enable their participation in the recruitment, assessment, selection and hiring stages of employment.

HSN THANKS ALL APPLICANTS.
ONLY THOSE SELECTED FOR INTERVIEWS WILL BE CONTACTED.
WE WILL NOT ACCEPT APPLICATIONS AFTER THE CLOSING DATE AND TIME.