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Chart Utilization Review Jobs in Texas (NOW HIRING)

Case Manager

San Angelo, TX · On-site

$19.50 - $25.25/hr

Performs Utilization Review accurately and refers cases appropriately for secondary review ... the chart and documents. * Provides adequate communication of relevant issues to the ...

Case Manager

San Angelo, TX · On-site

$19.50 - $25.25/hr

Performs Utilization Review accurately and refers cases appropriately for secondary review ... the chart and documents. * Provides adequate communication of relevant issues to the ...

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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 Texas are hiring for Chart Utilization Review jobs? Cities in Texas with the most Chart Utilization Review job openings:
Infographic showing various Chart Utilization Review job openings in Texas as of July 2026, with employment types broken down into 2% As Needed, 82% Full Time, 13% Part Time, 2% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Facility Support Services - Case Manager

Discovery Behavioral Health

Irving, TX • On-site

$24 - $27/hr

Full-time

Posted 5 days ago


Discovery Behavioral Health rating

5.8

Company rating: 5.8 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

145th of 239 rated social care providers


Job description

Discovery Mood & Anxiety
Discovery Mood and Anxiety Program is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with mental health and places a high priority on seeking employees who share our passion for improving the lives we serve.
Since 1997, Discovery Mood and Anxiety Programs, DBH's Mental Health Disorder Division, has helped thousands of patients discover their path to the full and rewarding lives they deserve with evidence-based and inclusive treatment options.
Position Summary:
The Case Manager is responsible for performing patient care activities as directed by the Clinical Supervisor. He/she will orient and assess new admissions. The Case Manager's responsibility is to provide direct support and resources to the client and clinical staff. Support will be provided in the areas of client orientation/assessment, utilization review and other areas as directed.
Essential Job Functions:
  • Actively participates in Multidisciplinary Treatment Team meetings.
  • Completes required assessments and screenings at the directive of the Clinical Supervisor.
  • Serves as the liaison between the clinical and utilization review teams.
  • Facilitates psychoeducational groups at the directive of the Clinical Supervisor.
  • Shares pertinent information with team as obtained from client's family, or others as indicated throughout the program.
  • Facilitates group sessions as needed and as directed by the Clinical Supervisor.
  • Assists in gathering pertinent information related to the utilization review process and prepares utilization related documentation as needed.
  • Provides holiday and on call/weekend coverage as needed.
  • Assists with chart documentation and compliance.
  • Any other duties as assigned

Knowledge, Education, & Experience:
  • Graduate from an accredited college or university with a minimum of Associates Decree in Psychology, Social Work, Counseling, or health-related field and/or qualified CADC or CADC intern, preferred
  • A minimum of 1-year experience in chemical dependency - psychiatric setting or related field.
  • CEU certifications and on-going training in health-related field
  • Knowledge of the Principles and Practices of the discipline.
  • Knowledge of Joint Commission Standards.

Employment Status: full time
Schedule: Tuesday- Saturday 11am-7pm
Work Location: On Site - Irving, TX
Compensation: Pay Range: $24-27/hr.
Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.
We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.

What Discovery Behavioral Health employees say

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About Discovery Behavioral Health

Sourced by ZipRecruiter

Discovery Behavioral Health (DBH) is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with eating, mental health, and substance use disorders, and places a high priority on seeking employees who share our passion for improving the lives we serve. Since 1997, Center for Discovery, DBH's eating disorder division, has helped thousands of patients discover their path to the full and rewarding lives they deserve with evidence-based and inclusive treatment options.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Irvine, CA, US

Year founded

1998

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