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Chart Utilization Review Jobs in Texas (NOW HIRING)

UnitedHealthcare

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

... chart reviews, addresses medication-related problems, develops effective medication plans ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...

divvyDOSE

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

... chart reviews, addresses medication-related problems, develops effective medication plans ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...

UMR

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

... chart reviews, addresses medication-related problems, develops effective medication plans ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...

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Showing results 21-40

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Texas

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 are popular job titles related to Chart Utilization Review jobs in Texas? For Chart Utilization Review jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Chart Utilization Review jobs in Texas look for? The top searched job categories for Chart Utilization Review jobs in Texas are:
What cities in Texas are hiring for Chart Utilization Review jobs? Cities in Texas with the most Chart Utilization Review job openings:
Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Occupational Therapist - Physical Therapy

CHRISTUS Health

Texarkana, TX • On-site

$36 - $47.50/hr

Other

Posted 18 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 530 frontline employees who took The Breakroom Quiz

532nd of 887 rated healthcare providers

Job description

Occupational Therapist - Physical Therapy

US:TX:Texarkana | Occupational Therapy | Per Diem As Needed

Summary:

Provides occupational therapy services. Evaluates patients, sets goals, plans programs and treats patients according to the physician's orders; maintains required records and notes; assists with directing technicians and support personnel, assumes responsibility for occupational charges; participates in educational programs; follow all CHRISTUS St. Michael and departmental policy and procedures.

Responsibilities:

  • Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
  • Performs patients care related duties in order to restore the patient to his/her maximum level of independence and function according to accepted standards of ethical conduct for the occupational therapist.
  • Clinical competencies in occupational therapist skills and techniques are demonstrated in a manner that promotes quality patient care.
  • Participates in established inter-departmental and intra-departmental communication systems and methods to achieve departmental, hospital and corporate goals.
  • Maintains required records/documentation on a timely manner as specified in departmental policy and procedures manual.
  • Participates in maintaining/improving the effectiveness of the services provided by the occupational therapy department.
  • Participates in medical chart peer review, case record review and utilization review as deemed necessary.
  • Assumes responsibility for therapeutic equipment safety, operation and maintenance.

Requirements:

Education/Skills

  • Basic Computer Knowledge
  • Ability to communicate effectively, both verbally and written.
  • Graduate of an accredited occupational therapy program.

Experience

  • New graduate entry level or any amount of experience in occupational therapy is acceptable.

Licenses, Registrations, or Certifications

  • Maintains current Texas licensure/registration/certification and provides the hospital with proof of indicated requirements.
  • BCLS certification.

Work Schedule:

PRN

Work Type:

Per Diem As Needed

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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