ZipRecruiter

Log In

1

Chart Utilization Review Jobs in Virginia (NOW HIRING)

Envision Health Inc

LPC/LCSW/ LPC-R

Hampton, VA · On-site

Participate in chart audits, peer review, and utilization review processes. Collaboration & Care Coordination * Collaborate with psychiatrists, nurses, QMHPs, case managers, and external providers ...

InnovAge

Occupational Therapist

Salem, VA · On-site

$38.80 - $62.12/hr

... chart. * Educates participants and family members in proper care and use of various supports and ... Participates in utilization review of medical records as assigned. * Adheres to Agency standards ...

InnovAge

Occupational Therapist

Salem, VA

$38.80 - $62.12/hr

... chart. * Educates participants and family members in proper care and use of various supports and ... Participates in utilization review of medical records as assigned. * Adheres to Agency standards ...

Innova

Occupational Therapist - Salem, Virginia

Roanoke, VA · On-site

$39 - $51.25/hr

... chart. * Educates participants and family members in proper care and use of various supports and ... Participates in utilization review of medical records as assigned. * Adheres to Agency standards ...

InnovAge

Occupational Therapist

Roanoke, VA · On-site

$39 - $51.25/hr

... chart. * Educates participants and family members in proper care and use of various supports and ... Participates in utilization review of medical records as assigned. * Adheres to Agency standards ...

InnovAge

Occupational Therapist

Salem, VA · On-site

$38.80 - $50.48/hr

... chart. * Educates participants and family members in proper care and use of various supports and ... Participates in utilization review of medical records as assigned. * Adheres to Agency standards ...

InnovAge

Occupational Therapist

Salem, VA · On-site

$39 - $51.25/hr

... chart. * Educates participants and family members in proper care and use of various supports and ... Participates in utilization review of medical records as assigned. * Adheres to Agency standards ...

previous page

Showing results 41-60

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Virginia

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 Virginia? For Chart Utilization Review jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Chart Utilization Review jobs in Virginia look for? The top searched job categories for Chart Utilization Review jobs in Virginia are:
What cities in Virginia are hiring for Chart Utilization Review jobs? Cities in Virginia with the most Chart Utilization Review job openings:
Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

LPC/LCSW/ LPC-R

Envision Health Inc

Hampton, VA • On-site

Full-time

Re-posted 28 days ago

Job description

Salary: TBD

Position Summary

The Licensed Professional Counselor (LPC) at Envision Health Inc. provides high-quality, evidence-based mental health services to adults. The LPC conducts clinical assessments, develops treatment plans, delivers therapeutic interventions, and collaborates with multidisciplinary teams to support improved behavioral health outcomes. LPCs deliver services in alignment with Envision Health policies, DBHDS standards, and all applicable state and federal regulations.

Licensed Professional Counselors are trained mental health professionals who provide therapy to individuals, couples, families, and groups for emotional, behavioral, and mental health concerns while using evidence-based treatment approaches.


Essential Duties & Responsibilities

Clinical Services

  • Conduct comprehensive biopsychosocial and diagnostic assessments.
  • Develop individualized, person-centered treatment plans and update as clinically indicated.
  • Provide individual, family, and group counseling using evidence-based interventions (CBT, solution-focused, trauma-informed approaches, etc.).
  • Deliver crisis intervention, stabilization, and safety planning services as needed.
  • Monitor client progress and modify treatment plans accordingly.

Documentation & Compliance

  • Complete timely and accurate clinical documentation in the EHR (assessments, progress notes, treatment plans, discharge summaries).
  • Maintain compliance with HIPAA, DBHDS regulations, Medicaid standards, and Envision Health policies.
  • Participate in chart audits, peer review, and utilization review processes.

Collaboration & Care Coordination

  • Collaborate with psychiatrists, nurses, QMHPs, case managers, and external providers for coordinated care.
  • Participate in interdisciplinary team meetings, staffing, and supervision sessions.
  • Provide referrals and coordinate with community resources when appropriate.

Program Support & Leadership

  • Provide clinical consultation to staff and support care coordination efforts.
  • Assist with staff training, quality improvement initiatives, and program development.
  • Represent Envision Health in community outreach and professional engagement activities.


Qualifications & Requirements

Education & Licensure

  • Masters degree in Counseling, Psychology, or related behavioral health field.
  • Active Virginia Licensed Professional Counselor (LPC) license required.
  • Eligibility for credentialing with Medicaid and commercial insurers preferred.

Experience

  • Minimum 12 years clinical counseling experience preferred.
  • Experience with diverse populations and behavioral health settings strongly preferred.

Knowledge, Skills & Abilities

  • Strong clinical assessment, diagnostic, and treatment planning skills.
  • Excellent communication, interpersonal, and crisis intervention skills.
  • Knowledge of trauma-informed care, person-centered planning, and evidence-based practices.
  • Proficiency with EHR systems and clinical documentation standards.
  • Ability to work independently and collaboratively within a multidisciplinary team.


Work Environment & Expectations

  • Services may be delivered in clinic, community, school, telehealth, or home-based settings.
  • May require flexible scheduling including evenings as needed for client care.
  • Must maintain continuing education and licensure requirements.


Physical Requirements

  • Ability to sit, stand, and walk for extended periods.
  • Ability to travel locally for community-based services if required.