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Chart Utilization Review Jobs in Washington (NOW HIRING)

Accounting Manager

Falls Church, VA ยท On-site

$80 - $110/hr

Manage month-end close activities including accurate and timely review of journal entries and ... Maintain company, department, business units, market sector and chart of accounts structure within ...

New

... followed by chart review and director consultation. Maintains ultimate responsibility for ... maximum utilization of all providers and psychiatric health care needs. D. Community Service

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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 cities in Washington are hiring for Chart Utilization Review jobs?

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

Infographic showing various Chart Utilization Review job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 10% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution.

Psychiatrist - Addiction Medicine

ALPAS WELLNESS LA PLATA LLC

La Plata, MD โ€ข On-site

$250K - $350K/yr

Part-time

Re-posted 11 days ago


Job description

Position: Psychiatrist - Addiction Medicine

Location: La Plata, Maryland

Job Status: Salary, Part-Time

At Alpas Wellness Centers, our mission is to provide a safe, inclusive, and forward-thinking environment where people heal their minds and bodies, rediscover their purpose, and forge a path of recovery toward a brighter future. Guided by our values—Authenticity, Innovation, Patient and Staff Experience, Compassion, Safety, and Autonomy—we integrate traditional, holistic, and alternative therapies to create individualized treatment plans that truly meet each person where they are.

Alpas Wellness - La Plata is a fully licensed and accredited residential treatment center located in La Plata, Maryland, dedicated to transforming behavioral healthcare through a personalized, whole-person approach. We serve individuals and families navigating substance use disorder and mental health concerns with innovative, compassionate, and evidence-based care. Our thoughtfully designed facility offers a tranquil environment complete with private and shared residential suites, nurses’ stations, community spaces, and biophilic design elements that support healing and comfort.

We are driven by a vision to revolutionize behavioral healthcare. If you're passionate about delivering meaningful care and want to be part of a purpose-driven team shaping the future of wellness, we’d love to connect.

For more information, please visit: www.alpaswellnesscenters.org


Job Summary:
The Part-Time Psychiatrist – Addiction Medicine provides psychiatric leadership, clinical oversight, and direct patient care across Alpas Wellness's behavioral health and substance use disorder programs. This role combines hands-on clinical practice, including psychiatric evaluations, medication management, diagnostic consultation, and interdisciplinary treatment collaboration, with broader responsibility for supervising, mentoring, and supporting the clinical development of Psychiatric Mental Health Nurse Practitioners (PMHNPs). This position reports directly to the Clinical Director.

Working closely with executive, medical, nursing, and clinical leadership, the Psychiatrist helps ensure the delivery of high-quality, evidence-based psychiatric and addiction treatment services. Key areas of focus include psychiatric quality assurance, psychopharmacology best practices, diagnostic consistency, regulatory compliance, performance improvement, and the continued advancement of the organization's psychiatric service line. The position emphasizes physician oversight, interdisciplinary collaboration, and clinical leadership rather than functioning as a high-volume treating provider.

Essential Duties and Responsibilities:

Clinical Care and Psychiatric Services

  • Conduct psychiatric evaluations, diagnostic assessments, and medication management for patients with substance use disorders and co-occurring psychiatric conditions.

  • Provide psychiatric consultation and support for complex behavioral health and addiction medicine cases.

  • Support detoxification and residential treatment programming through withdrawal management guidance and psychopharmacology oversight.

  • Maintain timely, accurate, and compliant documentation in the electronic health record, including evaluations, progress notes, treatment recommendations, discharge summaries, and physician orders.

  • Review medical and psychiatric screening processes to ensure patient needs are appropriately identified and addressed throughout treatment.

  • Participate in interdisciplinary treatment planning, case reviews, and care coordination meetings.


Psychiatric Leadership and Supervision

  • Supervise, mentor, and provide clinical oversight to Psychiatric Mental Health Nurse Practitioners (PMHNPs), including guidance on diagnostic formulation, treatment planning, psychopharmacology, continuity of care, and evidence-based practices.

  • Help establish and maintain psychiatric standards, workflows, protocols, and best practices across the organization.

  • Provide education and clinical guidance to medical, nursing, and clinical staff on psychiatry, addiction medicine, co-occurring disorders, MAT, and psychopharmacology.

  • Support clinical consistency, quality of care, and appropriate utilization of psychiatric services.


Medical Leadership and Quality Oversight

  • Assist executive and operational leadership in developing, implementing, and reviewing psychiatric and medical policies, procedures, and clinical standards.

  • Support regulatory readiness and compliance efforts related to Joint Commission, ASAM criteria, state regulations, payer expectations, and organizational policies.

  • Participate in quality assurance, chart reviews, peer review, and performance improvement initiatives.

  • Monitor and help improve psychiatric and medical performance metrics, including documentation quality, treatment outcomes, continuity of care, MAT utilization, and compliance.

  • Collaborate with leadership on patient acuity, clinical outcomes, risk management, staffing needs, and psychiatric program development.

  • Support on-call psychiatric consultation and emergency response processes as needed.

  • Perform other duties as assigned.


Required Knowledge, Skills, and Experience:

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution.

  • Board Certification in Psychiatry required; additional board certification or fellowship training in Addiction Medicine and/or Addiction Psychiatry strongly preferred.

  • Active and unrestricted medical license in the applicable state(s) of practice.

  • DEA registration with ability to prescribe controlled substances, including buprenorphine products

  • Minimum of three (3) years of experience treating substance use disorders and co-occurring psychiatric conditions preferred.

  • Prior supervisory, leadership, or advanced practice provider oversight experience preferred.

  • Experience in detoxification, residential treatment, partial hospitalization (PHP), and/or intensive outpatient (IOP) settings preferred.

  • Strong knowledge of ASAM criteria, addiction medicine best practices, co-occurring disorder treatment, and regulatory standards.

  • Familiarity with Joint Commission standards and healthcare quality improvement initiatives preferred.

  • Excellent communication, leadership, collaboration, and clinical documentation skills.


Schedule & Work Environment:

  • Part-Time Position (approximately 20 hours per week)

  • Flexible scheduling options available

  • Hybrid-Role

  • Limited on-call responsibilities may be required

  • Collaborative multidisciplinary treatment environment


Compensation:

  • $125,000–$175,000 annually for this part-time position (approximately 20 hours per week), based on experience and qualifications. This reflects a prorated portion of the full-time equivalent salary range of $250,000–$350,000.


Benefits:

  • Sick Leave

  • Training and Education Reimbursement

  • Referral Bonus


Alpas Wellness is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.