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Chart Utilization Review Jobs in Birmingham, AL (NOW HIRING)

YesCare

Internal Medicine Physician

Bessemer, AL

Participate in quality improvement initiatives, including sentinel event reviews and chart audits. * Engage actively in the Utilization Review process, ensuring appropriate use of healthcare ...

YesCare

Internal Medicine Physician

Bessemer, AL

Participate in quality improvement initiatives, including sentinel event reviews and chart audits. * Engage actively in the Utilization Review process, ensuring appropriate use of healthcare ...

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Chart Utilization Review information

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$20

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$64

How much do chart utilization review jobs pay per hour?

As of May 28, 2026, the average hourly pay for chart utilization review in Birmingham, AL is $39.63, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $45.53 per hour, depending on experience, location, and employer.

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 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 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 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 Birmingham, AL? For Chart Utilization Review jobs in Birmingham, AL, the most frequently searched job titles are:
What job categories do people searching Chart Utilization Review jobs in Birmingham, AL look for? The top searched job categories for Chart Utilization Review jobs in Birmingham, AL are:
What cities near Birmingham, AL are hiring for Chart Utilization Review jobs? Cities near Birmingham, AL with the most Chart Utilization Review job openings:
Chart Utilization Review jobs near you
Utilization Management Registered Nurse

Utilization Management Registered Nurse

Naphcare, Inc.

Birmingham, AL

Full-time

Posted 27 days ago

NaphCare rating

5.9

Company rating: 5.9 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

740th of 864 rated healthcare providers

Job description

Overview

NaphCare is hiring experienced Utilization Management Registered Nurse just like you at the Corporate Office located in Birmingham, AL.

NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 35 years. Come join our team of over 5000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.

NaphCare Full Time Benefits:

  • Prescriptions free of charge through our health plan
  • Health, dental & vision insurance that starts day one!
  • We offer low cost benefits to our employees and their families
  • Employment Assistance Program (EAP) services
  • 401K and Roth with company contribution that starts day one!
  • Tuition Assistance
  • Referral bonuses
  • On-site education
  • Free Continuing Education!
  • Term life insurance at no cost to the employee
  • Generous paid time off & paid holidays

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.

With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.

We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.


Responsibilities

Responsibilities for Utilization Management Registered Nurse:

  • Develop, implement, and administer the quality assurance and utilization review processes
  • Monitor and report on the quality of all facets of the medical care provided to patients
  • Perform utilization and concurrent review of patient cases
  • Conduct detailed clinical chart assessments
  • Gather clinical information to assess and expedite care needs
  • Determine need, if any, for intervention, and discussing with physicians
  • Reviews requests from providers regarding medical necessity of requested services for patients
  • Reviews and audits patients' medical records as indicated to determine medical necessity
  • Utilizes nationally recognized criteria to determine medical necessity of requested services
  • Refers provider requests to Medical Director or designee when medical necessity of requested services does not meet recognized criteria

Qualifications

Qualifications for Utilization Management Registered Nurse:

  • A current and unrestricted RN license in AL
  • A minimum of 3 years’ experience in an acute care setting and 2 years’ experience in utilization review and/or case management
  • Valid cpr card
  • Excellent communication and interpersonal skills
  • attention to detail and decision-making skills are essential
  • BSN or ADN required.
  • Some travel required.

We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you’re interested in.

Equal Opportunity Employer: disability/veteran

What NaphCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About NaphCare

Sourced by ZipRecruiter

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1989

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