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Chart Utilization Review Jobs in Boston, MA (NOW HIRING)

South Shore Health System

MRI Technologist

Weymouth, MA · On-site

$70 - $95/hr

R.I. including developing, initiating and monitoring procedures for the effective utilization of ... by dosage chart specifications. * Performs and monitors IV access. * Reviews patient charts and ...

South Shore Health

MRI Technologist

Weymouth, MA · On-site

$45.45 - $61.17/hr

R.I. including developing, initiating and monitoring procedures for the effective utilization of ... chart specifications. b. Performs and monitors IV access. 5. Reviews patient charts and will ...

South Shore Health

MRI Technologist

Weymouth, MA · On-site

$45.45 - $61.17/day

R.I. including developing, initiating and monitoring procedures for the effective utilization of ... chart specifications. b. Performs and monitors IV access. 5. Reviews patient charts and will ...

South Shore Health

MRI Technologist

Weymouth, MA · On-site

$45.45 - $61.17/day

R.I. including developing, initiating and monitoring procedures for the effective utilization of ... chart specifications. b. Performs and monitors IV access. 5. Reviews patient charts and will ...

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Showing results 21-40

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Boston, MA

Chart Utilization Review information

See Boston, MA salary details

$23

$45

$74

How much do chart utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for chart utilization review in Boston, MA is $45.94, according to ZipRecruiter salary data. Most workers in this role earn between $36.30 and $52.74 per hour, depending on experience, location, and employer.

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 are popular job titles related to Chart Utilization Review jobs in Boston, MA?

For Chart Utilization Review jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Chart Utilization Review jobs in Boston, MA look for?

The top searched job categories for Chart Utilization Review jobs in Boston, MA are:

Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Boston, MA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $95,545 per year, or $45.9 per hour.

Medical Director - Intention, Massachusetts region

Essen Healthcare

Boston, MA • On-site

$250 - $350/hr

Other

Re-posted 19 days ago

Essen Health Care rating

4.6

Company rating: 4.6 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Job Summary

Position Title: Medical Director – Intention MA

Location: Greater Boston, Massachusetts Organization: Intention Healthcare

Job Summary: Intention Healthcare is seeking an experienced and mission driven Medical Director to oversee and guide the Intention Provider team in delivering home-based primary care across Massachusetts. This leadership role ensures the delivery of high-quality clinical services through direct oversight of provider performance, documentation standards, quality initiatives, regulatory compliance, and clinical best practices. The Medical Director also serves as the primary clinical resource for the providers, offering mentorship, guidance and support for complex cases while fostering a culture of excellence, collaboration, and continuous improvement. The Medical Director will provide direct clinical care under a reduced patient panel.

Responsibilities Clinical Leadership and Oversight
  • Provide clinical supervision, mentoring and ongoing support to Intention providers across Massachusetts
  • Serve as the primary point of contact for clinical questions, diagnostic guidance, and case consultations.
  • Ensure adherence to evidence based clinical standards, treatment protocols and organizational policies
  • Conduct periodic ride‑alongs, case audits and chart reviews to monitor quality and consistency of clinical care
Quality and Performance Management
  • Oversee provider performance metrics, including productivity, patient outcomes, documentation timeliness and quality, and safety standards
  • Lead quality improvement initiatives aimed at clinical effectiveness, patient satisfaction and decreasing utilization rates
  • Develop and implement workflows, best practices and quality benchmarks to optimize operational efficiency
  • Provide feedback, coaching and performance evaluations for providers including individualized improvement plans when needed.
  • Ensure closed loop clinical communication occurs with external clients, partners and care team members
Program Development and Collaboration
  • Partner with multidisciplinary teams including physicians, PAs, NPs, specialists, behavioral health providers, and care coordinators to support integrated care delivery
  • Participate in strategic planning for clinical service expansion, program design and innovation in home based care
  • Support onboarding, training and continuing education for Intention Providers
Clinical Practice
  • Conduct comprehensive health assessments during home visits, including physical exams, medication reconciliation, and review of medical histories.
  • Diagnose medical conditions, develop individualized care plans, and prescribe medications as appropriate.
  • Educate patients and families on disease management, lifestyle changes, medication adherence, and preventive care.
  • Maintain detailed and accurate electronic health records (EHR) of patient assessments, treatments, and follow‑ups.
Qualifications
  • Medical Doctor (MD) or Doctor of Osteopathic (DO) degree from an accredited United States medical school
  • Successful completion of residency in internal medicine or family medicine at an accredited healthcare institution
  • Current Massachusetts license and prescriptive authority
  • Board Certification in Internal Medicine or Family Medicine
  • Geriatrics training or palliative care experience is preferred but not required
  • Minimum of 5-7 years of clinical experience, preferably in home‑based care, primary care, geriatrics, internal medicine or complex disease management
  • Demonstrated leadership experience
  • Proficiency with EMR/EHR systems and documentation standards

Compensation: All-in compensation: $250-350K comprised of base and performance incentives

Potential to purchase shares in company available for tenured providers

Equal Opportunity Employer

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

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