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Chart Utilization Review Jobs (NOW HIRING)

ICONMA

Clinical Utilization Review Nurse II

Worker will need to have their own equipment to conduct chart reviews. Will need experience in Cerner with understanding of MCG and utilization review requirements for concurrent and initial reviews.

New

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Minimum of two years psychiatric experience in chart analysis and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear and ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Minimum of two years psychiatric experience in chart analysis and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear and ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Minimum of two years psychiatric experience in chart analysis and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear and ...

She Recruits LLC

Gastroenterology - Chart Review

Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ...

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Chart Utilization Review information

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How much do chart utilization review jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for chart utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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 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.

More about Chart Utilization Review jobs
What cities are hiring for Chart Utilization Review jobs? Cities with the most Chart Utilization Review job openings:
What states have the most Chart Utilization Review jobs? States with the most job openings for Chart Utilization Review jobs include:
What job categories do people searching Chart Utilization Review jobs look for? The top searched job categories for Chart Utilization Review jobs are:
Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review RN, Behavioral Health

Trinity Health System

Steubenville, OH • On-site

Part-time

Re-posted 7 days ago

Job description

JOB SUMMARY
  • Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all hospital admissions. Promotes quality care through collaboration with all team members.

QUALIFICATIONS
  • Education
    • Registered Nurse; Licensure: Ohio Nursing License.
  • Training and Experience
    • 3 years clinical nursing experience in an acute care setting preferred. Ability to assess medical necessity and progress by chart review.
    • Preferred: Certification in Case Management. Computer literacy including operation and software application. Experience in utilization review, discharge planning, case management, or quality improvement.
  • Health and Background Requirements
    • Employment contingent upon successful completion of:
      • Physical
      • Background Check
    • Must be physically able to perform all job duties as assigned.

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