Utilization Review/Office Manager

Richmond, VA

We are seeking a detail-oriented and organized professional to support both utilization review operations and day-to-day office management. This role plays an important part in ensuring efficient administrative processes, coordinated patient care workflows, and a positive experience for staff, clients, and visitors. The ideal candidate is adaptable, highly organized, and comfortable balancing multiple responsibilities in a fast-paced environment.

Starting salary at $26 hourly, commensurate with experience

Responsibilities
  • Coordinate utilization review activities to support authorization, eligibility, and continued stay processes as applicable.
  • Review documentation for completeness, accuracy, and compliance with organizational and payer requirements.
  • Communicate with internal teams, external partners, and insurance representatives regarding case status and administrative needs.
  • Track deadlines, follow up on pending reviews, and maintain organized records.
  • Support office operations including scheduling, correspondence, supply management, and general administrative tasks.
  • Serve as a point of contact for staff and visitors, providing professional and responsive support.
  • Assist with training coordination and day-to-day office workflow improvements.
  • Prepare reports, maintain logs, and help ensure accurate documentation across assigned functions.
  • Support compliance with internal policies, procedures, and applicable regulations.
  • Perform additional duties as needed to support the needs of the team and organization.

Qualifications

  • Previous experience in utilization review, case management support, office management, or a similar administrative role preferred.
  • Strong organizational skills with the ability to manage multiple priorities and deadlines.
  • Excellent written and verbal communication skills.
  • Proficiency with common office software and electronic documentation systems.
  • Attention to detail and a commitment to accuracy in recordkeeping and communication.
  • Ability to handle sensitive information with professionalism and discretion.
  • Strong problem-solving skills and a customer service-oriented approach.
  • Ability to work independently as well as collaboratively with a team.

Preferred Attributes

  • Experience working in a healthcare, behavioral health, or human services environment.
  • Knowledge of utilization review processes, insurance coordination, or managed care practices.
  • Familiarity with scheduling systems, reporting tools, and administrative workflow management.

What We Offer

  • A collaborative and supportive work environment.
  • Opportunity to contribute to both operational excellence and service quality.
  • The chance to take ownership of meaningful administrative and review processes.
  • Competitive compensation and benefits, based on experience and qualifications.