Utilization Review/Office Manager

Responsibilities

• Cook up 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.
• Serve as a point of contact for staff and visitors, providing professional and responsive support.
• Aid in 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.

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.