Utilization Assistant
Williamsburg, VA · On-site
The Utilization Assistant provides support to all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of ...
Utilization Assistant
Williamsburg, VA · On-site
The Utilization Assistant provides support to all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of ...
Utilization Specialist
Williamsburg, VA · On-site
Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Provides information to physicians to assist them in their role in appeals. • Assists the ...
Utilization Specialist
Williamsburg, VA · On-site
Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Provides information to physicians to assist them in their role in appeals. • Assists the ...
Utilization Specialist - Acute
Williamsburg, VA · On-site
$24 - $28/hr
Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Provides information to physicians to assist them in their role in appeals. • Assists the ...
Utilization Specialist - Acute
Williamsburg, VA · On-site
$24 - $28/hr
Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Provides information to physicians to assist them in their role in appeals. • Assists the ...
UTILIZATION COORDINATOR
Danville, VA · On-site
... and payor and managing timely transitions through the phases of residential care. Key ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...
UTILIZATION COORDINATOR
Danville, VA · On-site
... and payor and managing timely transitions through the phases of residential care. Key ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
New
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
New
Radiology Physician
$368K - $460K/yr
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
Radiology Physician
$368K - $460K/yr
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
New
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
New
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
New
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
New
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
Medical Management Specialist I
$20.70 - $29.75/hr
... case (utilization management, case management, QI, Med Review). * Provides information regarding network providers or general program information when requested. * May assist with complex cases.
New
Medical Management Specialist I
$20.70 - $29.75/hr
... case (utilization management, case management, QI, Med Review). * Provides information regarding network providers or general program information when requested. * May assist with complex cases.
New
Medical Management Specialist I
$20.70 - $29.75/hr
... case (utilization management, case management, QI, Med Review). * Provides information regarding network providers or general program information when requested. * May assist with complex cases.
Medical Management Specialist I
$20.70 - $29.75/hr
... case (utilization management, case management, QI, Med Review). * Provides information regarding network providers or general program information when requested. * May assist with complex cases.
Provides medical leadership of all for utilization management, cost containment, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Provides medical leadership of all for utilization management, cost containment, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Technical Infrastructure Program Manager II, DC Power Utilization Management (Soapstone)
Herndon, VA · On-site
... - Assist in daily operational tasks as part of the overall Data Center Delivery workflow. A day in the life The Soapstone TIPM's responsibilities are split between Program or Project related ...
Technical Infrastructure Program Manager II, DC Power Utilization Management (Soapstone)
Herndon, VA · On-site
... - Assist in daily operational tasks as part of the overall Data Center Delivery workflow. A day in the life The Soapstone TIPM's responsibilities are split between Program or Project related ...
Provides medical leadership of all for utilization management, cost containment, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Provides medical leadership of all for utilization management, cost containment, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Technical Infrastructure Program Manager II, DC Power Utilization Management (Soapstone)
Herndon, VA · On-site
... - Assist in daily operational tasks as part of the overall Data Center Delivery workflow. A day in the life The Soapstone TIPM's responsibilities are split between Program or Project related ...
Technical Infrastructure Program Manager II, DC Power Utilization Management (Soapstone)
Herndon, VA · On-site
... - Assist in daily operational tasks as part of the overall Data Center Delivery workflow. A day in the life The Soapstone TIPM's responsibilities are split between Program or Project related ...
Provides medical leadership of all for utilization management, cost containment, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Provides medical leadership of all for utilization management, cost containment, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * Participates in on-going ...
Assistant General Manager
Manassas, VA · On-site
Job Title Assistant General Manager Location Property-based Department Admin & General Property, if ... utilization. * Support contract negotiations, vendor management, and lease updates as needed.
Assistant General Manager
Manassas, VA · On-site
Job Title Assistant General Manager Location Property-based Department Admin & General Property, if ... utilization. * Support contract negotiations, vendor management, and lease updates as needed.
Utilization Management Assistant information
See Virginia salary details
$28.8K - $32.4K
1% of jobs
$32.4K - $36.1K
4% of jobs
$36.1K - $39.7K
7% of jobs
$42.2K is the 25th percentile. Wages below this are outliers.
$39.7K - $43.4K
18% of jobs
The median wage is $46K / yr.
$43.4K - $47K
27% of jobs
$49.3K is the 75th percentile. Wages above this are outliers.
$47K - $50.7K
28% of jobs
$50.7K - $54.3K
7% of jobs
$54.3K - $58K
3% of jobs
$58K - $61.6K
2% of jobs
$61.6K - $65.3K
1% of jobs
$65.3K - $68.9K
1% of jobs
$28.8K
$48K
$68.9K
How much do utilization management assistant jobs pay per year?
As of Jul 5, 2026, the average yearly pay for utilization management assistant in Virginia is $47,981.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,600.00 and $48,100.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?
To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.
What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?
Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.
What is a Utilization Management Assistant?
A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Virginia? The most popular types of Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Utilization Management Assistant jobs? Cities in Virginia with the most Utilization Management Assistant job openings:
Job description
Utilization Assistant | The Pavilion at Williamsburg Place | Williamsburg, Virginia
About the Job:
The Utilization Assistant provides support to all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information. Works with insurance providers to obtain coverage for patients. Assists in utilization reviews and insurance appeals. Responds to inquiries from patients, their families, and professional referral sources.
Roles and Responsibilities:
• Assists the admissions department with pre-certifications of care. Performs pre and post admission benefit verification with managed care organizations.
• Reviews medical records of patients for appropriateness of level of care at admission and at intervals determined by documentation in medical record.
• Conducts interactive and timely reviews with payers to ensure certification of care.
• Maintains accurate documentation and files as it relates to utilization management.
• Coordinates information and findings with the business office to help recognize or resolve possible payment problems.
• Attends daily treatment team to discuss patient needs and ensure that all disciplines are aware of patient insurance status and needs.
• Ensure that insurance benefits are verified in a timely manner.
• Communicates any UR or Quality issues as noted in the chart to supervisor immediately to ensure timely resolution of problems.
• Responds to telephone and Internet inquires.
• Researches insurance company guidelines and uses admission and continuing stay criteria for coverage.
• High School Diploma Required, Bachelor's Degree in social work, behavioral or mental health, or other related health field preferred.
• One or more years of direct clinical experience in a psychiatric or mental health setting preferred.
Why The Pavilion at Williamsburg Place?The Pavilion at Williamsburg Place offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. The Pavilion at Williamsburg Place is an EOE.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
About the Job:
The Utilization Assistant provides support to all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information. Works with insurance providers to obtain coverage for patients. Assists in utilization reviews and insurance appeals. Responds to inquiries from patients, their families, and professional referral sources.
Roles and Responsibilities:
• Assists the admissions department with pre-certifications of care. Performs pre and post admission benefit verification with managed care organizations.
• Reviews medical records of patients for appropriateness of level of care at admission and at intervals determined by documentation in medical record.
• Conducts interactive and timely reviews with payers to ensure certification of care.
• Maintains accurate documentation and files as it relates to utilization management.
• Coordinates information and findings with the business office to help recognize or resolve possible payment problems.
• Attends daily treatment team to discuss patient needs and ensure that all disciplines are aware of patient insurance status and needs.
• Ensure that insurance benefits are verified in a timely manner.
• Communicates any UR or Quality issues as noted in the chart to supervisor immediately to ensure timely resolution of problems.
• Responds to telephone and Internet inquires.
• Researches insurance company guidelines and uses admission and continuing stay criteria for coverage.
• High School Diploma Required, Bachelor's Degree in social work, behavioral or mental health, or other related health field preferred.
• One or more years of direct clinical experience in a psychiatric or mental health setting preferred.
Why The Pavilion at Williamsburg Place?The Pavilion at Williamsburg Place offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. The Pavilion at Williamsburg Place is an EOE.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
About Summit BHC
Sourced by ZipRecruiter
Summit BHC, based in Franklin, TN, USA, is a recognized leader in the field of addiction treatment and behavioral health care services. The company operates a nationwide network of treatment centers aimed at caring for individuals battling substance abuse and mental health disorders. Summit BHC was established with the mission to provide high-quality, addiction treatment and behavioral health services to those in need throughout the United States. With compassion, dignity, and respect as their core values, they endeavor to instill hope during the journey to recovery and beyond.
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Franklin, TN, US
Year founded
2013