
The Manager, UM Preservice Review role leads a team of nurse clinicians within Avalon Healthcare Solutions to oversee daily preservice utilization management operations. Key responsibilities include managing workload distribution, ensuring accurate medical necessity determinations, maintaining standard operating procedures, and serving as an escalation point for complex clinical issues. The position involves collaborating with executive leadership and medical directors to uphold clinical quality and compliance with service level agreements. This opportunity appeals to candidates seeking to shape a new market while improving healthcare affordability and clinical outcomes. The role offers remote work flexibility with quarterly travel required to the Tampa, Florida corporate office.
