April Melson
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April Melson Email & Phone Number

Manager Utilization Management LTSS at AmeriHealth Caritas
Location: Union, Kentucky, United States 4 work roles 2 schools
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✓ Verified Jul 2026 3 data sources Profile completeness 86%

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Current company
Role
Manager Utilization Management LTSS
Location
Union, Kentucky, United States
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Who is April Melson? Overview

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April Melson is listed as Manager Utilization Management LTSS at AmeriHealth Caritas, a with 6166 employees, based in Union, Kentucky, United States. AeroLeads shows a matched LinkedIn profile for April Melson.

April Melson previously worked as Manager of Clinical Services at St Elizabeth Home Care and Case Manager at Council On Aging (Coa). April Melson holds Master Of Business Administration - Mba, Business Administration And Management, General from Northern Kentucky University.

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AmeriHealth Caritas

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About April Melson

Visionary and results-driven professional with a proven track record of optimizing operations, implementinginnovative solutions, and fostering collaborative environments to achieve organizational objectives,demonstrating a strong background in navigating complex healthcare landscapes and delivering impactful results through successful program development, resource optimization, and achievement of key performance indicators (KPIs).With a commendable history of success in healthcare management, strategic planning, and team leadership, my journey has been marked by an unwavering passion for enhancing the quality of healthcare delivery and patient outcomes, capitalizing on a deep understanding of the intricacies within the clinical healthcare landscape to maximize efficiency, employee engagement, productivity, and client satisfaction.◉ Nominated for the People First Award Oversees 20 direct reports through successful remote management.My commitment to excellence in clinical services is rooted in a profound belief that compassionate and efficient healthcare is the cornerstone of a thriving society. I have actively embraced emerging technologies, evidence-based methodologies, and best practices to ensure that our clinical services remain at the forefront of the ever-evolving healthcare landscape. By fostering a culture of continuous learning, I have encouraged my teams to stay abreast of the latest advancements, ensuring that our approach to patient care remains progressive and effective.Expertise: Case Management, Project Management, Healthcare Management, Remote Management,Performance Improvement, Clinical Support, Quality Control, Hospital Readmission Reduction, MedicareGuidelines Adherence, Productivity Optimization, Customer Service, Auditing, Quality

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AmeriHealth Caritas
Amerihealth Caritas
Manager Utilization Management LTSS
Union, KY, US
Employees
6166
AeroLeads page
4 roles

April Melson work experience

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Manager Of Clinical Services

Current

Florence, Kentucky, United States

As a Clinical Services Manager, I am primarily tasked to lead a multidisciplinary team of clinicians, overseeing an average patient caseload of 260 individuals. My focus is on achieving optimal patient care outcomes through effective coordination and resource allocation. This involves not only guiding the team but also ensuring that each clinician contributes to the overall success of our patient care initiatives.To drive organizational success, I strategically align goals with… Show more As a Clinical Services Manager, I am primarily tasked to lead a multidisciplinary team of clinicians, overseeing an average patient caseload of 260 individuals. My focus is on achieving optimal patient care outcomes through effective coordination and resource allocation. This involves not only guiding the team but also ensuring that each clinician contributes to the overall success of our patient care initiatives.To drive organizational success, I strategically align goals with employees, fostering a culture of continuous improvement. Through frequent coaching, mentoring, and performance feedback, I empower a clinical team that is not only skilled but also motivated to deliver high-quality care. This approach contributes to the overall success of the organization and creates an environment where the clinical team performs at its best.I am responsible for administering thorough chart audits to guarantee 100% compliance with regulatory requirements and internal policies. By maintaining a stringent auditing process, I ensure that our practices consistently meet the highest standards, promoting trust among patients and stakeholders.In addition, I actively cultivate robust relationships with external providers, including physicians, insurance entities, and community organizations. This involves ongoing communication and collaboration to ensure seamless patient transitions and reinforce the effectiveness of collaborative care. Show less

Jan 2022 - Present

Case Manager

Blue Ash, Ohio, United States

In my previous role as a Case Manager, I dedicated myself to providing targeted support and education to a diverse clientele of over 80 individuals who were navigating intricate social, behavioral, and environmental challenges. Through my efforts, I significantly contributed to the improvement of their overall well-being and satisfaction. My commitment extended beyond the office, as I conducted thorough home visits to optimize the delivery of care. Through these visits, I conducted… Show more In my previous role as a Case Manager, I dedicated myself to providing targeted support and education to a diverse clientele of over 80 individuals who were navigating intricate social, behavioral, and environmental challenges. Through my efforts, I significantly contributed to the improvement of their overall well-being and satisfaction. My commitment extended beyond the office, as I conducted thorough home visits to optimize the delivery of care. Through these visits, I conducted comprehensive assessments and implemented tailored interventions, ensuring that each client received personalized and effective support.A pivotal aspect of my responsibilities involved systematic communication of specific health and social information to the integrated team. This transparent exchange of information played a crucial role in fostering informed decision-making within the team. By facilitating a seamless flow of pertinent details, I empowered my colleagues to develop precise care and service plans that were uniquely tailored to address the distinctive needs of our clients. This collaborative approach not only enhanced the efficiency of our services but also fostered a more comprehensive and compassionate level of care for those we served. Show less

Jul 2021 - Jan 2022

Prior Authorization Nurse

Mhp Springdale Family Medicine

Springdale, Ohio, United States

During my time at Springdale, I played a pivotal role in expediting patient care processes through diligent and comprehensive prospective reviews of authorization requests. This involved a meticulous examination of treatments, services, admissions, home care, and referrals. The result of this effort was a significant reduction in approval time, ensuring that our patients gained timely access to the necessary healthcare services they required. By enhancing the efficiency of the authorization… Show more During my time at Springdale, I played a pivotal role in expediting patient care processes through diligent and comprehensive prospective reviews of authorization requests. This involved a meticulous examination of treatments, services, admissions, home care, and referrals. The result of this effort was a significant reduction in approval time, ensuring that our patients gained timely access to the necessary healthcare services they required. By enhancing the efficiency of the authorization process, I contributed directly to the seamless delivery of care, promoting a more responsive and patient-centered healthcare environment.Additionally, I took on the responsibility of preparing documentation and conducting reviews and audits of patient records. This task required keen attention to detail and a commitment to maintaining the highest standards of accuracy. Through these efforts, I provided invaluable support to the management team, contributing to the streamlining of processes within the organization. The improved accuracy and efficiency in handling patient records not only ensured compliance with regulatory standards but also enhanced overall organizational effectiveness. My role in maintaining these high standards of documentation and record-keeping played a crucial part in the organization's commitment to delivering quality healthcare services. Show less

Feb 2010 - Jun 2012
2 education records

April Melson education

Master Of Business Administration - Mba, Business Administration And Management, General

Northern Kentucky University

Bachelor Of Science In Nursing, Registered Nursing/Registered Nurse

FAQ

Frequently asked questions about April Melson

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What company does April Melson work for?

April Melson works for AmeriHealth Caritas.

What is April Melson's role at AmeriHealth Caritas?

April Melson is listed as Manager Utilization Management LTSS at AmeriHealth Caritas.

Where is April Melson based?

April Melson is based in Union, Kentucky, United States while working with AmeriHealth Caritas.

What companies has April Melson worked for?

April Melson has worked for Amerihealth Caritas, St Elizabeth Home Care, Council On Aging (Coa), and Mhp Springdale Family Medicine.

How can I contact April Melson?

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What schools did April Melson attend?

April Melson holds Master Of Business Administration - Mba, Business Administration And Management, General from Northern Kentucky University.

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