Advanced Medical Reviews
Nelson Dunham has over 35 years of work experience in the insurance and healthcare industries. Nelson started their career at Travelers Insurance in 1984 as a National Account Executive. After working there for 7 years, Nelson joined CorVel Corporation in 1991 as Vice President National Accounts, where they excelled in national account acquisition sales for workers' compensation claim payer services. Nelson was the top sales producer for 11 consecutive years at CorVel Corporation.
In 2004, Nelson founded Dunham Consulting and served as President until 2007. Nelson then joined Perspecta - Provider Data Management as a National Account Executive, focusing on opening the workers' compensation market to their web-based applications. During this tenure, they brought on significant workers' compensation clients.
Since 2014, Nelson has been working at Advanced Medical Reviews as Vice President, Enterprise Accounts. Nelson is responsible for delivering quality healthcare utilization management services to clients, conducting medical necessity reviews across various healthcare sectors. Advanced Medical Reviews is a URAC accredited Independent Review Organization. During their time there, Nelson has ensured compliance with state and federal regulations while maintaining the company's HITRUST certification.
Nelson Dunham holds a Master of Education (MEd) degree in College Student Counseling and Personnel Services from Indiana University Bloomington. Prior to that, they obtained a Bachelor of Arts (BA) degree in Communication, Journalism, and Related Programs from Temple University. The specific years of attendance are not provided.
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Advanced Medical Reviews
Advanced Medical Reviews (AMR), one of the country's top medical peer review organizations, delivers services to a diverse group of healthcare and legal organizations, including: health plans, managed care groups, workers' compensation and disability clients, TPA, IPA, Medical Groups, MSO, PPO, HMO, Medicaid and Medicare teams, hospitals and government entities. Our dedicated medical management team and staff provide a variety of review services: independent medical case review, workers' compensation, medical evaluation, utilization review, and audits. Utilizing innovative healthcare technologies, AMR delivers a single source solution for our clients' managed healthcare administration needs. Our quality improvement and compliance staff assists our clients to increase their operational efficiency through specialized reports, data mining, and technology integration. Our commitment is to provide Advanced Medical Reviews’ clients with a fully integrated, compliant, and cost-effective service emphasizing continuous quality improvement, innovation, and client satisfaction.