As director of Utilization Management for Magellan Complete Care of Virginia, Kimberly Harshman oversees the operations of the utilization review teams who ensure the optimal use of healthcare services and supports for the evaluation, treatment and integration of member health conditions.
Prior to joining MCC of VA, Kimberly was a Clinical Manager for Prior Authorization at United Healthcare for their Government business where she worked on affordability projects, collaborating with business partners to close gaps in care delivery and care transitions to improve member outcomes. Kimberly’s utilization management experience also includes durable medical equipment, inpatient and post-acute levels of care. In 2018 she received United Healthcare’s SAGES in Clinical Services Award.
Kimberly holds a Bachelor of Science in Nursing from Pennsylvania State University.