Travel RN Case Manager
Baltimore, MD · On-site
Uses Epic EMR and post-acute facility referral platforms such as NaviHealth or Allscripts ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
Baltimore, MD · On-site
Uses Epic EMR and post-acute facility referral platforms such as NaviHealth or Allscripts ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
Baltimore, MD · On-site
Uses Epic EMR and post-acute facility referral platforms such as NaviHealth or Allscripts ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
Durham, NC · On-site
Reviews discharge planning forms for completeness, timing, and conformity to policy and guidelines ... They will also use a similar system as NaviHealth utilized by the State to approve all post-acute ...
Durham, NC · On-site
Reviews discharge planning forms for completeness, timing, and conformity to policy and guidelines ... They will also use a similar system as NaviHealth utilized by the State to approve all post-acute ...
Durham, NC · On-site
Reviews discharge planning forms for completeness, timing, and conformity to policy and guidelines ... They will also use a similar system as NaviHealth utilized by the State to approve all post-acute ...
Durham, NC · On-site
Reviews discharge planning forms for completeness, timing, and conformity to policy and guidelines ... They will also use a similar system as NaviHealth utilized by the State to approve all post-acute ...
Resource/Utilization Management/appropriateness: Assess assigned patient population for medical ... Initiates NaviHealth search for PAN refferrals. * Proactively uses 3M report which assigns working ...
Resource/Utilization Management/appropriateness: Assess assigned patient population for medical ... Initiates NaviHealth search for PAN refferrals. * Proactively uses 3M report which assigns working ...
Resource/Utilization Management/appropriateness: Assess assigned patient population for medical ... Initiates NaviHealth search for PAN refferrals. * Proactively uses 3M report which assigns working ...
Resource/Utilization Management/appropriateness: Assess assigned patient population for medical ... Initiates NaviHealth search for PAN refferrals. * Proactively uses 3M report which assigns working ...
San Antonio, TX · On-site
$70 - $90/hr
Resource/Utilization Management/appropriateness: Assess assigned patient population for medical ... Initiates NaviHealth search for PAN refferrals. * Proactively uses 3M report which assigns working ...
San Antonio, TX · On-site
$70 - $90/hr
Resource/Utilization Management/appropriateness: Assess assigned patient population for medical ... Initiates NaviHealth search for PAN refferrals. * Proactively uses 3M report which assigns working ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
A Navihealth Utilization Review job involves assessing patients' medical needs to ensure they receive appropriate levels of care while managing healthcare costs. Professionals in this role review clinical documentation, apply established guidelines, and collaborate with healthcare providers and insurance companies. Their goal is to determine medical necessity, ensure compliance with policies, and facilitate appropriate care transitions. This position requires strong clinical knowledge, critical thinking skills, and familiarity with utilization management principles.
In a Navihealth Utilization Review role, your day usually involves reviewing patient cases, evaluating clinical documentation, and collaborating with hospital and post-acute care providers to ensure patients transition safely and appropriately. You may also participate in interdisciplinary team meetings, document reviews in electronic platforms, and interact with payers to discuss coverage or authorization decisions. Much of the work is independent and computer-based, though frequent communication with patients, families, and clinicians is typical. This role is well-suited for those who enjoy a balance of clinical judgment and administrative responsibilities in a fast-paced, outcomes-focused environment.
To thrive as a Navihealth Utilization Review professional, you need a clinical background such as RN or LCSW licensure, thorough knowledge of care management, and experience with utilization review processes. Familiarity with electronic medical records (EMR) systems, Navihealth's proprietary platforms, and utilization review software is highly beneficial, as well as relevant certifications like CCM (Certified Case Manager). Strong critical thinking, organizational skills, and effective communication are key soft skills for collaborating with healthcare teams and patients. These skills are crucial for ensuring patients receive appropriate care while meeting regulatory, payer, and organizational guidelines.
Cities with the most Navihealth Utilization Review job openings:
The most popular types of Navihealth Utilization Review jobs are:
States with the most job openings for Navihealth Utilization Review jobs include:
The top searched job categories for Navihealth Utilization Review jobs are:

Contractor
Medical, Dental, Vision, Life, Retirement
Re-posted 15 days ago
Coordinate care for adult patients from triage through discharge, including transition planning to post-acute settings.
Proactively communicate with payors to secure approval of treatment plans and required resources.
Collaborate with multidisciplinary teams, patients, and families to ensure safe and effective care transitions.
American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland.
Job Description & RequirementsAmerican Traveler is seeking an experienced RN Case Manager for an adult inpatient case management role at a large academic medical center, requiring active RN licensure and current inpatient case management experience.
DetailsAmerican Traveler Job ID #P-734327. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management
About American TravelerWith over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.
Sourced by ZipRecruiter
With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.
Recruiting and staffing services
501 - 1,000 Employees
Boca Raton, FL, US
1999