ZipRecruiter

Log In

1

Navihealth Utilization Review Jobs (NOW HIRING)

Duke University

Care Coordination Specialist

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 ...

Duke Health

Care Coordination Specialist

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 ...

Duke University

Care Coordination Specialist

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 ...

Duke Health

Care Coordination Specialist

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 ...

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsNavihealth Utilization Review Jobs

Navihealth Utilization Review information

See salary details

$21

$42

$68

How much do navihealth utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for navihealth utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a Navihealth Utilization Review?

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.

What does a Navihealth Utilization Review do?

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.

What are the key skills and qualifications needed for a Navihealth Utilization Review?

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.

More about Navihealth Utilization Review jobs

What cities are hiring for Navihealth Utilization Review jobs?

Cities with the most Navihealth Utilization Review job openings:

What are the most commonly searched types of Navihealth Utilization Review jobs?

The most popular types of Navihealth Utilization Review jobs are:

What states have the most Navihealth Utilization Review jobs?

States with the most job openings for Navihealth Utilization Review jobs include:

What job categories do people searching Navihealth Utilization Review jobs look for?

The top searched job categories for Navihealth Utilization Review jobs are:

Navihealth Utilization Review jobs near you
Infographic showing various Navihealth Utilization Review job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 4% Part Time, and 11% Contract. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Travel Nurse RN - Case Manager, Utilization Review - $2,150 per week

AMN Healthcare Revenue Cycle

Nashville, TN • On-site

$2.1K/wk

Other

Medical, Dental, Vision, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Nashville, Tennessee.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: ASAP Pay Rate: $1800.00 - $2500.00

POSITION SUMMARY – RN Case Manager

POSITION DUTIES – Coordinate patient care from admission through discharge, ensuring that treatments, services, and resources align with each patient’s medical needs and recovery goals. Collaborate closely with physicians, nurses, and external providers to remove barriers to care, streamline transitions, and support safe, efficient discharge planning.

MINIMUM REQUIRED QUALIFICATIONS –

  • TN/compact RN license
  • BLS
  • 2 years case management experience in an acute hospital setting
  • Acute hospital experience during the past year with no more than a 90-day break
  • Midas & Meditech experience
  • Previous travel experience as an acute care case manager

LENGTH OF ASSIGNMENT – 16 weeks

SHIFT / HOURS PER WEEK – 8a-4:30p, weekdays & weekends

SYSTEMS – Midas, Meditech, Navihealth

START DATE – ASAP


Facility Location
Filled with Southern charm, scenic beauty, boot-scootin’ dance halls and country music at every turn, “Music City, USA” is always a fascinating destination. Traveling health care professionals who take an assignment in Nashville have the opportunity to enjoy the city’s lively music scene, historic attractions, local craft markets and festive clubs.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3547857. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

Apply