Utilization Management Software
That Reduces Denials – In Real Time
A physician-led, workflow-driven platform that enables hospitals to act decisively, ensure uncompromising medical necessity compliance, and secure all earned revenue.
Developed by Brundage Group, Certus Navigator™ Utilization Management allows teams to instantly identify, prioritize, and resolve cases without leaving the platform, accelerating results and tightening operational control.
The Difference
Stop Managing Cases. Start Driving Outcomes.
Most utilization management processes are:
- Reactive.
- Fragmented across systems.
- Dependent on manual follow-up.
Certus Navigator changes that:
- Gain immediate insight into high-risk cases.
- Direct your team’s focus where it has the greatest financial impact.
- Proactively reduce denials.
Take action at
the point of insight.
Align clinical decisions
with payer requirements.
Experience fewer denials, accelerated decisions, and stronger, more reliable revenue integrity.
Navigator Pillars
Instantly See,
Prioritize, and Act
—All in One Platform.
The Solution
What You Gain
Reduce Denials
Before They Happen
Spot and resolve documentation and medical necessity gaps, ensuring every claim success before submission.
Accelerate
Case Turnaround
Accelerate your case review cycles using real-time data and automated workflows for rapid, confident decisions.
Improve
Team Efficiency
Empower teams—case managers, physicians, and leaders—with a unified system that drives results, not just monitors activity.
Strengthen
Compliance
Consistently apply standardized review processes that ensure complete alignment with evolving payer requirements.
Designed for Workflows
Built for How Healthcare Actually Works
Certus Navigator is designed for:
- Utilization management teams
- Case management departments
- Physician Advisors
- Revenue cycle leadership
Role-based views show users only what’s needed for action.
Key Differentiators
Why Organizations Choose Certus Navigator
Physician-Led
Grounded in real clinical decision-making.
Workflow-Native
Built for action, not passive tracking.
Real-Time
No lag between insight and execution.
Configurable
Adapts to your processes,
not the other way around.
Experience fewer denials, accelerated decisions, and stronger, more reliable revenue integrity.
Proactive Revenue Care
Remove Friction.
Increase Confidence.
Enterprise-Grade Platform
Built on Salesforce Experience Cloud with secure, scalable integrations.
Seamless Adoption
Intuitive interface designed for clinical and operational users.
End-to-End Visibility
Track patient status to case resolution in one place.
Certus Navigator Utilization Management helps you intervene early, reduce denials, and protect revenue when it matters most.
Maximizing Revenue Together
