Hybrid Review & Evaluation RN {169547}
Camp Hill, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Camp Hill, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Clinical Quality Assurance Coordinator (32277)
Southfield, MI · On-site
$26.50 - $31/hr
... InterQual, Milliman/MCG, or payer policies. * prior employment with insurance carriers, TPAs, or ... Why This Role Rocks: * 100% Remote - Enjoy the flexibility of working from home! * Impactful Work ...
Clinical Quality Assurance Coordinator (32277)
Southfield, MI · On-site
$26.50 - $31/hr
... InterQual, Milliman/MCG, or payer policies. * prior employment with insurance carriers, TPAs, or ... Why This Role Rocks: * 100% Remote - Enjoy the flexibility of working from home! * Impactful Work ...
Clinical Quality Assurance Coordinator (32277)
Southfield, MI · Remote
$26.50 - $31/hr
... InterQual, Milliman/MCG, or payer policies. * prior employment with insurance carriers, TPAs, or ... Why This Role Rocks: * 100% Remote - Enjoy the flexibility of working from home! * Impactful Work ...
Clinical Quality Assurance Coordinator (32277)
Southfield, MI · Remote
$26.50 - $31/hr
... InterQual, Milliman/MCG, or payer policies. * prior employment with insurance carriers, TPAs, or ... Why This Role Rocks: * 100% Remote - Enjoy the flexibility of working from home! * Impactful Work ...
Hybrid Review & Evaluation RN {169547}
Harrisburg, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Harrisburg, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Summerdale, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Summerdale, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Harrisburg, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Harrisburg, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Hummelstown, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Hummelstown, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
New Cumberland, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
New Cumberland, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Camp Hill, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Camp Hill, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Enola, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Hybrid Review & Evaluation RN {169547}
Enola, PA · Hybrid
$30 - $32/hr
Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may ... InterQual, ICD-9, CPT, , Microsoft Office
Clinical Quality Assurance Coordinator (32277)
Southfield, MI · Remote
$26.50 - $31/hr
... InterQual, Milliman/MCG, or payer policies. * prior employment with insurance carriers, TPAs, or ... Why This Role Rocks: * 100% Remote - Enjoy the flexibility of working from home! * Impactful Work ...
Clinical Quality Assurance Coordinator (32277)
Southfield, MI · Remote
$26.50 - $31/hr
... InterQual, Milliman/MCG, or payer policies. * prior employment with insurance carriers, TPAs, or ... Why This Role Rocks: * 100% Remote - Enjoy the flexibility of working from home! * Impactful Work ...
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN Case Manager (Per Diem)
Brockton, MA · On-site
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN Case Manager (Per Diem)
Brockton, MA · On-site
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN Case Manager (Per Diem)
Brockton, MA · On-site
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN Case Manager (Per Diem)
Brockton, MA · On-site
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN Case Manager (Per Diem)
Brockton, MA · On-site
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN Case Manager (Per Diem)
Brockton, MA · On-site
Perform Interqual Admission Assessments on all new admissions and forward the reviews to insurers ... Answer questions from the insurers and continue to provide any additional clinical information they ...
RN - Case Manager - Weekends
Danville, KY · On-site
Appropriately assign the status of inpatient versus observation based on InterQual criteria from ... During home visits possible exposure to disease, infection and physical strain and assault, as well ...
RN - Case Manager - Weekends
Danville, KY · On-site
Appropriately assign the status of inpatient versus observation based on InterQual criteria from ... During home visits possible exposure to disease, infection and physical strain and assault, as well ...
ER Case Manager LVN
$35.52 - $44.40/hr
Must know the InterQual process. Key Responsibilities: * Reviews emergency department and inpatient admissions for medical necessity using InterQual criteria, obtains authorizations from health plans ...
Quick apply
ER Case Manager LVN
$35.52 - $44.40/hr
Must know the InterQual process. Key Responsibilities: * Reviews emergency department and inpatient admissions for medical necessity using InterQual criteria, obtains authorizations from health plans ...
Appropriately assign the status of inpatient versus observation based on InterQual criteria from ... During home visits possible exposure to disease, infection and physical strain and assault, as well ...
Appropriately assign the status of inpatient versus observation based on InterQual criteria from ... During home visits possible exposure to disease, infection and physical strain and assault, as well ...
RN - Case Management
Danville, KY · On-site
Appropriately assign the status of inpatient versus observation based on InterQual criteria from ... During home visits possible exposure to disease, infection and physical strain and assault, as well ...
RN - Case Management
Danville, KY · On-site
Appropriately assign the status of inpatient versus observation based on InterQual criteria from ... During home visits possible exposure to disease, infection and physical strain and assault, as well ...
From Home Interqual information
See salary details
$16.59 - $20.54
0% of jobs
$20.54 - $24.50
3% of jobs
$24.50 - $28.45
9% of jobs
$29.91 is the 25th percentile. Wages below this are outliers.
$28.45 - $32.41
36% of jobs
The median wage is $32.72 / hr.
$32.41 - $36.36
27% of jobs
$36.54 is the 75th percentile. Wages above this are outliers.
$36.36 - $40.32
12% of jobs
$40.32 - $44.27
6% of jobs
$44.27 - $48.23
4% of jobs
$48.23 - $52.19
1% of jobs
$52.19 - $56.14
1% of jobs
$56.14 - $60.10
1% of jobs
$16
$36
$60
How much do from home interqual jobs pay per hour?
As of Jun 10, 2026, the average hourly pay for from home interqual in the United States is $36.28, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $38.22 per hour, depending on experience, location, and employer.
What is the difference between From Home Interqual vs From Home Utilization Review Nurse?
| Aspect | From Home Interqual | From Home Utilization Review Nurse |
|---|---|---|
| Certifications | Interqual certification, RN license | RN license, Utilization Review certification |
| Work Environment | Remote, healthcare settings | Remote, healthcare facilities or insurance companies |
| Industry Usage | Healthcare, insurance, case management | Healthcare, insurance, case management |
| Primary Focus | Applying Interqual criteria for patient care decisions | Assessing medical necessity for insurance coverage |
From Home Interqual professionals focus on applying Interqual criteria to evaluate patient care, while From Home Utilization Review Nurses assess medical necessity for insurance coverage. Both roles require RN licensure and healthcare knowledge, but Interqual specialists emphasize criteria application, whereas Utilization Review Nurses focus on coverage decisions.
What are the key skills and qualifications needed to thrive as a Remote InterQual Reviewer, and why are they important?
To thrive as a Remote InterQual Reviewer, you need a background in nursing or healthcare, strong clinical judgment, and experience with utilization review processes. Familiarity with InterQual criteria software, electronic medical records (EMRs), and relevant certifications such as RN or LPN/LVN are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for this role. These competencies ensure accurate clinical reviews, regulatory compliance, and clear collaboration with healthcare teams in a remote setting.
What are some common challenges faced by remote InterQual reviewers, and how can they be managed effectively?
Remote InterQual reviewers often face challenges such as maintaining consistent communication with healthcare teams, interpreting clinical documentation without direct patient contact, and managing distractions in a home environment. To address these, it’s important to establish a dedicated workspace, use secure collaboration tools for real-time updates, and participate in regular team meetings. Staying organized and following standard review protocols helps ensure accuracy and efficiency while working independently from home.
What is a Work From Home InterQual reviewer?
A Work From Home InterQual reviewer is a healthcare professional, often a nurse or clinical reviewer, who evaluates medical cases remotely using the InterQual criteria. InterQual is a set of evidence-based clinical guidelines used to determine the medical necessity and appropriateness of healthcare services. These reviewers assess patient records, treatment plans, and hospital admissions to ensure they meet established standards, helping healthcare organizations with utilization management and compliance. Working from home allows these professionals to perform their duties remotely, often using secure digital platforms.
More about From Home Interqual jobs
What cities are hiring for From Home Interqual jobs? Cities with the most From Home Interqual job openings:
What are the most commonly searched types of Interqual jobs? The most popular types of Interqual jobs are:
What states have the most From Home Interqual jobs? States with the most job openings for From Home Interqual jobs include:
What job categories do people searching From Home Interqual jobs look for? The top searched job categories for From Home Interqual jobs are:
- Work From Home Document Retrieval
- Work From Home Laboratory Quality Assurance
- Clinical Quality Assurance Coordinator
- Work From Home Assurance Insurance
- Quality Patient Safety
- Nursing Quality Assurance
- Leading Quality Assurance
- 911 Quality Assurance Coordinator
- Director Clinical Quality Assurance
- Clinical Quality Nurse
$30 - $32/hr
Full-time
Medical, Dental, Vision, Life, PTO
Posted 6 days ago
Job description
Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may be required , and additional details can be discussed further during interviews Work Schedule: Monday-Friday, 8:00am-4:00pm Pay: $30.00- $32.00 per hour Scheduled pay: Weekly Benefits: Health, Dental, Vision, Life Insurance, and Short term disability after 90 days, 12 paid holidays and 5 days of PTO Job Type: Full Time Ready to apply or have questions? Contact- Ashley Kruger Call/Text- 586-710-7947 Email- akruger@alinestaffing.com Review & Evaluation RN Responsibilities Review and evaluate medical necessity, appropriateness, quality, quantity, adequacy, and compensability of care and services Examine medical records and supporting documentation for compliance and quality standards Analyze provider-submitted documentation to make professional clinical determinations Identify potential fraud, abuse, or billing concerns and support corrective action Conduct desk, telephonic, and on-site reviews as needed Prepare correspondence, reports, and findings related to case reviews Provide consultative support to internal teams and stakeholders Serve as a team lead during multi-staff reviews when needed Represent the department during appeals and related proceedings Review & Evaluation RN Required Skills & Qualifications Current RN license issued by the Pennsylvania State Board of Nursing 3 years of professional experience as a Registered Nurse 3 years of recent experience within the last 5 years in one or more of the following: Long-term care, Acute care, Behavioral health, Drug and alcohol, Managed care, Quality management/utilization review, Related clinical experience Ready to apply or have questions?
Contact- Ashley Kruger Call/Text- 586-710-7947 Email- akruger@alinestaffing.com Registered Nurse RN, Nurse Reviewer, Acute Care, Long Term Care, LTC, Managed Care, Utilization Review Nurse, Medical Review Nurse, Clinical Reviewer, Nurse Auditor, Medical Necessity, Documentation Review, Medical Record Review, Prior Authorization, Post Certification Review, Quality Management, Medicaid, Medical Assistance, OLTL, Long Term Care, Managed Care, Behavioral Health, F, InterQual, ICD-9, CPT, , Microsoft Office
About A-Line Staffing Solutions
Sourced by ZipRecruiter
A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Utica, MI, US
Year founded
2004