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Hourly Interqual information

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$39K

$89.5K

$163K

How much do hourly interqual jobs pay per year?

As of Jul 22, 2026, the average yearly pay for hourly interqual in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What are Hourly Interqual jobs?

Hourly Interqual jobs typically involve reviewing and applying InterQual criteria, which are evidence-based clinical guidelines, to determine the appropriate level of care for patients in a healthcare setting. Professionals in these roles, such as nurses or case managers, assess clinical documentation and patient needs on an hourly or shift basis to ensure medical necessity and compliance with regulations. These positions are important in hospitals and insurance companies to support authorization decisions, utilization management, and quality assurance. Hourly Interqual jobs may require experience with clinical review tools, strong critical thinking skills, and a background in nursing or related healthcare fields.

What are the key skills and qualifications needed to thrive as an InterQual Utilization Review Specialist, and why are they important?

To thrive as an InterQual Utilization Review Specialist, you need a background in nursing or healthcare, strong analytical skills, and knowledge of clinical guidelines, often supported by an RN license or related qualification. Proficiency with InterQual software, electronic medical records (EMRs), and utilization management systems is essential. Attention to detail, critical thinking, and effective communication are important soft skills for evaluating cases and collaborating with care teams. These competencies ensure accurate patient assessments, compliance with regulations, and optimal resource utilization in healthcare settings.

What are some common challenges faced by Hourly Interqual reviewers when assessing patient cases, and how can they be managed?

Hourly Interqual reviewers often encounter challenges such as interpreting complex clinical data, navigating ambiguous documentation, and ensuring timely reviews to support patient care decisions. Effective communication with clinical staff and ongoing education on Interqual criteria can help address these challenges. Collaborating closely with case managers and physicians also ensures accurate assessments and supports efficient patient throughput.

What is the difference between Hourly Interqual vs Hourly Case Manager?

AspectHourly InterqualHourly Case Manager
CredentialsTypically requires nursing or healthcare certifications, such as RN or LPNRequires nursing, social work, or healthcare-related certifications, such as RN, LCSW, or case management certification
Work EnvironmentHospitals, insurance companies, or healthcare facilities focusing on utilization reviewHospitals, clinics, insurance companies, or community health settings
Employer & Industry UsageUsed mainly for clinical decision support and utilization managementUsed for coordinating patient care, discharge planning, and resource management

Hourly Interqual focuses on clinical criteria for utilization review, while Hourly Case Manager emphasizes patient care coordination and discharge planning. Both roles require healthcare certifications and work in similar environments, but their primary functions differ in clinical decision support versus patient management.

What cities are hiring for Hourly Interqual jobs? Cities with the most Hourly 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 Hourly Interqual jobs? States with the most job openings for Hourly Interqual jobs include:
Hourly Interqual jobs near you
Infographic showing various Hourly Interqual job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 54% Full Time, and 45% Part Time. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.
Utilization Review Nurse | Up to $63/hr + Pension Benefits

Utilization Review Nurse | Up to $63/hr + Pension Benefits

Lancesoft INC

Las Vegas, NV • On-site

$40 - $63/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Title: Utilization Review Nurse (RN)
Department: Case Management
Job Type: Full-Time


Facility Details

  • Academic Medical Center
  • Nevada’s:
    • Level I Trauma Center
    • Verified Burn Center
    • Transplant Center
  • First & only Magnet®-Recognized hospital in Nevada
  • Major tertiary care hospital serving Southern Nevada


Pay & Benefits

  • Hourly Pay: $40 – $63/hour
  • Employer-paid Nevada PERS pension
  • Competitive health & retirement benefits
  • No state income tax in Nevada


Position Summary

The Utilization Review Nurse evaluates patient admissions and hospital stays to ensure:

  • Medical necessity
  • Appropriate level of care
  • Efficient resource utilization
  • Compliance with insurance/payer requirements

Main duties:

  • Review medical records/charts
  • Apply InterQual & Milliman criteria
  • Coordinate with physicians/case managers
  • Ensure accurate documentation
  • Support discharge planning and utilization management
  • Verify compliance with Medicare/Medicaid guidelines


Requirements

Education

  • Graduate of accredited nursing school

Experience

Required:

  • 5 years acute-care clinical RN experience
  • Minimum 1 year in:
    • Utilization Management
    • Case Management
    • Clinical Documentation Improvement (CDI)
  • 3+ years Utilization Management experience
  • 3+ years discharge planning experience in acute care
  • Experience with:
    • InterQual
    • Milliman guidelines

Must be able to pass InterQual exam.


License & Certifications

Required:

  • Active Nevada RN license



~SK

Company Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.
LanceSoft logo

About LanceSoft

Sourced by ZipRecruiter

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Herndon, VA, US

Year founded

2000

Social media

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