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Hourly Interqual Jobs in Florida (NOW HIRING)

Careerxchange

Clinical Resource Manager

Miami, FL · On-site

$39 - $46/hr

Knowledge of InterQual or MCG criteria is highly desirable. * Strong understanding of healthcare ... What We Offer * Competitive hourly pay: $39.00-$46.00/hour * 12-week contract assignment

Trice Healthcare

RN case manager

Fort Walton Beach, FL · On-site

$35.14/hr

... preferred Interqual competence required, certification preferred Required Experience : Prior ... Non-exempt (hourly) 3yr: $35.14, 7yr: $38.33, 10yr: $39.93, Max: $43.92 (based on years of ...

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Hourly Interqual information

What is an hourly InterQual job?

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 skills and qualifications are needed to thrive as an InterQual Utilization Review Specialist?

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 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 are the most commonly searched types of Interqual jobs in Florida?

The most popular types of Interqual jobs in Florida are:

What cities in Florida are hiring for Hourly Interqual jobs?

Cities in Florida with the most Hourly Interqual job openings:

Hourly Interqual jobs near you

RN Case Manager - Acute Care

She Recruits LLC

Gainesville, FL • On-site

$32 - $46/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

RN Case Manager – Acute Care

Gainesville, FL | Full-Time | Day & Evening Shifts Available Up to $15K Sign-On Bonus + Shift Differentials + Relocation Assistance

About the Opportunity

She Recruits is seeking a dedicated and detail-driven Case Management RN on behalf of a top-tier hospital in Gainesville, FL. This is an excellent opportunity to make a meaningful impact on patients' continuity of care by coordinating care plans, discharge processes, and utilization reviews within a high-performing acute care environment.

This is not a desk job—this is a fast-paced, dynamic role for nurses who are proactive, organized, and passionate about facilitating exceptional outcomes.

Key Responsibilities
  • Conduct initial and ongoing assessments of patient status, needs, and discharge readiness
  • Collaborate with providers, insurance companies, and interdisciplinary teams to facilitate appropriate care transitions
  • Evaluate clinical necessity and level of care; use decision-support tools such as InterQual
  • Educate patients and families about discharge planning, community resources, and next-level care
  • Manage concurrent reviews and insurance authorizations; escalate and appeal denials as needed
  • Maintain meticulous documentation in MIDAS and related platforms
  • Participate in interdisciplinary team (IDT) rounds and maintain strong communication across departments
Qualifications

  • Active Florida RN license or multistate compact license (required within 60 days of relocation if applicable)

  • Minimum 3 years RN experience in acute care (ICU, Med-Surg strongly preferred)

  • Prior Case Management or Utilization Review experience in acute care or LTAC setting highly preferred

  • BSN preferred; ADN or Nursing Diploma required

  • BLS certification (AHA) required within 30 days of hire

  • Certified Case Manager (CCM) or similar credential preferred but not required

  • Must be self-directed, adaptable, highly organized, and effective at multitasking in a busy environment

Compensation & Perks

  • Hourly Pay Range: $32 – $46 (based on experience)

  • Shift Differentials:

    • Evening shift: +$2.00/hour

    • Weekend shift: +$2.00/hour

  • Sign-On Bonus: Up to $15,000

  • Relocation Assistance: Case-by-case basis

  • Comprehensive benefits including health, dental, vision, 401(k), PTO, and more

Available Shifts

  • Day Shift: 8:00 AM – 4:30 PM (Rotating Weekends)

  • Evening Shift: 12:00 PM – 8:30 PM (or 11:00 AM – 7:30 PM), Monday–Friday, No Weekends

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