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Hourly Interqual Jobs (NOW HIRING)

University of Rochester

$80.92K - $105.21K/yr

Individual annual salaries/hourly rates will be set within the job's compensation range, and will ... Interqual, Sharepoint, eRecord, ePARC, Cobius preferred LICENSES AND CERTIFICATIONS * RN - ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical ... Knowledge of Medicare and Mass health services and benefits Salary: $35.00 - $40.00 Hourly pending ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical ... Knowledge of Medicare and Mass health services and benefits Salary: $35.00 - $40.00 Hourly pending ...

Vivian Health

RN Case Manager in Aurora, CO

Aurora, CO

$40.15 - $58.58/hr

Hourly Wage Estimate: $40.15 - $58.58 / hour Learn more about the for this job. The estimate ... InterQual) throughout the episode of care; escalates progression and transition of care issues ...

Vivian Health

RN Case Manager in Aurora, CO

Aurora, CO

$40.15 - $58.58/hr

Hourly Wage Estimate: $40.15 - $58.58 / hour Learn more about the for this job. The estimate ... InterQual) throughout the episode of care; escalates progression and transition of care issues ...

Mission Hospital

RN Case Manager Weekend Plan

Aurora, CO

$40.15 - $58.58/hr

Hourly Wage Estimate: $40.15 - $58.58 / hour Learn more about the benefits offered for this job ... InterQual) throughout the episode of care; escalates progression and transition of care issues ...

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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 May 31, 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 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 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 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.

More about Hourly Interqual jobs
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:
What job categories do people searching Hourly Interqual jobs look for? The top searched job categories for Hourly Interqual jobs are:
Hourly Interqual jobs near you
Infographic showing various Hourly Interqual job openings in the United States as of May 2026, with employment types broken down into 51% Full Time, 46% Part Time, and 3% Contract. Highlights an 96% Physical, and 4% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

RN Case Manager $113/hr - Bronx, NY

Mercury Group Staffing

Manhattan, NY

$113/hr

Other

Medical, Dental, Vision

Posted 13 days ago

Job description

RN Case Manager $113/hr - Bronx, NY

New York, New York, United States Or refer someone Job Openings RN Case Manager $113/hr - Bronx, NY

About the Job RN Case Manager $113/hr - Bronx, NY

Job Title: RN Case Management Location: Bronx, NY Local Pay Rate: $113/hr Travel Package:

  • Hourly Rate: $54.83
  • Weekly Stipend: $2128.00 ($553.00 - Weekly Meal + $1575.00 - Weekly Lodging)
  • Gross Weekly Pay: $4020

Shift: 8am-4:30pm, Monday to Friday (no weekends and no holidays) Start Date: 06/10/2024, or later Assignment Length: 13 Weeks

Requirements:

  • Candidate must be experienced in CAREPORT, MCG, Interqual, and Allscripts.
  • BSN, PRI, and Screen certifications required.
  • Facility is looking for candidates with a positive attitude.
  • Candidates should have strong Case Manager experience and utilization review experience is highly preferred.
  • Capable of doing discharge planning and referrals to Nursing Homes, Home Care, etc.
  • Candidates may be working on various units such as family medicine, stepdown/med/surg, pulmonary.
  • Candidates must be cleared before starting orientation but can start before completing orientation.

Benefits:

  • Dental
  • Eye Care
  • Medical

Submit your resume to jobs@mercurygroupstaffing.com and text (267) 209-3262 to schedule an interview.

Apply