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Hourly Interqual Jobs (NOW HIRING)

Endeavor Health

RN Care Manager-Per Diem

Glenview, IL · On-site

$40.45 - $62.70/hr

Hourly Pay Range: $40.45 - $62.70 - The hourly pay rate offered is determined by a candidate ... Knowledge of InterQual or MCG criteria is preferred. What you will do: * Facilitates payor ...

NorthShore

RN Care Manager-Nights

Glenview, IL · On-site

$40.45 - $62.70/hr

Hourly Pay Range: $40.45 - $62.70 - The hourly pay rate offered is determined by a candidate ... Knowledge of InterQual or MCG criteria is preferred. * Clinical certification, such as case ...

Endeavor Health

RN Care Manager-Nights

Glenview, IL

$40.45 - $62.70/hr

Hourly Pay Range: $40.45 - $62.70 - The hourly pay rate offered is determined by a candidate ... Knowledge of InterQual or MCG criteria is preferred. * Clinical certification, such as case ...

Northshore

RN Care Manager-Nights

Glenview, IL · On-site

$40.45 - $62.70/hr

Hourly Pay Range: $40.45 - $62.70 - The hourly pay rate offered is determined by a candidate ... Knowledge of InterQual or MCG criteria is preferred. * Clinical certification, such as case ...

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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.

Registered Nurse (RN) Inpatient Care Coordinator

Trinityhealth

Springfield, MA

$62.48K - $100K/yr

Full-time

Posted 3 days ago

Job description

Employment Type:Full timeShift:Day ShiftDescription:

At Mercy Medical Center, our RN Inpatient Care Coordinators are responsible for coordinating patient care, assessing patient needs, and developing individualized care plans. They collaborate closely with healthcare providers, monitor patient progress, and ensure smooth transitions between levels of care while advocating for patients' overall well-being.

What you will do

  • Coordinate and manage inpatient care from admission through discharge.

  • Assess patients' clinical, psychosocial, and discharge planning needs.

  • Develop, implement, and monitor individualized plans of care.

  • Collaborate with physicians, nurses, social workers, case managers, and ancillary staff.

  • Monitor patient progress and adjust care plans based on ongoing and anticipated needs.

Minimum Qualifications

  • Education: Graduate of an accredited college or university affiliated nursing program. BSN graduate preferred.

  • Licensure: Current Licensure as a Registered Nurse RN in Massachusetts.

  • Certification: BLS (AHA/ARC). Certification in Case Management (ACM, CCM) required within one year of employment after meeting minimum requirements.

Preferred Skills:

  • Experience: 3-5 years of experience in case management, utilization review, or a related role preferred

  • Hospital or community-based healthcare experience preferred

  • Demonstrated proficiency with nationally recognized medical utilization criteria, including MCG, InterQual, and others as applicable

  • Solid understanding of managed care methodologies and applicable CMS/HCFA, OBRA, and Massachusetts state regulatory requirements

Work Schedule:

  • Full Time-30 Hours/3-10 Hour Shifts-7:00am-5:30pm

  • Every Other Weekend/Holiday

Pay Range: $62,478.00-$99,996.00

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Ministry/Facility Information

Mercy Medical Center has established itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is a 182-bed acute care hospital in Springfield. Other facilities include Mercy's Rehabilitation Hospital, a comprehensive hospital-based rehabilitation center on the campus of Mercy Medical Center and Brightside for Families and Children, an outpatient service offering counseling and family support programs.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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