Familiar with most of the following MIDAS, Meditech, Care Port Discharge, Outlook, Excel, Interqual ... HCA Case Management experience * NATE familiarity * HCA MDRs List typical procedures performed on ...
Familiar with most of the following MIDAS, Meditech, Care Port Discharge, Outlook, Excel, Interqual ... HCA Case Management experience * NATE familiarity * HCA MDRs List typical procedures performed on ...
American Traveler is seeking an experienced RN Case Manager with a BSN and inpatient case ... InterQual proficiency preferred, • At least one prior travel assignment required, Additional ...
American Traveler is seeking an experienced RN Case Manager with a BSN and inpatient case ... InterQual proficiency preferred, • At least one prior travel assignment required, Additional ...
Travel RN Case Manager - San Pedro, CA | 5x8 Days | Acute Care | InterQual REQUIRED
San Pedro, CA · On-site
This role supports an acute care hospital case management team focused on utilization review, care ... CLINICAL RESPONSIBILITIES Perform utilization review using InterQual criteria Coordinate patient ...
Travel RN Case Manager - San Pedro, CA | 5x8 Days | Acute Care | InterQual REQUIRED
San Pedro, CA · On-site
This role supports an acute care hospital case management team focused on utilization review, care ... CLINICAL RESPONSIBILITIES Perform utilization review using InterQual criteria Coordinate patient ...
Specialty: Case Management * Discipline: RN * Start Date: 06/29/2026 * Duration: 13 weeks * 40 ... Epic & InterQual documentation; SBAR communication. Rotating weekends required. Certifications ...
Specialty: Case Management * Discipline: RN * Start Date: 06/29/2026 * Duration: 13 weeks * 40 ... Epic & InterQual documentation; SBAR communication. Rotating weekends required. Certifications ...
Travel RN Case Manager - San Pedro, CA | 5x8 Days | Acute Care | InterQual REQUIRED
Los Angeles, CA · On-site
This role supports an acute care hospital case management team focused on utilization review, care ... CLINICAL RESPONSIBILITIES • Perform utilization review using InterQual criteria • Coordinate ...
Quick apply
Travel RN Case Manager - San Pedro, CA | 5x8 Days | Acute Care | InterQual REQUIRED
Los Angeles, CA · On-site
This role supports an acute care hospital case management team focused on utilization review, care ... CLINICAL RESPONSIBILITIES • Perform utilization review using InterQual criteria • Coordinate ...
... Interqual criteria and Midas+. . Demonstrated knowledge of payer reimbursement methodologies. 6. Results oriented; driver of outcomes; data driven 7. Strong collaboration skills within a multi ...
... Interqual criteria and Midas+. . Demonstrated knowledge of payer reimbursement methodologies. 6. Results oriented; driver of outcomes; data driven 7. Strong collaboration skills within a multi ...
Seeking an experienced Registered Nurse - Case Manager to provide specialized acute care management ... Utilize Meditech, Midas, and Interqual systems to document and evaluate patient progress. * Educate ...
Seeking an experienced Registered Nurse - Case Manager to provide specialized acute care management ... Utilize Meditech, Midas, and Interqual systems to document and evaluate patient progress. * Educate ...
McKesson InterQual ® experience preferred. Business planning experience preferred. 4. Accredited Case Manager (ACM) preferred.
Quick apply
McKesson InterQual ® experience preferred. Business planning experience preferred. 4. Accredited Case Manager (ACM) preferred.
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
McKesson InterQual ® experience preferred. Business planning experience preferred. 4. Accredited Case Manager (ACM) preferred. Central Business Solutions, Inc(A Certified Minority Owned Organization ...
McKesson InterQual ® experience preferred. Business planning experience preferred. 4. Accredited Case Manager (ACM) preferred. Central Business Solutions, Inc(A Certified Minority Owned Organization ...
RN - Case Management
Cleveland, OH · On-site
$2K/wk
Conduct case management and utilization management reviews. * Perform 30+ reviews daily using ... Utilize screening criteria such as Cerner, InterQual, and MCG. * Provide excellent patient care ...
RN - Case Management
Cleveland, OH · On-site
$2K/wk
Conduct case management and utilization management reviews. * Perform 30+ reviews daily using ... Utilize screening criteria such as Cerner, InterQual, and MCG. * Provide excellent patient care ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Case Mgmt Specialist - BSN
Fort Wayne, IN · On-site
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Preferred experience in Case Management activities ... Preferred experience or knowledge of InterQual criteria. Other Qualifications Demonstrates ...
Interqual Case Management information
See salary details
$19.23 - $24.76
3% of jobs
$24.76 - $30.29
6% of jobs
$35.30 is the 25th percentile. Wages below this are outliers.
$30.29 - $35.82
17% of jobs
$35.82 - $41.35
20% of jobs
The median wage is $42.45 / hr.
$41.35 - $46.88
16% of jobs
$46.88 - $52.40
11% of jobs
$53.59 is the 75th percentile. Wages above this are outliers.
$52.40 - $57.93
7% of jobs
$57.93 - $63.46
6% of jobs
$63.46 - $68.99
5% of jobs
$68.99 - $74.52
4% of jobs
$74.52 - $80.05
3% of jobs
$19
$47
$80
How much do interqual case management jobs pay per hour?
As of Jun 5, 2026, the average hourly pay for interqual case management in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as an InterQual Case Manager, and why are they important?
To thrive as an InterQual Case Manager, you need a solid background in nursing or healthcare, knowledge of utilization review, and familiarity with case management principles, often supported by RN licensure or similar clinical credentials. Expertise in using InterQual criteria software, electronic health records (EHRs), and utilization management systems is essential. Strong analytical thinking, communication, and collaboration skills help in effectively coordinating patient care and liaising with providers and payers. These skills ensure accurate patient evaluations, compliance with guidelines, and optimal resource utilization within healthcare settings.
What is InterQual Case Management?
InterQual Case Management refers to the use of InterQual criteria, which are evidence-based clinical guidelines, to assess the medical necessity, appropriateness, and level of care for patients within a healthcare setting. Case managers use these tools to ensure patients receive the right care at the right time while meeting insurance and regulatory requirements. This process helps in making decisions about hospital admissions, continued stays, and transitions of care. The goal is to improve patient outcomes and optimize resource utilization.
How does an Interqual Case Manager typically collaborate with healthcare teams to ensure effective patient care transitions?
Interqual Case Managers work closely with physicians, nurses, social workers, and other healthcare professionals to assess patient needs and determine appropriate levels of care using Interqual criteria. Their role often involves facilitating communication between different departments, coordinating discharge planning, and advocating for patient needs. By ensuring that each patient transition meets clinical guidelines, they help reduce readmission rates and support optimal health outcomes. Regular interdisciplinary meetings and thorough documentation are key aspects of their collaborative process.
What is the difference between Interqual Case Management vs Utilization Review Nurse?
| Aspect | Interqual Case Management | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires nursing license, case management certification | Registered Nurse (RN) license, often with utilization review certification |
| Work Environment | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare facilities |
| Primary Focus | Coordinating patient care, discharge planning, case management | Reviewing medical necessity, approving or denying services |
| Usage in Industry | Used for comprehensive case management and care coordination | Primarily involved in utilization review and authorization processes |
Both roles involve nursing expertise and work within healthcare settings, but Interqual Case Management focuses on coordinating patient care and discharge planning, while Utilization Review Nurses primarily evaluate medical necessity for services. Understanding these differences helps healthcare organizations assign the right professionals for each function.
Other
Posted 4 days ago
Job description
Job Title
Must have: Candidates without these skills will not be considered for the role.
- RN Case Management experience
- Familiar with most of the following MIDAS, Meditech, Care Port Discharge, Outlook, Excel, Interqual, Word
Preferred or nice to have: Candidates with these skills will be considered first.
- HCA Case Management experience
- NATE familiarity
- HCA MDRs
List typical procedures performed on unit(s):
- Discharge Planning Assessments within 1 day of admission - face to face and phone if needed.