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Interqual Training Operation Jobs (NOW HIRING)

Tenet Health

Case Management Director

Indio, CA

McKesson InterQual experience * Five (5) years acute hospital case management experience ... training. * Monitors case management processes and staff productivity to ensure medical necessity ...

Tenet Health

Case Management Director

Indio, CA · On-site

McKesson InterQual experience * Five (5) years acute hospital case management experience ... training. * Monitors case management processes and staff productivity to ensure medical necessity ...

Devoted Health

Post-Acute UM Supervisor

Nottingham, MD · On-site +1

$95K - $120K/yr

The supervisor will also collaborate closely with clinical, operational, and technology teams to ... Certification or formal training in InterQual * Experience working in post-acute care utilization ...

Tenet Health

Case Management Director

Indio, CA · On-site

$59.24 - $94.79/hr

Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly ... training. * Monitors case management processes and staff productivity to ensure medical necessity ...

Tenet Health

Manager - Case Management

San Ramon, CA · On-site

$62.20 - $99.52/hr

Responsibilities Department Operations • Maintains an adequate number and skill mix over seven ... Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly ...

Mercor

Utilisation Management Expert - RN

New York, NY · Remote

$100 - $150/hr

Lead utilisation management and case management operations, including concurrent review ... Conduct and oversee clinical reviews against InterQual , MCG , or Milliman care guidelines to ...

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Interqual Training Operation information

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How much do interqual training operation jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for interqual training operation in the United States is $19.89, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $25.00 per hour, depending on experience, location, and employer.

What are the main challenges faced by professionals working in Interqual Training Operations, and how can they be addressed?

Professionals in Interqual Training Operations often encounter challenges such as staying current with evolving clinical guidelines and ensuring consistent training across diverse healthcare teams. Addressing these challenges involves regularly updating training materials, fostering strong communication with clinical staff, and leveraging feedback to improve training sessions. Collaboration with both clinical experts and IT teams is crucial to ensure that Interqual criteria are implemented effectively and understood organization-wide. Continuous professional development and adaptability are key to success in this dynamic environment.

What is the difference between Interqual Training Operation vs Interqual Clinical Reviewer?

AspectInterqual Training OperationInterqual Clinical Reviewer
CredentialsTypically requires training certifications in utilization management and Interqual softwareRequires clinical licenses (RN, MD, or other healthcare credentials) and familiarity with Interqual criteria
Work EnvironmentTraining sessions, administrative settings, healthcare organizationsClinical settings, hospitals, insurance companies, utilization review departments
Employer & Industry UsageHealthcare organizations, training providers, health plansInsurance companies, healthcare providers, utilization review agencies

Interqual Training Operations focus on delivering training and managing Interqual software, while Interqual Clinical Reviewers evaluate patient cases using Interqual criteria to determine care appropriateness. Both roles require familiarity with Interqual but differ in responsibilities and credentials.

What is Interqual Training Operation?

Interqual Training Operation refers to the processes and programs designed to educate healthcare professionals on using InterQual criteria, which are evidence-based clinical decision support tools. These trainings help users understand how to apply InterQual guidelines for patient admissions, continued stays, and discharge decisions. Effective Interqual Training Operation ensures staff are proficient in utilizing the software and criteria to promote appropriate care and compliance with regulations. The training may include online modules, in-person sessions, and ongoing support to address updates and best practices.

What are the key skills and qualifications needed to thrive in Interqual Training Operations, and why are they important?

To excel in Interqual Training Operations, you need a strong understanding of clinical guidelines, healthcare utilization management, and experience with InterQual criteria, typically supported by a background in nursing or healthcare administration. Familiarity with InterQual software, learning management systems (LMS), and relevant certifications such as RN or case management credentials is crucial. Excellent communication, instructional skills, and attention to detail help trainers effectively educate teams and ensure compliance. These skills are vital for ensuring accurate application of clinical guidelines, improving patient outcomes, and maintaining regulatory standards.
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What cities are hiring for Interqual Training Operation jobs? Cities with the most Interqual Training Operation job openings:
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Interqual Training Operation jobs near you
Infographic showing various Interqual Training Operation job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $41,374 per year, or $19.9 per hour.

Director Registered Nurse (RN) - Case Management

Tenet Desert

Indio, CA • On-site

Full-time

Posted 6 days ago

Job description

Tenet Desert is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Indio, California.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Duration: Ongoing
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Staff

Shift: Days

Hours: 

Job Type: Full Time 

The individual in this position has overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.

  • Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
  • Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
  • Holds regular departmental meetings with staff to provide updates and provides for ongoing education
  • Completes initial and annual competency and evaluation review on all case management staff
  • Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
  • Develops action plan for case managers that fail to meet the IRR acceptable "match" rate to ensure improvement in the accurate application of InterQual criteria
  • Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training.
  • Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.

Required:

  1. Active Registered Nurse License
  2. At least two (2) years acute hospital case management leadership experience
  3. Demonstrated organizational skills
  4. Excellent Verbal and written communication skills
  5. Ability to lead and coordinate activities of a diverse group of people in a fast paced environment
  6. Critical thinking and problem solving skills and computer literacy.

Preferred:

  1. MSN
  2. Accredited Case Manger (ACM)
  3. McKesson InterQual® experience
  4. Five (5) years acute hospital case management experience

Tenet Desert Job ID #2603016815. Posted job title: Case Management Director

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