1

Interqual Jobs in California (NOW HIRING)

Interqual Weekend Requirement every other depending on staffing. Would be at least one full weekend per month Holidays not required, but will work if they are willing Scrub Color/Uniform business ...

RN - Case Manager

San Pedro, CA · On-site

$68 - $72/hr

Conduct admission criteria reviews using InterQual guidelines. * Facilitate concurrent and continued stay reviews to determine medical necessity per evidence-based guidelines. * Coordinate services ...

Interqual Weekend Requirement every other depending on staffing. Would be at least one full weekend per month Holidays not required, but will work if they are willing Scrub Color/Uniform business ...

Interqual Weekend Requirement every other depending on staffing. Would be at least one full weekend per month Holidays not required, but will work if they are willing Scrub Color/Uniform business ...

RN

Carmichael, CA · On-site

Interqual Weekend Requirement every other depending on staffing. Would be at least one full weekend per month Holidays not required, but will work if they are willing Scrub Color/Uniform business ...

RN

Carmichael, CA · On-site

Interqual Weekend Requirement every other depending on staffing. Would be at least one full weekend per month Holidays not required, but will work if they are willing Scrub Color/Uniform business ...

Showing results 41-60

Interqual information

See California salary details

$38.5K

$88.3K

$160.9K

How much do interqual jobs pay per year?

As of Sep 5, 2026, the average yearly pay for interqual in California is $88,311.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,700.00 and $103,100.00 per year, depending on experience, location, and employer.

What is an InterQual?

An InterQual job typically involves using InterQual criteria—a set of evidence-based guidelines—to assess medical necessity for healthcare services. Professionals in these roles, such as nurses or case managers, review patient cases to ensure treatments align with best practices and insurance requirements. They work in hospitals, insurance companies, or healthcare organizations to support utilization management and improve patient care efficiency. Strong clinical knowledge and familiarity with InterQual software are often required for these positions.

What does someone working with InterQual do?

Professionals utilizing InterQual criteria are primarily responsible for reviewing medical records and assessing whether inpatient admissions, procedures, or continued stays meet established clinical guidelines. Daily tasks often include documenting findings, communicating with physicians and care teams to clarify case details, and collaborating with insurance companies regarding authorization of services. These professionals act as a key resource for ensuring compliance with industry standards and optimizing patient care pathways. Successful InterQual specialists proactively identify discrepancies and help resolve issues that might delay care or reimbursement. You can expect regular interaction with both clinical and administrative staff in a fast-paced healthcare environment.

What are the key skills and qualifications needed to thrive in the InterQual position?

To excel in a role focused on InterQual, such as an InterQual Specialist or Utilization Review Nurse, you need a strong background in healthcare, clinical assessment skills, and familiarity with utilization management. Proficiency in using InterQual software, electronic health records (EHRs), and knowledge of medical necessity criteria are essential, and certification in case management or utilization review is often preferred. Attention to detail, strong analytical thinking, and effective communication are critical soft skills for this position. These skills ensure accurate case evaluations, appropriate care decisions, and efficient collaboration with healthcare providers and payer organizations.

What are the most commonly searched types of Interqual jobs in California?

The most popular types of Interqual jobs in California are:

What cities in California are hiring for Interqual jobs?

Cities in California with the most Interqual job openings:

Infographic showing various Interqual job openings in California as of August 2026, with employment types broken down into 65% Full Time, 29% Part Time, and 6% Contract. Highlights an 82% In-person, and 18% Remote job distribution, with an average salary of $88,311 per year, or $42.5 per hour.

Registered Nurse

3B Healthcare, Inc.

Carmichael, CA • On-site

Full-time, Part-time, Per diem

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Case ManagerUnit Notes sent to manager for interview need 2 sup refs (charge accepted) at submittal; 1 w/in 12 mo. & 1 w/in 3 years worked Copy of the DL is needed at time of submittal to validate legal name - Pulse must reflect the name on a gov't issued ID - no middle initial or middle name Candidates may not have been directly employed (full time, part time, or PRN) by any facility associated with CommonSpirit, including CHI and/or Dignity within the past year.

Candidates who were employed PRN through outside firms will be considered. MUST HAVE PRIOR RECENT CA DIGNITY EXPERIENCE OR THEY WILL NOT BE CONSIDERED Unit Case Management/Care Coordination # patients seen/consults per day 15-20 Certs: BLS EMR: Interqual Weekend Requirement every other depending on staffing.

Would be at least one full weekend per month Holidays not required, but will work if they are willing Scrub Color/Uniform business casual attire Hospitalist or Intensivist in house yes RT 24/7 yes Pharmacy 24/7 no Shifts depends on dept but hours are between 8-5pm Do they cover all areas of hospital? Any outpatient? Any home care?

All areas of the hospital, no OP and no Home Care Floor specific orientation: 5 days of care coordination new employee orientation, unit orientation timeframe depends case by case Common duties/ Required skills or knowledge: Dealing with all payers, uninsured, homeless. Completing Initial assessments, IQ, DC planning, cerner Additional Notes Is this position UR or discharge planning or both?

Both Additional Questions Do you require case managers to be familiar with Interqual criteria? yes What other specific skills or knowledge are needed to be successful as a case manager at your facility? collaboration, teamwork, effective communication, ability to reprioritize throughout the day. Are they required to do Utilization review as well? yes We will train candidates in IQ. Both DC Planning and UM are required.