Registered Nurse
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 ...
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 ...
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 ...
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 ...
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 ...
Quick apply
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Torrance, CA · On-site
Experience with InterQual and Epic systems * 3 years of acute medical care management/UM experience Slate Healthcare Job ID #090f4b56-59ad-4bc7-b49c-2f1f14c106d4. Pay package is based on 8 hour ...
Torrance, CA · On-site
Experience with InterQual and Epic systems * 3 years of acute medical care management/UM experience Slate Healthcare Job ID #090f4b56-59ad-4bc7-b49c-2f1f14c106d4. Pay package is based on 8 hour ...
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 ...
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 ...
Torrance, CA · On-site
$1.8K/wk
Experience with InterQual and Epic systems * 3 years of acute medical care management/UM experience Slate Healthcare Job ID #090f4b56-59ad-4bc7-b49c-2f1f14c106d4. Pay package is based on 8 hour ...
New
Torrance, CA · On-site
$1.8K/wk
Experience with InterQual and Epic systems * 3 years of acute medical care management/UM experience Slate Healthcare Job ID #090f4b56-59ad-4bc7-b49c-2f1f14c106d4. Pay package is based on 8 hour ...
New
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 ...
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 ...
Daly City, CA · On-site
$95 - $120/hr
Serves as an expert resource in teaching and monitoring care managers in the use of InterQual Criteria. * Monitors the documentation of all components of patient assessments, reassessments, and ...
Daly City, CA · On-site
$95 - $120/hr
Serves as an expert resource in teaching and monitoring care managers in the use of InterQual Criteria. * Monitors the documentation of all components of patient assessments, reassessments, and ...
Evaluate medical necessity using InterQual, MCG, CMS, and LCD/NCD guidelines. * Care Coordination: Coordinate discharge planning and seamless transitions of care with providers and healthcare ...
Quick apply
Evaluate medical necessity using InterQual, MCG, CMS, and LCD/NCD guidelines. * Care Coordination: Coordinate discharge planning and seamless transitions of care with providers and healthcare ...
Evaluate medical necessity using InterQual, MCG, CMS, and LCD/NCD guidelines. * Care Coordination: Coordinate discharge planning and seamless transitions of care with providers and healthcare ...
Evaluate medical necessity using InterQual, MCG, CMS, and LCD/NCD guidelines. * Care Coordination: Coordinate discharge planning and seamless transitions of care with providers and healthcare ...
San Diego, CA · On-site
$50.29 - $66.27/hr
Strong working knowledge of InterQual for direct use and for the education of IDT and clinical teams, including TOC Nursing Case Managers. * Presentations on relevant topics and projects to PACE ...
San Diego, CA · On-site
$50.29 - $66.27/hr
Strong working knowledge of InterQual for direct use and for the education of IDT and clinical teams, including TOC Nursing Case Managers. * Presentations on relevant topics and projects to PACE ...
Utilization Management • Completes initial InterQual review screening upon admission for all patients placed in a hospital bed and documents, either inpatient or Observation (OBS) status. • ...
Utilization Management • Completes initial InterQual review screening upon admission for all patients placed in a hospital bed and documents, either inpatient or Observation (OBS) status. • ...
Los Angeles, CA · On-site
InterQual or MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges throughout ...
Los Angeles, CA · On-site
InterQual or MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges throughout ...
InterQual experience is mandatory; candidates without this will not be considered. Proficient in Epic, with recent use within the last 6-12 months. Experience working with HMOs, IPAs, and similar ...
InterQual experience is mandatory; candidates without this will not be considered. Proficient in Epic, with recent use within the last 6-12 months. Experience working with HMOs, IPAs, and similar ...
Los Angeles, CA · On-site
InterQual or MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges throughout ...
Los Angeles, CA · On-site
InterQual or MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges throughout ...
$38.5K - $49.6K
15% of jobs
$49.6K - $60.7K
8% of jobs
$62.3K is the 25th percentile. Wages below this are outliers.
$60.7K - $71.9K
15% of jobs
The median wage is $78.9K / yr.
$71.9K - $83K
20% of jobs
$83K - $94.1K
11% of jobs
$99.7K is the 75th percentile. Wages above this are outliers.
$94.1K - $105.2K
13% of jobs
$105.2K - $116.4K
5% of jobs
$116.4K - $127.5K
3% of jobs
$127.5K - $138.6K
4% of jobs
$138.6K - $149.7K
3% of jobs
$149.7K - $160.9K
3% of jobs
$38.5K
$88.3K
$160.9K
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.
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.
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.
The most popular types of Interqual jobs in California are:
For Interqual jobs in California, the most frequently searched job titles are:
The top searched job categories for Interqual jobs in California are:
Cities in California with the most Interqual job openings:

Full-time, Part-time, Per diem
This job post has expired 1 day ago. Applications are no longer accepted.
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.
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Health care and social assistance
51 - 200 Employees
Iselin, NJ, US
2024