RN - Case Manager
Fort Walton Beach, FL · On-site
Knowledge of Meditech, Midas, and Interqual is essential. Every other weekend availability is required. Join a team committed to providing exceptional care. Candidates must possess a current RN ...
Fort Walton Beach, FL · On-site
Knowledge of Meditech, Midas, and Interqual is essential. Every other weekend availability is required. Join a team committed to providing exceptional care. Candidates must possess a current RN ...
Fort Walton Beach, FL · On-site
Knowledge of Meditech, Midas, and Interqual is essential. Every other weekend availability is required. Join a team committed to providing exceptional care. Candidates must possess a current RN ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Hialeah, FL · On-site
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Quick apply
Hialeah, FL · On-site
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Hialeah, FL · On-site
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Hialeah, FL · On-site
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Utilize Meditech, Midas, and Interqual systems effectively. * Collaborate with a multidisciplinary team to enhance patient outcomes. * Conduct assessments and develop patient care plans. * Ensure ...
Utilize Meditech, Midas, and Interqual systems effectively. * Collaborate with a multidisciplinary team to enhance patient outcomes. * Conduct assessments and develop patient care plans. * Ensure ...
Fort Walton Beach, FL · On-site
$2.0K/wk
Acute care case management experience, knowledge of Meditech, Midas, and Interqual Description: Seeking a traveling RN Case Manager for a backfill position. This role requires acute care case ...
Fort Walton Beach, FL · On-site
$2.0K/wk
Acute care case management experience, knowledge of Meditech, Midas, and Interqual Description: Seeking a traveling RN Case Manager for a backfill position. This role requires acute care case ...
Fort Walton Beach, FL · On-site
Knowledgeable in Meditech, Midas, and Interqual
Fort Walton Beach, FL · On-site
Knowledgeable in Meditech, Midas, and Interqual
... Interqual guidelines. - Prefer demonstrated ability to learn SMHCS related facilities/services. - Prefer interpersonal communication skills and the ability to work effectively in a team. - Prefer ...
... Interqual guidelines. - Prefer demonstrated ability to learn SMHCS related facilities/services. - Prefer interpersonal communication skills and the ability to work effectively in a team. - Prefer ...
... Interqual guidelines. - Prefer demonstrated ability to learn SMHCS related facilities/services. - Prefer interpersonal communication skills and the ability to work effectively in a team. - Prefer ...
... Interqual guidelines. - Prefer demonstrated ability to learn SMHCS related facilities/services. - Prefer interpersonal communication skills and the ability to work effectively in a team. - Prefer ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
New
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
New
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
New
Quick apply
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
New
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
New
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
New
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources ...
Miami, FL · On-site
Understands and uses InterQual, MCG and other appropriate criteria. * Identifies patients who are appropriate for transfer to LTACH, SNF or other facilities and works with physicians to facilitate ...
Miami, FL · On-site
Understands and uses InterQual, MCG and other appropriate criteria. * Identifies patients who are appropriate for transfer to LTACH, SNF or other facilities and works with physicians to facilitate ...
Acute care clinical experience (typically 3-5 years) Knowledge of InterQual or MCG Strong analytical, communication, and documentation skills Familiarity with CMS, Medicare, Medicaid, and commercial ...
Acute care clinical experience (typically 3-5 years) Knowledge of InterQual or MCG Strong analytical, communication, and documentation skills Familiarity with CMS, Medicare, Medicaid, and commercial ...
Acute care clinical experience (typically 3-5 years) Knowledge of InterQual or MCG Strong analytical, communication, and documentation skills Familiarity with CMS, Medicare, Medicaid, and commercial ...
Acute care clinical experience (typically 3-5 years) Knowledge of InterQual or MCG Strong analytical, communication, and documentation skills Familiarity with CMS, Medicare, Medicaid, and commercial ...
Cooper City, FL · On-site
Utilize clinical experience and knowledge in accordance with established Milliman or Interqual guidelines to substantiate medical necessity and appropriate level of care. * Collaborate with health ...
Cooper City, FL · On-site
Utilize clinical experience and knowledge in accordance with established Milliman or Interqual guidelines to substantiate medical necessity and appropriate level of care. * Collaborate with health ...
Cooper City, FL · On-site
Utilize clinical experience and knowledge in accordance with established Milliman or Interqual guidelines to substantiate medical necessity and appropriate level of care. * Collaborate with health ...
Cooper City, FL · On-site
Utilize clinical experience and knowledge in accordance with established Milliman or Interqual guidelines to substantiate medical necessity and appropriate level of care. * Collaborate with health ...
$29.1K - $37.6K
15% of jobs
$37.6K - $46K
8% of jobs
$47.2K is the 25th percentile. Wages below this are outliers.
$46K - $54.4K
15% of jobs
The median wage is $59.7K / yr.
$54.4K - $62.8K
20% of jobs
$62.8K - $71.3K
11% of jobs
$75.5K is the 75th percentile. Wages above this are outliers.
$71.3K - $79.7K
13% of jobs
$79.7K - $88.1K
5% of jobs
$88.1K - $96.5K
3% of jobs
$96.5K - $105K
4% of jobs
$105K - $113.4K
3% of jobs
$113.4K - $121.8K
3% of jobs
$29.1K
$66.9K
$121.8K
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.
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.

Other
This job post has expired today. Applications are no longer accepted.
Seeking a traveling RN Case Manager for a backfill position. This role requires acute care case management experience. Knowledge of Meditech, Midas, and Interqual is essential. Every other weekend availability is required. Join a team committed to providing exceptional care. Candidates must possess a current RN license. This position offers guaranteed hours with a focus on quality patient care. We welcome qualified applicants eager to make a difference in healthcare.
Duration: 13 Weeks
Shift: Day Shift Hours per Shift: 8:00 AM - 4:30 PM
Experience: Minimum of 2 Years Required License: Current RN License Certifications: None specified Must-Have: Acute care case management experience, knowledge of Meditech, Midas, and Interqual
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Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier. Vision Our Vision is to be the most trusted and reliable provider for healthcare companies and medical facilities across the United States. Mission Our mission is to serve our healthcare customers with excellence and make a meaningful difference in the lives of patients and our communities.
Recruiting and staffing services
501 - 1,000 Employees
Sterling, VA, US
2015