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Interqual Jobs in Florida (NOW HIRING)

Careerxchange

Clinical Resource Manager

Miami, FL · On-site

$39 - $46/hr

Knowledge of InterQual or MCG criteria is highly desirable. * Strong understanding of healthcare regulations, patient care coordination, and discharge planning. * Experience using electronic medical ...

Larkin Community Hospital

Case Manager

Miami, FL · On-site

$19.25 - $24.75/hr

Knowledgeable of Milliman Care and Interqual Guidelines * Develops a plan of care for patients from admission to discharge. * Promotes the most efficient and cost-effective use of services * Curtails ...

Larkin Community Hospital

Case Manager

Miami, FL · On-site

$19.25 - $24.75/hr

Knowledgeable of Milliman Care and Interqual Guidelines * Develops a plan of care for patients from admission to discharge. * Promotes the most efficient and cost-effective use of services * Curtails ...

Trice Healthcare

RN case manager

Pensacola, FL · On-site

... Interqual competence required, certification preferred Required Experience: Prior hospital case management experience preferred. All candidates must have a minimum of 3 years of acute care hospital ...

Trice Healthcare

RN case manager

Fort Walton Beach, FL · On-site

$35.14/hr

... Interqual competence required, certification preferred Required Experience : Prior hospital case management experience preferred. All candidates must have a minimum of 3 years of acute care hospital ...

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All JobsInterqual JobsInterqual Jobs in Florida

Interqual information

See Florida salary details

$29.1K

$66.9K

$121.8K

How much do interqual jobs pay per year?

As of Aug 9, 2026, the average yearly pay for interqual in Florida is $66,870.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,200.00 and $78,100.00 per year, depending on experience, location, and employer.

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 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 are the most commonly searched types of Interqual jobs in Florida? The most popular types of Interqual jobs in Florida are:
What are popular job titles related to Interqual jobs in Florida? For Interqual jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Interqual jobs in Florida look for? The top searched job categories for Interqual jobs in Florida are:
Interqual jobs near you
Infographic showing various Interqual job openings in Florida as of August 2026, with employment types broken down into 5% As Needed, 85% Full Time, 5% Part Time, and 5% Contract. Highlights an 84% In-person, and 16% Remote job distribution, with an average salary of $66,870 per year, or $32.1 per hour.

Physician (Emergency Medicine) - Chief

US Department of Veterans Affairs

West Palm Beach, FL • On-site

Other

Re-posted 4 days ago

U.S. Department Of Veterans Affairs rating

8.1

Company rating: 8.1 out of 10

Based on 671 frontline employees who took The Breakroom Quiz

47th of 289 rated public sector bodies

Job description

Job Title

Duties and Responsibilities:

Representing the Emergency Department at all applicable hospital administrative and patient care meetings to include, but not limited to: UM Committee, Systems Redesign, Medicine Service Section Chief meetings, ED huddles, RPIWs related to the ED, Cardiology Performance Improvement Workgroup, Peer Review Committee, and participating in the VA EMFAC (Emergency Medicine Field Advisory Committee).

Meeting with all providers in the Emergency Department regularly to review protocols, procedures, expectations for transported/transferred patients, including minor trauma victims.

Monitoring established VA/VISN/Joint Commission, etc, performance measures and identified goals for the Emergency Department (e.g. physician report card), and provide providers with group and individual feedback on how to improve and/or sustain achieved success in such metrics/measures, including faculty development programs where applicable.

Regularly meet ("huddle") with Emergency Department providers and nursing staff to discuss departmental performance and barriers to achieving performance measure/workflow success. Develop solutions at the lowest level whenever possible, employing LEAN management principles and thinking.

Work to eliminate wasted efforts/work/testing in the Emergency Department, and develop and/or utilize preexisting patient care protocols (Acute Coronary Syndrome, Stroke, Sepsis) and develop tools to monitor the success of those efforts.

Developing, implementing, and sustaining an orientation/standard work manual/and-or process for all providers in the Emergency Department.

Work with the VA Utilization Management (UM) department staff to monitor the preadmission screening process and its success in impacting InterQual appropriate inpatient admission/observation status utilization performance measures.

Monitoring overall performance of all providers' in the Emergency Department and provide performance improvement opportunities and/or interventions as appropriate. This includes, but is not limited to performing FPPE/OPPEs and ensuring the RVU tool reflects appropriate data.

Conducting Peer Reviews of Emergency Department providers and attend the Peer Review Committee on a monthly basis.

Reviewing and responding to all Emergency Department ePIR and eROCs in a timely manner.

Monitor Emergency Department workforce needs and budget. Collaborate with the Medicine Service Group Practice Manager to develop budgets and conduct a yearly needs assessment.

Maintaining an up-to-date schedule which provides appropriate provider coverage in the Emergency Department.

Recruitment efforts for providers in the Emergency Department. Develop recruitment and retention strategies to ensure highly trained and experienced providers seek/maintain employment with this Medical Center.

What U.S. Department Of Veterans Affairs employees say

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