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Interqual Jobs in Ohio (NOW HIRING)

talent4health

RN - Case Management

Cleveland, OH · On-site

$2.0K/wk

Conduct 30+ patient reviews daily, utilizing screening criteria such as Cerner, InterQual, and MCG. * Collaborate with healthcare teams to coordinate patient care effectively. * Utilize critical ...

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

Previous experience with screening criteria including Cerner, InterQual, and MCG. * Excellent critical thinking and communication skills. * Strong computer skills. * ACM/CCM Certification helpful.

Premier Health

CASE MANAGER

Middletown, OH · On-site

$19 - $24.50/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Computer skills expected

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required.

Premier Health

CASE MANAGER

Middletown, OH · On-site

$19 - $24.50/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Computer skills expected

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required.

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required.

Premier Health

CASE MANAGER - Part Time

Dayton, OH · On-site

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required.

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required.

Premier Health

CASE MANAGER

Dayton, OH · On-site

$19.50 - $25/hr

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required.

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Showing results 1-20

All JobsInterqual JobsInterqual Jobs in Ohio

Interqual information

See Ohio salary details

$37.1K

$85.1K

$155K

How much do interqual jobs pay per year?

As of Aug 17, 2026, the average yearly pay for interqual in Ohio is $85,071.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,300.00 and $99,300.00 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 Ohio?

The most popular types of Interqual jobs in Ohio are:

What are popular job titles related to Interqual jobs in Ohio?

For Interqual jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Interqual jobs in Ohio look for?

The top searched job categories for Interqual jobs in Ohio are:

What cities in Ohio are hiring for Interqual jobs?

Cities in Ohio with the most Interqual job openings:

Interqual jobs near you
Infographic showing various Interqual job openings in Ohio as of August 2026, with employment types broken down into 5% As Needed, 67% Full Time, 11% Part Time, and 17% Contract. Highlights an 90% In-person, 2% Hybrid, and 8% Remote job distribution, with an average salary of $85,071 per year, or $40.9 per hour.

RN / Utilization Review

TPF Nursing Agency

Middleburg Heights, OH • On-site

Other

Medical, Dental, Vision, Retirement

Re-posted 10 days ago

Job description

TPF Nursing welcomes you to our job board. Please review the job opportunity below:
Client: Southwest General Hospital Health Center
Location: Middleburg Heights OH
Shift: 5 x 8 Days
Start / End: Mon 7/20/26 - 10/17/26
Duration: 13 Weeks
Highlights

  • Shift: 8am-4:30pm
  • Minimum of five (5) years recent RN experience
  • Previous Case Management or Utilization Management Experience required
  • Previous experience with screening criteria Cerner, InterQual, and MCG Criteria, Standardized Templates required
  • Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p, as well as every 3rd weekend
  • Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management)
  • Previous Care Management, Case Management or Utilization Management Experience
  • Experience with doing 30+ reviews a day
  • Previous experience with screening criteria including Cerner, InterQual, and MCG is required
  • Excellent critical thinking and communication skills
  • Strong computer skills
  • Current licensure by Ohio State Board of Nursing
  • ACM/CCM Certification helpful
  • Is candidate local to facility? Highly desired
If you have any questions, please feel free to call us directly at 212-219-2677 and ask for a recruiter. We encourage applicants and staff to ask questions, discuss potential / existing assignments, keep us informed about their needs and how we might help. Most clinical contracts are 13 weeks with a didactic and clinical orientation. These clinical opportunities are updated on a regular basis, so please come back if you don't see an opportunity that suits you.
Benefits available through agency:
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Safe Harbor and Retirement Savings Plan -401k
  • Weekly Pay
  • 24/7 On Call
  • Holiday OT
  • Sick Pay
  • FMLA
  • Joint Commission Certified

LT # 22836

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