ZipRecruiter

Log In

1

Interqual Jobs in Canton, MI (NOW HIRING)

Integrated Resources INC

Registered Nurse

Troy, MI · On-site

In depth knowledge of Interqual and other references for length of stay and medical necessity determinations. Experience with NCQA. Ability to take initiative and see tasks to completion. Computer ...

KYYBA

Remote Utilization Review RN

Detroit, MI · Remote

$35 - $39/hr

Experience with InterQual and/or MCG criteria . * Knowledge of CMS, NCQA, HIPAA, PA60 , utilization management, and clinical documentation. * Working knowledge of ICD-10 and CPT coding . Roles ...

Integrated Resources

Registered Nurse

Troy, MI · On-site

In depth knowledge of Interqual and other references for length of stay and medical necessity determinations. Experience with NCQA. Ability to take initiative and see tasks to completion. Computer ...

TH Medical

Director - Case Management

Detroit, MI · On-site

McKesson InterQual experience preferred. Business planning experience preferred. 4. Accredited Case Manager (ACM) preferred. Skills Required 1. Analytical ability to serve in an advisory/consultative ...

TH Medical

Director - Case Management

Detroit, MI · On-site

McKesson InterQual experience preferred. Business planning experience preferred. 4. Accredited Case Manager (ACM) preferred. Skills Required 1. Analytical ability to serve in an advisory/consultative ...

next page

Showing results 1-20

All JobsInterqual JobsInterqual Jobs in Canton, MI

Interqual information

See Canton, MI salary details

$36.1K

$82.9K

$151.1K

How much do interqual jobs pay per year?

As of Aug 31, 2026, the average yearly pay for interqual in Canton, MI is $82,928.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,800.00 and $96,800.00 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 popular job titles related to Interqual jobs in Canton, MI?

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

What job categories do people searching Interqual jobs in Canton, MI look for?

The top searched job categories for Interqual jobs in Canton, MI are:

Interqual jobs near you
Infographic showing various Interqual job openings in Canton, MI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $82,928 per year, or $39.9 per hour.

Care Review Clinician

Troy, MI • On-site

Integrated Resources
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Integrated Resourcesexternal

Other

Re-posted 17 days ago

Job description

Care Review Clinician

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Location: Troy, MI

Shift: M-F 8:30 am to 5 pm

Duties: Will be an inpatient UM, get cases from hospitals, review info about patient, enter info into computer system (interqual, or MCG) determine if it meets criteria, work with medical director for approval, notify Hospital of approval. Follow members from admission process all the way through to discharge, find discharge plan and where patient is being discharged to. Top 3 Skills: Strong Communication both verbal and written Attention to detail Computer skills

Qualifications

Must Haves: UM experience Computer skills Licensed RN in the state of Michigan. Nice to Have: Familiar with interqual or MCG software

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

View All Integrated Resources Jobs

Apply