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Interqual Jobs in Dallas, TX (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

MCG or InterQual experience * Utilization management experience LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties). POSITION: 6-month assignment

Medical City Dallas

RN Case Manager

Lewisville, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Medical City Dallas

RN Case Manager

Carrollton, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Medical City Dallas

RN Case Manager

Bedford, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Mission Hospital

RN Case Manager

Denton, TX · On-site

Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established ...

Medical City Dallas

RN Case Manager

Wylie, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Medical City Arlington

RN Case Manager

Arlington, TX · On-site

InterQual experience preferred Benefits Medical City Arlington, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and ...

Medical City Plano

RN Case Manager

Plano, TX · On-site

Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established ...

Medical City Dallas

RN Case Manager

Mesquite, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Medical City Weatherford

RN Case Manager

Arlington, TX · On-site

InterQual experience preferred Benefits Medical City Arlington, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and ...

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Medical City Alliance

RN Case Manager

Denton, TX · On-site

Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established ...

Medical City Dallas

RN Case Manager

Frisco, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Medical City Dallas

RN Case Manager

Little Elm, TX · On-site

InterQual experience preferred Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs ...

Medical City Lewisville

RN Case Manager

Plano, TX · On-site

Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established ...

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All JobsInterqual JobsInterqual Jobs in Dallas, TX

Interqual information

See Dallas, TX salary details

$38.6K

$88.5K

$161.2K

How much do interqual jobs pay per year?

As of Aug 25, 2026, the average yearly pay for interqual in Dallas, TX is $88,519.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,800.00 and $103,400.00 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 Dallas, TX?

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

What job categories do people searching Interqual jobs in Dallas, TX look for?

The top searched job categories for Interqual jobs in Dallas, TX are:

Interqual jobs near you
Infographic showing various Interqual job openings in Dallas, TX as of August 2026, with employment types broken down into 100% Full Time. Highlights an 73% In-person, and 27% Remote job distribution, with an average salary of $88,519 per year, or $42.6 per hour.

Utilization Review Nurse-Remote-Contract

Dallas, TX • Remote

HireOps Staffing, LLC
51 - 200 employees
Learn more about HireOps Staffing, LLCexternal

$40/hr

Full-time

Posted 20 days ago

Job description

$40/hour - Contract for 6 months
Must reside in TX

Full time remote
Candidates must be based in TX.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
pay rate is $40/hour
This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and medical and network management divisions. Collects clinical and non-clinical data. Verifies eligibility. Determines benefit levels in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers and facilities.
Registered Nurse (RN) with valid, current, unrestricted license in the state of operations.
* 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
* Knowledge of medical terminology and procedures.
* Verbal and written communication skills.
PREFERRED JOB REQUIREMENTS:
* Utilization management experience
* MCG or InterQual experience