ZipRecruiter

Log In

1

Interqual Jobs (NOW HIRING)

Talencia

Registered Nurse - Case Manager

Torrance, CA · On-site

$70 - $74/hr

Utilize InterQual criteria to determine medical necessity and level of care * Develop and implement patient-centered treatment and transition plans * Coordinate services across multiple disciplines ...

CarePoint Health

Case Manager RN

Bayonne, NJ

NJ RN License, Solid Case Management Medical/Surgical and Behavioral Health Background, InterQual and Milliman Care Guidelines Experience, Leadership and Management Skills, Excellent Computer ...

MTK Healthcare

RN-Case Manager

Portales, NM · On-site

$59 - $62/hr

Experience with InterQual criteria and MDS documentation Key Responsibilities * Perform utilization review, case management, discharge planning, and swing bed coordination. * Evaluate and screen ...

CarePoint Health

Case Manager RN

Bayonne, NJ · On-site

NJ RN License, Solid Case Management Medical/Surgical and Behavioral Health Background, InterQual and Milliman Care Guidelines Experience, Leadership and Management Skills, Excellent Computer ...

Medlivo

Travel RN Case Manager

Carmichael, CA · On-site

Cerner and InterQual / Skills: Discharge Planning, Utilization Management, Initial Assessments, InterQual Criteria, Care Coordination, Collaboration, Teamwork, Effective Communication, Prioritization ...

CarePoint Health

Case Manager RN

Bayonne, NJ

NJ RN License, Solid Case Management Medical/Surgical and Behavioral Health Background, InterQual and Milliman Care Guidelines Experience, Leadership and Management Skills, Excellent Computer ...

next page

Showing results 1-20

All JobsInterqual Jobs

Interqual information

See salary details

$39K

$89.5K

$163K

How much do interqual jobs pay per year?

As of Jul 21, 2026, the average yearly pay for interqual in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What are the typical daily responsibilities of someone working with InterQual criteria in a healthcare setting?

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, and why are they important?

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 job?

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.

More about Interqual jobs
What cities are hiring for Interqual jobs? Cities with the most Interqual job openings:
What are the most commonly searched types of Interqual jobs? The most popular types of Interqual jobs are:
What states have the most Interqual jobs? States with the most job openings for Interqual jobs include:
What job categories do people searching Interqual jobs look for? The top searched job categories for Interqual jobs are:
Interqual jobs near you
Infographic showing various Interqual job openings in the United States as of July 2026, with employment types broken down into 7% As Needed, 72% Full Time, 14% Part Time, and 7% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.
Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits

Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits

Lancesoft INC

Las Vegas, NV • On-site

$43 - $63/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Job description

The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels of care, efficient resource utilization, and compliance with third-party payer requirements. This position involves reviewing medical records, assessing clinical documentation, and collaborating with case management teams to support quality standards and regulatory compliance within an acute care setting.


Responsibilities

  • Review patient admissions for medical necessity and payer compliance
  • Evaluate clinical documentation to ensure appropriate resource utilization
  • Collaborate with case management and discharge planning teams
  • Utilize InterQual and Milliman criteria during utilization review processes
  • Accurately document findings and communicate review determinations
  • Maintain current knowledge of regulatory and compliance standards
  • Support clinical documentation improvement initiatives


Compensation

  • Sign-On Bonus up to $15,000
  • Pay Range: $43 – $63/hr


Required Qualifications

  • Graduate of an accredited nursing program
  • Minimum 5 years of acute care clinical nursing experience, including at least 1 year in Utilization Management, Case Management, or Clinical Documentation Improvement
  • Active Nevada RN license required
  • Minimum 3 years of Utilization Management experience
  • Minimum 3 years of discharge planning experience in an acute care setting
  • Recent hands-on experience with InterQual and ability to successfully pass the InterQual exam
  • Recent experience utilizing Milliman criteria required



Company Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.
LanceSoft logo

About LanceSoft

Sourced by ZipRecruiter

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Herndon, VA, US

Year founded

2000

Social media

FacebookTwitter

View All LanceSoft Jobs