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Manager Interqual Jobs (NOW HIRING)

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 ...

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 ...

CarePoint Health

Case Manager RN

Bayonne, NJ

Management/Case Management, InterQual knowledgeable (Behavioral Health InterQual a plus), good computer skills. Full Time 8:00am-4:30pm every other weekend every other holiday ** An Equal Opportunity ...

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 ...

CarePoint Health

Case Manager RN

Bayonne, NJ · On-site

Management/Case Management, InterQual knowledgeable (Behavioral Health InterQual a plus), good computer skills. Full Time 8:00am-4:30pm every other weekend every other holiday ** An Equal Opportunity ...

CarePoint Health

Case Manager RN

Bayonne, NJ · On-site

Management/Case Management, InterQual knowledgeable (Behavioral Health InterQual a plus), good computer skills. Full Time 8:00am-4:30pm every other weekend every other holiday ** An Equal Opportunity ...

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Manager Interqual information

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How much do manager interqual jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for manager interqual in the United States is $44.35, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $50.96 per hour, depending on experience, location, and employer.

How does a Manager Interqual typically collaborate with clinical and administrative teams to ensure effective utilization review?

A Manager Interqual works closely with both clinical staff—such as physicians, nurses, and case managers—and administrative teams to implement and oversee the use of InterQual criteria in utilization review processes. They facilitate training, address questions about criteria application, and help resolve discrepancies between clinical recommendations and insurance requirements. Regular meetings and interdisciplinary rounds are common, ensuring that patient care decisions are well-documented and meet regulatory standards. This collaborative approach helps streamline approvals, reduce denials, and maintain high-quality patient care.

What is the difference between Manager Interqual vs Clinical Case Manager?

AspectManager InterqualClinical Case Manager
CredentialsTypically requires nursing or healthcare management certificationsRequires nursing or social work licensure and clinical experience
Work EnvironmentHealthcare organizations, utilization review departmentsHospitals, insurance companies, community health settings
Primary FocusUtilization management, policy implementation, and compliancePatient advocacy, care coordination, and discharge planning

The Manager Interqual primarily oversees utilization review processes and policy adherence within healthcare organizations, often requiring management experience and specific certifications. In contrast, the Clinical Case Manager focuses on direct patient care, coordinating services, and ensuring appropriate treatment. Both roles are vital in healthcare but serve different functions related to patient care and resource management.

What are the key skills and qualifications needed to thrive as a Manager Interqual, and why are they important?

To excel as a Manager Interqual, you need a solid background in healthcare management, clinical guidelines, and utilization review processes, typically supported by a nursing or clinical degree and relevant experience. Familiarity with InterQual criteria, case management software, and healthcare compliance systems is crucial. Strong leadership, analytical thinking, and effective communication are valuable soft skills for guiding teams and collaborating with diverse stakeholders. These competencies ensure proper application of clinical criteria, optimize resource utilization, and support quality patient care and regulatory compliance.

What are Manager Interqual?

A Manager Interqual is a healthcare management professional responsible for overseeing the use and implementation of the InterQual criteria within a healthcare organization. InterQual is a set of evidence-based clinical decision support tools used to ensure appropriate hospital admissions, continued stays, and other medical services. The Manager Interqual leads teams that review cases for medical necessity, ensures compliance with regulatory requirements, and collaborates with clinical staff to optimize patient care and resource utilization. They also provide training on InterQual standards and help integrate these criteria into hospital processes.
What cities are hiring for Manager Interqual jobs? Cities with the most Manager 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 Manager Interqual jobs? States with the most job openings for Manager Interqual jobs include:
Manager Interqual jobs near you
Case Manager RN

Case Manager RN

CarePoint Health

Bayonne, NJ • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Key responsibilities

  • Oversee that patient care is provided consistently with regulatory and compliance standards.

  • Facilitate efficient patient movement through the acute phase of an illness episode.

  • Ensure linkage with post-discharge care providers.

Job description

CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals.

CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs.


MAIN FUNCTIONS:

To oversee that patient care is provided consistently with regulatory and compliance standards

To facilitate efficient patient movement through the acute phase of an illness episode and ensure linkage with post-discharge care providers

REQUIREMENTS/QUALIFICATIONS: NJ RN License, Solid Case Management Medical/Surgical and Behavioral Health Background, InterQual and Milliman Care Guidelines Experience, Leadership and Management Skills, Excellent Computer Competence, High Degree of Oral, Written and Interpersonal Skills, Organized, Energetic, Resourceful, Highly Motivated

EDUCATION: Bachelor’s Degree in Nursing, Masters in Nursing or in a Health-Related Field Preferred


  • Bachelor’s Degree in Nursing Preferred
  • Current New Jersey RN  License
  • Minimum 3 years of acute hospital experience including Utilization
  • Management/Case Management, InterQual knowledgeable (Behavioral Health InterQual a plus), good computer skills.

    


• Competitive pay
• Medical, dental, and vision insurance
• 401k with Company match
• Generous paid time off
• Paid Holidays
• Tuition Reimbursement
• Advancement and career development opportunities

CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.


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