Description: Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Quick apply
Description: Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Description: Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Quick apply
Description: Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Complex inpatient Case Manager and Utilization Review RN for Cancer Specialty Hospital. 6/16 start ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Quick apply
Complex inpatient Case Manager and Utilization Review RN for Cancer Specialty Hospital. 6/16 start ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Quick apply
Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
Complex inpatient Case Manager and Utilization Review RN for Cancer Specialty Hospital. 6/16 start ... Epic & InterQual documentation; SBAR communication. Rotating weekends required. Certifications ...
Quick apply
Complex inpatient Case Manager and Utilization Review RN for Cancer Specialty Hospital. 6/16 start ... Epic & InterQual documentation; SBAR communication. Rotating weekends required. Certifications ...
Manager Case Management
Anaheim, CA · On-site
$140K - $214K/yr
Maintain working knowledge of InterQual and Milliman & Robertson criteria. * Collaborate with interdisciplinary teams to address patient needs effectively. * Manage hospital reimbursement strategies ...
Quick apply
Manager Case Management
Anaheim, CA · On-site
$140K - $214K/yr
Maintain working knowledge of InterQual and Milliman & Robertson criteria. * Collaborate with interdisciplinary teams to address patient needs effectively. * Manage hospital reimbursement strategies ...
Director, Case Management
Santa Ana, CA · On-site
Job Duties: * Provides leadership and management of clinical carecoordination, utilization ... McKesson InterQual experience preferred.
Director, Case Management
Santa Ana, CA · On-site
Job Duties: * Provides leadership and management of clinical carecoordination, utilization ... McKesson InterQual experience preferred.
In this position the Case Manager, RN will provide utilization education, identification of ... Knowledge and experience with InterQual (CERME) or other national standard. Data Entry skills ...
In this position the Case Manager, RN will provide utilization education, identification of ... Knowledge and experience with InterQual (CERME) or other national standard. Data Entry skills ...
In this position the Case Manager, RN will provide utilization education, identification of ... Knowledge and experience with InterQual (CERME) or other national standard. Data Entry skills ...
In this position the Case Manager, RN will provide utilization education, identification of ... Knowledge and experience with InterQual (CERME) or other national standard. Data Entry skills ...
In this position the Case Manager, RN will provide utilization education, identification of ... Knowledge and experience with InterQual (CERME) or other national standard. Data Entry skills ...
In this position the Case Manager, RN will provide utilization education, identification of ... Knowledge and experience with InterQual (CERME) or other national standard. Data Entry skills ...
... Interqual Payor - Medicare/Medical exp, private insurance experience Discharge planning Hospital Case Manager experience knowledge of patient disease processes and usual methods for treating them ...
... Interqual Payor - Medicare/Medical exp, private insurance experience Discharge planning Hospital Case Manager experience knowledge of patient disease processes and usual methods for treating them ...
Post-Acute Case Manager
$35 - $38/hr
... InterQual, Milliman, health plan guidelines, and internal utilization management standards ... Understanding of care coordination, readmission prevention strategies, continuity of care practices ...
Post-Acute Case Manager
$35 - $38/hr
... InterQual, Milliman, health plan guidelines, and internal utilization management standards ... Understanding of care coordination, readmission prevention strategies, continuity of care practices ...
Utilization Review Registered Nurse (RN) - 26-07363
Fontana, CA · On-site
$35/hr
InterQual and/or Milliman Guidelines * Care Coordination * Discharge Planning Collaboration * Denial Prevention and Management * Regulatory Compliance * Clinical Documentation Review * Electronic ...
Utilization Review Registered Nurse (RN) - 26-07363
Fontana, CA · On-site
$35/hr
InterQual and/or Milliman Guidelines * Care Coordination * Discharge Planning Collaboration * Denial Prevention and Management * Regulatory Compliance * Clinical Documentation Review * Electronic ...
InterQual and/or Milliman Guidelines * Care Coordination * Discharge Planning Collaboration * Denial Prevention and Management * Regulatory Compliance * Clinical Documentation Review * Electronic ...
InterQual and/or Milliman Guidelines * Care Coordination * Discharge Planning Collaboration * Denial Prevention and Management * Regulatory Compliance * Clinical Documentation Review * Electronic ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$43.25 - $58.21/hr
Responsibilities Responsible for the quality and resource management of all patients that are ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Current BCLS certificate ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$43.25 - $58.21/hr
Responsibilities Responsible for the quality and resource management of all patients that are ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Current BCLS certificate ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$43.25 - $58.21/hr
Responsibilities Responsible for the quality and resource management of all patients that are ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Current BCLS certificate ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$43.25 - $58.21/hr
Responsibilities Responsible for the quality and resource management of all patients that are ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Current BCLS certificate ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$43.25 - $58.21/hr
Responsible for the quality and resource management of all patients that are admitted to the ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Current BCLS certificate ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$43.25 - $58.21/hr
Responsible for the quality and resource management of all patients that are admitted to the ... Knowledge of Milliman Criteria and InterQual Criteria preferred. * Current BCLS certificate ...
Hospital LVN Case Manager
$28.75 - $38.75/hr
... Interqual experience- Preferred Additional Information INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your ...
Hospital LVN Case Manager
$28.75 - $38.75/hr
... Interqual experience- Preferred Additional Information INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your ...
RN Case Manager
Riverside, CA · On-site
$64 - $91/hr
InterQual experience preferred Founded in 1901, Riverside Community Hospital is a 542-bed full ... RN Case Manager opening. Our team will promptly review your application. Highly qualified ...
RN Case Manager
Riverside, CA · On-site
$64 - $91/hr
InterQual experience preferred Founded in 1901, Riverside Community Hospital is a 542-bed full ... RN Case Manager opening. Our team will promptly review your application. Highly qualified ...
RN Case Manager
Riverside, CA · On-site
$64 - $91/hr
InterQual experience preferred Founded in 1901, Riverside Community Hospital is a 542-bed full ... RN Case Manager opening. Our team will promptly review your application. Highly qualified ...
RN Case Manager
Riverside, CA · On-site
$64 - $91/hr
InterQual experience preferred Founded in 1901, Riverside Community Hospital is a 542-bed full ... RN Case Manager opening. Our team will promptly review your application. Highly qualified ...
Manager Interqual information
See Riverside, CA salary details
$22.07 - $26.67
2% of jobs
$26.67 - $31.28
6% of jobs
$31.28 - $35.89
13% of jobs
$36.84 is the 25th percentile. Wages below this are outliers.
$35.89 - $40.49
19% of jobs
The median wage is $43.06 / hr.
$40.49 - $45.10
18% of jobs
$45.10 - $49.70
15% of jobs
$50.85 is the 75th percentile. Wages above this are outliers.
$49.70 - $54.31
9% of jobs
$54.31 - $58.91
6% of jobs
$58.91 - $63.52
4% of jobs
$63.52 - $68.12
4% of jobs
$68.12 - $72.73
3% of jobs
$22
$46
$72
How much do manager interqual jobs pay per hour?
As of Jun 29, 2026, the average hourly pay for manager interqual in Riverside, CA is $46.27, according to ZipRecruiter salary data. Most workers in this role earn between $37.12 and $53.17 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?
| Aspect | Manager Interqual | Clinical Case Manager |
|---|---|---|
| Credentials | Typically requires nursing or healthcare management certifications | Requires nursing or social work licensure and clinical experience |
| Work Environment | Healthcare organizations, utilization review departments | Hospitals, insurance companies, community health settings |
| Primary Focus | Utilization management, policy implementation, and compliance | Patient 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.
Job description
Description:
Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required. Epic & InterQual documentation; SBAR communication. Weekends required.
Certifications Required:
BLS; BSN; State License
Skills/Experience Required:
Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals
Workers Compensation
About Apidel Technologies
Sourced by ZipRecruiter
We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Industry
Recruiting and staffing services
Company size
501 - 1,000 Employees
Headquarters location
Plainfield, IL, US
Year founded
2012