Washington, DC · On-site
$2.2K - $2.3K/wk
RN Case Manager - Washington, DC Duration: 13 weeks Shift: Day (5×8 hrs) | 08:00 AM - 04:30 PM We ... Utilizing InterQual Criteria * Utilizing Milliman Guidelines * Previous Charge Nurse experience ...
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Washington, DC · On-site
$2.2K - $2.3K/wk
RN Case Manager - Washington, DC Duration: 13 weeks Shift: Day (5×8 hrs) | 08:00 AM - 04:30 PM We ... Utilizing InterQual Criteria * Utilizing Milliman Guidelines * Previous Charge Nurse experience ...
Manassas, VA · Remote
$250K - $350K/yr
Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations * Partner with Case Management, CDI, and ...
Manassas, VA · Remote
$250K - $350K/yr
Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations * Partner with Case Management, CDI, and ...
Manassas, VA · On-site +1
$250K - $350K/yr
Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations * Partner with Case Management, CDI, and ...
Manassas, VA · On-site +1
$250K - $350K/yr
Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations * Partner with Case Management, CDI, and ...
Manassas, VA · Remote
$250K - $350K/yr
Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations * Partner with Case Management, CDI, and ...
Manassas, VA · Remote
$250K - $350K/yr
Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations * Partner with Case Management, CDI, and ...
Washington, DC · On-site
$120K - $238K/yr
InterQual ASAM) and internal policies. * Leads workforce planning and staffing models to ensure appropriate caseload distribution and productivity standards. * Supervises and develops UM managers and ...
Washington, DC · On-site
$120K - $238K/yr
InterQual ASAM) and internal policies. * Leads workforce planning and staffing models to ensure appropriate caseload distribution and productivity standards. * Supervises and develops UM managers and ...
... Manager RN, LICSW & Behavioral Health Licensure | Hybrid - 4 days onsite, 1 remote $5,000.00 SIGN ... Knowledge of tools like InterQual or JIVA * Passion for Medicaid populations and purpose-driven ...
... Manager RN, LICSW & Behavioral Health Licensure | Hybrid - 4 days onsite, 1 remote $5,000.00 SIGN ... Knowledge of tools like InterQual or JIVA * Passion for Medicaid populations and purpose-driven ...
Washington, DC · On-site
The Clinical Reviewer position supports utilization management activities by assessing the medical ... Computer skills, InterQual, ASAM, Milliman criteria experience preferred In this role, you will:
Washington, DC · On-site
The Clinical Reviewer position supports utilization management activities by assessing the medical ... Computer skills, InterQual, ASAM, Milliman criteria experience preferred In this role, you will:
Washington, DC · On-site
The Clinical Reviewer position supports utilization management activities by assessing the medical ... Computer skills, InterQual, ASAM, Milliman criteria experience preferred In this role, you will:
Washington, DC · On-site
The Clinical Reviewer position supports utilization management activities by assessing the medical ... Computer skills, InterQual, ASAM, Milliman criteria experience preferred In this role, you will:
Lanham, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Lanham, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Lanham, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Lanham, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis, MD · On-site
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis Junction, MD · On-site
$250K - $350K/yr
Strong knowledge of case management, utilization review, regulatory standards, denials management, observation medicine, and length of stay * Familiarity with MCG and InterQual clinical criteria ...
Annapolis Junction, MD · On-site
$250K - $350K/yr
Strong knowledge of case management, utilization review, regulatory standards, denials management, observation medicine, and length of stay * Familiarity with MCG and InterQual clinical criteria ...
Make a lasting impact as a Care Manager supporting Medicaid members across DC. Use your clinical ... Knowledge of tools like InterQual or JIVA * Passion for Medicaid populations and purpose-driven ...
Make a lasting impact as a Care Manager supporting Medicaid members across DC. Use your clinical ... Knowledge of tools like InterQual or JIVA * Passion for Medicaid populations and purpose-driven ...
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Make a lasting impact as a Care Manager supporting Medicaid members across DC. Use your clinical ... Knowledge of tools like InterQual or JIVA * Passion for Medicaid populations and purpose-driven ...
Make a lasting impact as a Care Manager supporting Medicaid members across DC. Use your clinical ... Knowledge of tools like InterQual or JIVA * Passion for Medicaid populations and purpose-driven ...
Lanham, MD · On-site
$35 - $50/hr
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Lanham, MD · On-site
$35 - $50/hr
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis, MD · On-site
$35 - $50/hr
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Annapolis, MD · On-site
$35 - $50/hr
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Lanham, MD · On-site
$35 - $50/hr
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
Lanham, MD · On-site
$35 - $50/hr
... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease ... 4. Manages observation stay patients assertively and ensures timely testing, treatment and ...
$23.96 - $28.96
2% of jobs
$28.96 - $33.96
6% of jobs
$33.96 - $38.96
13% of jobs
$40 is the 25th percentile. Wages below this are outliers.
$38.96 - $43.96
19% of jobs
The median wage is $46.75 / hr.
$43.96 - $48.96
18% of jobs
$48.96 - $53.96
15% of jobs
$55.21 is the 75th percentile. Wages above this are outliers.
$53.96 - $58.96
9% of jobs
$58.96 - $63.96
6% of jobs
$63.96 - $68.96
4% of jobs
$68.96 - $73.96
4% of jobs
$73.96 - $78.96
3% of jobs
$23
$50
$78
| 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.
The most popular types of Interqual jobs in Washington, DC are:
$2.2K - $2.3K/wk
Contractor
Re-posted 4 days ago
RN Case Manager – Washington, DC
Duration: 13 weeks
Shift: Day (5×8 hrs) | 08:00 AM – 04:30 PM
We are hiring an RN Case Manager for a contract opportunity in Washington, DC.
Requirements:
Certifications:
License:
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.
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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.
Recruiting and staffing services
1,001 - 5,000 Employees
Herndon, VA, US
2000
