Description: Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years ... Epic & InterQual documentation; SBAR communication. Weekends required. Certifications Required: BLS;
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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 ...
RN - Manager of Clinical Access Case Manager (Days)
Farmington, NM · On-site
$31 - $46.50/hr
The nurse in this role applies InterQual criteria and utilization review and management principles across all patient populations to support appropriate admission status, care transitions, and ...
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RN - Manager of Clinical Access Case Manager (Days)
Farmington, NM · On-site
$31 - $46.50/hr
The nurse in this role applies InterQual criteria and utilization review and management principles across all patient populations to support appropriate admission status, care transitions, and ...
The nurse in this role applies InterQual criteria and utilization review and management principles across all patient populations to support appropriate admission status, care transitions, and ...
Quick apply
The nurse in this role applies InterQual criteria and utilization review and management principles across all patient populations to support appropriate admission status, care transitions, and ...
Registered Nurse - Case Manager (Remote)
Torrance, CA · On-site
$65 - $69/hr
Prior experience with Epic and InterQual is required. MCG (Milliman Care Guidelines) experience is highly preferred. Key Responsibilities: * Conduct and manage clinical appeal reviews for denied ...
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Registered Nurse - Case Manager (Remote)
Torrance, CA · On-site
$65 - $69/hr
Prior experience with Epic and InterQual is required. MCG (Milliman Care Guidelines) experience is highly preferred. Key Responsibilities: * Conduct and manage clinical appeal reviews for denied ...
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Registered Nurse - Case Manager
Torrance, CA · On-site
$70 - $74/hr
Job Title: RN - Case Manager Location: Torrance, CA 90503 Duration: 10 weeks Shift: 08:00 - 16:30 ... Utilize InterQual criteria to determine medical necessity and level of care * Develop and implement ...
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Registered Nurse - Case Manager
Torrance, CA · On-site
$70 - $74/hr
Job Title: RN - Case Manager Location: Torrance, CA 90503 Duration: 10 weeks Shift: 08:00 - 16:30 ... Utilize InterQual criteria to determine medical necessity and level of care * Develop and implement ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager - RN - Case Management - Full Time 8 hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager - RN - Case Management - Full Time 8 hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
... InterQual competency testing as requested by department director. * Outcomes Management • Participates in core measure process in identification of appropriate patients. • Participates in ...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
... InterQual competency testing as requested by department director. * Outcomes Management • Participates in core measure process in identification of appropriate patients. • Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
Los Angeles, CA · On-site
$47.31 - $100/hr
Participates in InterQual competency testing as requested by department director. * Outcomes Management Participates in core measure process in identification of appropriate patients. Participates in ...
Manager Interqual information
See salary details
$21.15 - $25.57
2% of jobs
$25.57 - $29.98
6% of jobs
$29.98 - $34.40
13% of jobs
$35.32 is the 25th percentile. Wages below this are outliers.
$34.40 - $38.81
19% of jobs
The median wage is $41.28 / hr.
$38.81 - $43.23
18% of jobs
$43.23 - $47.64
15% of jobs
$48.74 is the 75th percentile. Wages above this are outliers.
$47.64 - $52.05
9% of jobs
$52.05 - $56.47
6% of jobs
$56.47 - $60.88
4% of jobs
$60.88 - $65.30
4% of jobs
$65.30 - $69.71
3% of jobs
$21
$44
$69
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?
| 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.
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:
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