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Manager Interqual Jobs (NOW HIRING)

Harmony Healthcare LLC

Case Manager

California, MO · Remote

$18 - $23/hr

Overview We are seeking an experienced California RN Case Manager to begin ASAP. This position is ... Cerner, Interqual, STATC experience required. Apply today. Seniority level Associate Employment ...

Cynet Health

RN - Case Manager

Santa Monica, CA

Minimum 3 years recent experience in case management, preferably in a university teaching hospital with InterQual proficiency License: State License Required Certifications: BLS Must-Have: BSN ...

Talencia

Registered Nurse - Case Manager

Mission Hills, CA · On-site

$68 - $73/hr

Utilize InterQual criteria for admission reviews (ED only) * Work with HMOs, IPAs, and understand ... Proven ability to independently manage discharge planning and care coordination * Proficient in ...

St. Barnabas

Care Manager

Bronx, NY · On-site

HBO, EMR, Interqual, CERMe, and ACM. 18. Documents follow up telephone calls and other ... Managed Care experience is also preferred.

Netpace

RN Case Manager

Larkspur, CA

RN Case Manager RN Case Manager with experience as follows: * Must have strong Utilization Review and InterQual experience REQUIRED! * Conducting patient initial assessments * Acute Care hospital ...

Netpace

RN Case Manager

Larkspur, CA

RN Case Manager RN Case Manager with experience as follows: * Must have strong Utilization Review and InterQual experience REQUIRED! * Conducting patient initial assessments * Acute Care hospital ...

Cynet Health

RN - Case Manager

Irvine, CA

Case Manager RN Job Type: Travel Profession: Registered Nurse Specialty: Case Management Duration ... Epic Documentation Experience, InterQual Criteria Utilization, Care Coordination, Discharge ...

Cynet Health

RN - Case Manager

Irvine, CA

Case Manager RN Job Type: Travel Profession: Registered Nurse Specialty: Case Management Duration ... Epic Documentation Experience, InterQual Criteria Utilization, Care Coordination, Discharge ...

PSNYC , INC.

RN - Case Manager

Alexandria, LA

Must have: candidates without these skills will not be considered for the role Case Management experience Midas/InterQual use Licensed Masters Preferred or nice to have: candidates with these skills ...

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How much do manager interqual jobs pay per hour?

As of Jun 3, 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.

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.

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 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 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 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
Registered Nurse - Case Manager - Travel

Registered Nurse - Case Manager - Travel

B2B Staffing Services

Redlands, CA

$3.08K - $3.26K/wk

Contractor

Posted 22 days ago

Job description

  • Location: Redlands, California
  • Type: Travel
  • Job 18266555
  • Apply Now
Registered Nurse - Case Manager - Travel Location: Redlands, CA Job Description: Embark on a dynamic travel nursing assignment as a Registered Nurse Case Manager, guiding emergency department patients through complex care pathways and seamless transitions. Lead discharge planning, coordinate admissions and post-discharge needs, and apply evidence-based criteria such as InterQual guidelines to determine medical necessity while upholding HIPAA and regulatory standards. This role spans a high-acuity environment with opportunities to manage pediatrics transfers and collaborate across multidisciplinary teams to optimize care and outcomes. Ideal candidates bring substantial acute care experience, a proactive traveler mindset, and certifications such as BLS, thriving in a fast-paced setting during the 13-week assignment. Requirements:
  • Minimum 3 years experience
  • BLS certification required
  • Acute Hospital experience
  • Care coordination
  • Admission Criteria
  • Concurrent Review
  • Medical Necessity per Evidence-Based Guidelines
  • Discharge Planning
  • Needs Assessment / Order DME
  • Plan of Care
  • Utilize InterQual Criteria
  • CMS guidelines (Centers for Medicare and Medicaid Services)
  • HIPAA guidelines
  • The Joint Commission / Core Measures / National Safety Goals
If you are a qualified Registered Nurse and looking for an exciting contract position with competitive compensation and benefits packages, apply today!
  • Job ID: 634-233
  • Profession: Registered Nurse
  • Specialty: Case Manager
  • City: Redlands
  • State: CA
  • Employment Type: Travel
  • Contract Duration: 13 weeks
  • Shift:
    • Evenings
    • 4Ă—10
  • Total Weekly Comp: $3,081 - $3,258

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