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Manager Interqual Jobs (NOW HIRING)

Medlivo

Travel RN Case Manager

Carmichael, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Cerner and InterQual / Skills: Discharge Planning, Utilization Management, Initial Assessments, InterQual Criteria, Care Coordination, Collaboration, Teamwork, Effective Communication, Prioritization ...

Medlivo

Travel RN Case Manager - $3,040 per week

Carmichael, CA · On-site

$3.0K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Cerner and InterQual / Skills: Discharge Planning, Utilization Management, Initial Assessments, InterQual Criteria, Care Coordination, Collaboration, Teamwork, Effective Communication, Prioritization ...

Medlivo

Travel RN Case Manager - $3,124 per week

Carmichael, CA · On-site

$3.1K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Cerner and InterQual / Skills: Discharge Planning, Utilization Management, Initial Assessments, InterQual Criteria, Care Coordination, Collaboration, Teamwork, Effective Communication, Prioritization ...

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

Greenbrae, CA · On-site

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

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 ...

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Manager Interqual information

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How much do manager interqual jobs pay per hour?

As of Aug 16, 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 is a 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

Travel Nurse RN - Case Management - $2,830 per week

Prime Staffing

West Hills, CA • On-site

$2.8K/wk

Other

Posted 6 days ago

Job description

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in West Hills, California.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Description:
Seeking an experienced RN Case Manager to provide hospital-based case management, including discharge planning, utilization review, care coordination, and patient assessment. Must have strong clinical experience and familiarity with hospital workflows. Epic and InterQual experience preferred.

Requirements:

  • BSN
  • Active CA RN License
  • AHA BLS
  • 2+ years clinical hospital RN experience
  • 2+ years hospital Case Management experience
  • Discharge Planning & Utilization Review experience
  • Epic experience preferred
  • InterQual knowledge preferred
  • No first-time travelers

Schedule: Monday–Friday | 8:00 AM–4:30 PM | 40 hrs/week 

RN Case Manager – M–F 8AM–4:30PM | 40 hrs/week | No Call | 2+ yrs Hospital Case Management & UR/Discharge Planning | BSN, CA RN & AHA BLS required | Epic/InterQual preferred.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

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