Medical Director, Utilization Management (MD/DO) - Part Time Pay: $139.23 - $189.38 per hour ... Apply InterQual and CMS coverage criteria; own the standards and train the team on how to use them
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Medical Director, Utilization Management (MD/DO) - Part Time Pay: $139.23 - $189.38 per hour ... Apply InterQual and CMS coverage criteria; own the standards and train the team on how to use them
... Part Time Sign on Bonus Available When you join Piedmont, you're not just changing your work ... Experience using InterQual or Milliman Preferred Licenses and Certifications * RN - Registered ...
... Part Time Sign on Bonus Available When you join Piedmont, you're not just changing your work ... Experience using InterQual or Milliman Preferred Licenses and Certifications * RN - Registered ...
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered ... Apply InterQual, MCG, or client-approved criteria to support medical necessity, level of care ...
Quick apply
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered ... Apply InterQual, MCG, or client-approved criteria to support medical necessity, level of care ...
RN - Care Manager, Part Time
Fayetteville, GA · On-site
... Part Time Sign on Bonus Available When you join Piedmont, you're not just changing your work ... Experience using InterQual or Milliman Preferred Licenses and Certifications * RN - Registered ...
RN - Care Manager, Part Time
Fayetteville, GA · On-site
... Part Time Sign on Bonus Available When you join Piedmont, you're not just changing your work ... Experience using InterQual or Milliman Preferred Licenses and Certifications * RN - Registered ...
RN - Care Manager, Part Time
Fayetteville, GA · On-site
... Part Time Sign on Bonus Available When you join Piedmont, you're not just changing your work ... Experience using InterQual or Milliman Preferred Licenses and Certifications * RN - Registered ...
RN - Care Manager, Part Time
Fayetteville, GA · On-site
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Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
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PACE Medical Director of Resource Management (Part Time - 20 hours/week)
San Diego, CA · On-site
$139.23 - $189.38/hr
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
PACE Medical Director of Resource Management (Part Time - 20 hours/week)
San Diego, CA · On-site
$139.23 - $189.38/hr
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ... Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess ...
Care Manager Part Time ER Nights
Naples, FL · On-site
Medical, Vision, Dental, 401k match & more available for Full and Part-Time roles Job Summary The ... Knowledge of admission criteria and care level determination tools such as MCG or InterQual.
Care Manager Part Time ER Nights
Naples, FL · On-site
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RN Case Manager
Harlingen, TX · On-site
Days Employment Type: Part Time Hours: 8 hour shifts Location: Harlingen Medical Center - Harlingen ... Current BCLS certificate preferred.4. Knowledge of Milliman Criteria and InterQual Criteria ...
RN Case Manager
Harlingen, TX · On-site
Days Employment Type: Part Time Hours: 8 hour shifts Location: Harlingen Medical Center - Harlingen ... Current BCLS certificate preferred.4. Knowledge of Milliman Criteria and InterQual Criteria ...
RN Case Manager
Harlingen, TX · On-site
Days Employment Type: Part Time Hours: 8 hour shifts Location: Harlingen Medical Center - Harlingen ... InterQual Criteria preferred. Here are some of the benefits of working at Prime Healthcare: * ...
RN Case Manager
Harlingen, TX · On-site
Days Employment Type: Part Time Hours: 8 hour shifts Location: Harlingen Medical Center - Harlingen ... InterQual Criteria preferred. Here are some of the benefits of working at Prime Healthcare: * ...
RN Case Manager
Harlingen, TX · On-site
Days Employment Type: Part Time Hours: 8 hour shifts Location: Harlingen Medical Center - Harlingen ... and InterQual Criteria preferred. Pay Transparency Here are some of the benefits of working at ...
RN Case Manager
Harlingen, TX · On-site
Days Employment Type: Part Time Hours: 8 hour shifts Location: Harlingen Medical Center - Harlingen ... and InterQual Criteria preferred. Pay Transparency Here are some of the benefits of working at ...
Cooper offers full and part-time employees a comprehensive benefits program, including health ... Familiarity with Interqual and Millimen guidelines and regulatory mandates preferred. Strong ...
Cooper offers full and part-time employees a comprehensive benefits program, including health ... Familiarity with Interqual and Millimen guidelines and regulatory mandates preferred. Strong ...
Part Time RN Care Manager-Weekend
Joplin, MO · On-site
Including neonatal/infant, child, adolescent, adult, and geriatric adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy offers outstanding ...
Part Time RN Care Manager-Weekend
Joplin, MO · On-site
Including neonatal/infant, child, adolescent, adult, and geriatric adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy offers outstanding ...
Physician Advisor
Fort Lauderdale, FL · On-site
Shift 1 FTE: 0.75 Part-Time Summary: Provides leadership, in collaboration with the Chief Financial ... Knowledge of InterQual, Milliman and similar guidelines. Visit us online at www.BrowardHealth.org ...
Physician Advisor
Fort Lauderdale, FL · On-site
Shift 1 FTE: 0.75 Part-Time Summary: Provides leadership, in collaboration with the Chief Financial ... Knowledge of InterQual, Milliman and similar guidelines. Visit us online at www.BrowardHealth.org ...
Part Time Interqual information
See salary details
$12.02 - $15.28
6% of jobs
$15.28 - $18.53
13% of jobs
$19.67 is the 25th percentile. Wages below this are outliers.
$18.53 - $21.79
16% of jobs
The median wage is $23.79 / hr.
$21.79 - $25.04
24% of jobs
$28.25 is the 75th percentile. Wages above this are outliers.
$25.04 - $28.30
16% of jobs
$28.30 - $31.56
12% of jobs
$31.56 - $34.81
4% of jobs
$34.81 - $38.07
3% of jobs
$38.07 - $41.32
1% of jobs
$41.32 - $44.58
0% of jobs
$44.58 - $47.84
4% of jobs
$12
$26
$47
How much do part time interqual jobs pay per hour?
As of Sep 7, 2026, the average hourly pay for part time interqual in the United States is $26.60, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $29.57 per hour, depending on experience, location, and employer.
What is the difference between Part Time Interqual vs Part Time Utilization Review Nurse?
| Aspect | Part Time Interqual | Part Time Utilization Review Nurse |
|---|---|---|
| Certifications | Typically requires Interqual certification or training | Requires nursing license and possibly utilization review certification |
| Work Environment | Healthcare facilities, insurance companies, or consulting firms | Hospitals, insurance companies, or healthcare organizations |
| Job Focus | Applying Interqual criteria to assess medical necessity | Reviewing patient records to determine appropriate care and coverage |
| Common Usage | Used by healthcare organizations for criteria-based assessments | Used by insurance companies and hospitals for utilization management |
Part Time Interqual professionals focus on applying specific criteria tools like Interqual to evaluate medical necessity, often requiring specialized certification. In contrast, Part Time Utilization Review Nurses use their nursing expertise to review patient records for appropriate care, typically holding a nursing license. Both roles are integral to healthcare quality and insurance processes but differ mainly in certification requirements and job focus.
More about Part Time Interqual jobs
What are the most commonly searched types of Interqual jobs?
The most popular types of Interqual jobs are:
What job categories do people searching Part Time Interqual jobs look for?
The top searched job categories for Part Time Interqual jobs are:
$145K - $197K/yr
Part-time
Posted 6 days ago
Key responsibilities
Make and direct medical necessity determinations for outpatient, inpatient, and post-acute care
Lead peer-to-peer discussions with site medical directors, PCPs, and external providers
Lead and oversee the appeals and grievance process under CMS, Medi-Cal, and PACE requirements
Job description
Medical Director, Utilization Management (MD/DO) – Part Time
Pay: $139.23 – $189.38 per hour — roughly $145,000–$197,000 a year for a 20-hour week Schedule: Part-time, 20 hours per week Location: San Diego, CA License: Active, unrestricted California MD or DO + DEA + BLS
MASC Medical is recruiting a part-time Medical Director of Utilization Management for a San Diego PACE program (Program of All-Inclusive Care for the Elderly) serving frail, dual-eligible older adults.
This is a 20-hour-a-week physician leadership role with no patient panel and no call. You'd own medical necessity determinations across outpatient, inpatient, and post-acute settings, run peer-to-peer conversations, and lead the appeals process — the clinical judgment part of the job, without the RVU treadmill. It's built for an internist or geriatrician who has done the clinical years and wants to influence how care gets delivered for a whole population instead of one patient at a time.
What you'll do
Make and direct medical necessity determinations for outpatient, inpatient, and post-acute care (SNF, ALF, LTACH, palliative, hospice, home health)
Apply InterQual and CMS coverage criteria; own the standards and train the team on how to use them
Lead peer-to-peer discussions with site medical directors, PCPs, and external network and non-contracted providers
Serve as physician reviewer on escalated and complex utilization cases
Lead and protect the integrity of the appeals and grievance process under CMS, Medi-Cal, and PACE requirements
Support authorization review, concurrent review, and denial management alongside nurse UM specialists
Monitor for over- and under-utilization; spot patterns driving avoidable admissions and length-of-stay
Provide oversight of HCC/ICD-10 diagnosis coding and RAF accuracy
Develop medical policy and drive evidence-based clinical guideline adoption
Partner with the CMO, Behavioral Health Director, Health Plan Director, and interdisciplinary teams
Chair or sit on committees including credentialing and P&T
Document to PACE, NCQA, and CMS standards and support audit readiness
What you'll need
Must have
Active, unrestricted California MD or DO license
Active DEA registration
Current BLS
Board certified or board eligible in a primary care specialty
5+ years of clinical practice in Internal Medicine, Geriatrics, and/or Family Medicine
3+ years in utilization/resource management or medical leadership within managed care, a health plan, or a value-based care setting
Working command of Medicare and Medicaid/Medi-Cal regulations and CMS coverage criteria
Experience applying evidence-based UM guidelines (InterQual preferred; MCG acceptable)
Nice to have
PACE clinical or PACE utilization management experience
Advanced degree — MPH, MHA, MBA, or MS
ACLS
Epic and QuickCap familiarity
About MASC Medical
Sourced by ZipRecruiter
Masc Medical is a prominent healthcare staffing firm based in Fort Lauderdale, Florida, US. As a recognized name in the healthcare industry, the company effectively connects healthcare providers and organizations across the country. Dedicated to offering a comprehensive set of recruitment services, Masc Medical helps healthcare organizations fill permanent vacancies as efficiently and effectively as possible. The company was established on a mission to pair medical offices with qualified healthcare professionals, striving to become an industry leader.
Industry
Recruiting and staffing services
Company size
1 - 10 Employees
Headquarters location
Fort Lauderdale, FL, US
Year founded
2010