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Part Time Interqual Jobs (NOW HIRING)

... and InterQual Criteria preferred. 7. Current BCLS certificate, preferred Employment Status Part Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer.

... and InterQual Criteria preferred. 7. Current BCLS certificate, preferred Part Time < 60 Days Company is an equal employment opportunity employer. Company prohibits discrimination against any ...

... InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease variation and mitigate waste. Verifies appropriate level of care; enters clinical review and authorized ...

Glenbrook, IL * Part Time: 20 hours per week, night shift * Hours: Saturday and Sunday, 9:30p-7:00a ... Knowledge of InterQual or MCG criteria is preferred. * Clinical certification, such as case ...

RN Care Manager-Nights

Glenview, IL · On-site

$40.45 - $62.70/hr

Glenbrook, IL * Part Time: 20 hours per week, night shift * Hours: Saturday and Sunday, 9:30p-7:00a ... Knowledge of InterQual or MCG criteria is preferred. * Clinical certification, such as case ...

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Part Time Interqual information

See salary details

$12

$26

$47

How much do part time interqual jobs pay per hour?

As of Jul 21, 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?

AspectPart Time InterqualPart Time Utilization Review Nurse
CertificationsTypically requires Interqual certification or trainingRequires nursing license and possibly utilization review certification
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, insurance companies, or healthcare organizations
Job FocusApplying Interqual criteria to assess medical necessityReviewing patient records to determine appropriate care and coverage
Common UsageUsed by healthcare organizations for criteria-based assessmentsUsed 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:
Infographic showing various Part Time Interqual job openings in the United States as of July 2026, with employment types broken down into 17% Locum Tenens, 38% Internship, 23% Full Time, 4% Part Time, 3% Contract, and 15% Summer. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $55,338 per year, or $26.6 per hour.
Assistant Medical Director

Assistant Medical Director

Western Health Advantage

Sacramento, CA • On-site

$275K - $300K/yr

Part-time

Re-posted 2 days ago


Job description

Assistant Medical Director
Location: Sacramento, CA (Hybrid)
Job Type: Part-Time/Full-Time
Salary: $275,000 - $300,000 annually
"Purpose that inspires. Impact that improves lives. Join us in building healthier communities."
Western Health Advantage

Position Summary
Western Health Advantage (WHA) is seeking an experienced Assistant Medical Director to support high-quality, cost-effective care for our members through clinical leadership in Utilization Management, Quality Improvement, Population Health, Delegated Oversight, and Regulatory Compliance. This role partners across departments, provider organizations, and vendors to improve member outcomes and support strategic clinical initiatives.
Key Responsibilities
  • Review complex medical cases and medical necessity determinations using evidence-based criteria (InterQual, MCG, CMS).
  • Conduct peer-to-peer reviews and provide clinical consultation on utilization management decisions.
  • Support delegated medical group oversight, audits, regulatory readiness, and performance improvement initiatives.
  • Collaborate with Quality and Population Health teams to improve HEDIS measures, care gap closure, health equity, and member outcomes.
  • Participate in NCQA, DMHC, and CMS compliance activities.
  • Provide clinical guidance on benefit interpretation, policy development, and emerging healthcare technologies.
  • Support vendor oversight and evaluation for utilization management, behavioral health, and population health programs.
  • Serve as a clinical resource for internal departments, providers, and external partners.
  • Participate in key organizational committees and support special projects assigned by the Chief Medical Officer.
Qualifications
  • MD or DO with an active, unrestricted California medical license.
  • Current Board Certification (ABMS or AOA).
  • Minimum 5 years of clinical experience in primary care or hospital medicine.
  • Minimum 3 years of experience working with capitated HMO populations.
  • Minimum 2 years of medical administrative or managed care experience.
  • Knowledge of NCQA, DMHC, CMS, Utilization Management, and Quality Improvement programs.
  • Strong communication, analytical, and relationship-management skills.
Why Join WHA?
Join a mission-driven organization dedicated to improving healthcare quality, advancing health equity, and delivering exceptional value to members throughout Northern California.Equal Employment Opportunity
Western Health Advantage is committed to providing equal employment opportunities to employees and applicants based on merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis protected by federal or state law.
Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with top talent creates a dynamic and fulfilling work environment while enabling exceptional service for our members.