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Clinical Review Nurse (RN) – Concurrent Review New

TX

Details

Hiring Company

Pyramid Consulting, Inc


Position Description

Immediate need for a talented Clinical Review Nurse (RN) – Concurrent Review. This is a 12+ Months Contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-83313

Pay Range: $34 - $39/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Shift Time & Working Days: 12 PM – 9 PM CST, Tuesday - Saturday
  • This RN would be composing denial letters based off the Medical Directors’ review of the requested services.
  • This is a metric and quality driven role, as the RN will be required to meet certain production and quality goals.
  • This role is unique that the RN will be breaking down the Medical Directors’ reviews into state required grade point reading levels and member friendly language.

Key Requirements and Technology Experience:

  • Skills-RN License, Concurrent Review and ADN or BSN.
  • Education/Certification Required: ADN or BSN minimum.
  • Licensure Required: RN with a TX or Compact Nursing License

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs, you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.



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