US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Clinical - Clinical Review Nurse - Prior Authorization:
-
Employment Type:
Contractor
-
Location:
Austin, TX (Onsite)
Do you meet the requirements for this job?
Clinical - Clinical Review Nurse - Prior Authorization
Pyramid Consulting, Inc
Austin, TX (Onsite)
Contractor
Immediate need for a talented Clinical - Clinical Review Nurse - Prior Authorization . This is a 06+ Months Contract opportunity with long-term potential and is located in TX (Remote-CST). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-84889
Pay Range: $35 - $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:
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 .
#prof J2W:CB3
Job ID:25-84889
Pay Range: $35 - $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: Training will be handled at the team level,
- Alternate schedule 10am – 7pm Training – 4-5 weeks
- 8AM – 5PM CST (No days off) CAMERA ON
-
Shift 10 AM-7PM CST - 1 hour lunch
Day to day will include performing clinical reviews for prior authorization requests utilizing policies, Interqual, sending to the MD if needed. - Additionally, will assist with out of network requests and redirecting to in network providers as needed.
- Performance expectations will include completing at least 20 clinical reviews per day and if assisting with out of network requests will perform 2 redirections per hour
- This role is unique as it supports Marketplace expansion for Texas
- Skills-Prior Auth, RN, Utilization review.
- 2-4 years of experience,
- LVN
- Adaptable to change
- quick processing, critical thinking
- well organized
- ADN, BSN - Requires Graduate from an Accredited School of Nursing or bachelor’s degree in nursing and 2 – 4 years of related experience
- RN
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 .
#prof J2W:CB3
Get job alerts by email.
Sign up now!
Join Our Talent Network!