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Clinical Review Nurse (RN) – Concurrent Review

Pyramid Consulting, Inc San Antonio, TX (Onsite) Contractor
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.

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Job Snapshot

Employee Type

Contractor

Location

San Antonio, TX (Onsite)

Job Type

Health Care

Experience

Not Specified

Date Posted

08/26/2025

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