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Director Stop Loss Rn Jobs in Florida (NOW HIRING)

Mission Hospital

Registered Nurse Oncology

Tallahassee, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... direct manager or more formal opportunities through hospital councils and national nursing ... stop solution for all your healthcare needs. We are an accredited healthcare facility with over 1 ...

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Director Stop Loss Rn information

What does a Director Stop Loss RN do?

A Director Stop Loss RN is a registered nurse who oversees and manages stop loss insurance programs within healthcare organizations. Their primary responsibility is to evaluate high-cost claims, coordinate care management, and ensure that stop loss coverage is effectively utilized to protect the organization from excessive financial losses. They also collaborate with clinical teams, insurers, and third-party administrators to optimize patient outcomes and cost containment strategies. Additionally, they may be involved in policy development, compliance, and reporting related to stop loss insurance.

What are some common challenges faced by a Director Stop Loss RN, and how can they be addressed?

A Director Stop Loss RN often encounters challenges such as balancing complex case reviews with administrative responsibilities, ensuring compliance with changing regulations, and effectively communicating with both clinical and non-clinical teams. Addressing these challenges requires strong organizational skills, continuous education on industry updates, and fostering open communication channels with underwriters, claims analysts, and healthcare providers. Prioritizing tasks and leveraging technology for data management can also help streamline workflows and enhance team collaboration.

What are the key skills and qualifications needed to thrive as a Director Stop Loss RN, and why are they important?

To thrive as a Director Stop Loss RN, you need extensive clinical nursing experience, a current RN license, and strong knowledge of stop loss insurance and healthcare risk management. Familiarity with claims adjudication systems, utilization review software, and relevant certifications such as CCM (Certified Case Manager) are highly beneficial. Leadership, analytical thinking, and effective communication are crucial soft skills for overseeing teams and collaborating with stakeholders. These skills ensure accurate risk assessment, efficient claims processing, and optimal financial and clinical outcomes for organizations.

What is the difference between Director Stop Loss Rn vs Stop Loss Nurse?

AspectDirector Stop Loss RnStop Loss Nurse
CredentialsRN license, industry certificationsRN license, specialized training
Work EnvironmentManagement, policy development, oversightPatient care, clinical support
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers
Search & Comparison IntentLeadership roles in stop loss insuranceClinical roles related to stop loss coverage

The main difference is that the Director Stop Loss Rn focuses on managing stop loss insurance programs from a leadership and policy perspective, often overseeing teams and strategy. In contrast, the Stop Loss Nurse is primarily involved in clinical patient care and support within the stop loss insurance context. Both roles require RN credentials but serve different functions within the healthcare and insurance industries.

What cities in Florida are hiring for Director Stop Loss Rn jobs?

Cities in Florida with the most Director Stop Loss Rn job openings:

Director Stop Loss Rn jobs near you

Registered Nurse (RN)

Seven Hills Health and Rehabilitation Center

Tallahassee, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

Job description

Now Hiring: Part-Time Registered Nurses (RNs)!
Seven Hills Health and Rehabilitation
Weekend Shift Differential Available - All Weekend Shifts
Ask About Our Weekend Warrior Program!
Shifts Available:
  • 7:00 AM - 3:00 PM
  • 3:00 PM - 11:00 PM
  • 11:00PM - 07:00 AM

Walk-In Interviews:
Monday - Friday, 10 AM - 4 PM - and we're flexible!
Stop by when it works for you-we'll do our best to accommodate your schedule.
#2025
Join our dedicated team at Seven Hills Health & Rehabilitation Center, a 156-bed Skilled Nursing Facility committed to delivering compassionate, individualized care. We collaborate closely with physicians, patients, and their families to ensure the best possible outcomes. Our team-oriented culture sets us apart-and we welcome you to experience it firsthand.
We are located at 3333 Capital Medical Blvd, Tallahassee, FL 32308
Why Work For Us? Because We Offer Our Employees:
  • Daily Pay - Work today, get paid today!
  • Health Insurance
  • Dental & Vision Insurance
  • Paid Time Off & Holiday Pay
  • 401(k) Retirement Plan
  • Flexible Scheduling
  • Direct Deposit
  • Opportunities for Overtime
  • Doctegrity- 24/7 telemedicine access for employees and families
  • Wonderschool - Support for child care and early education options
  • Panda Perks & Benefits - Financial wellness tools, employee discounts, and more
  • Comfortable Staffing Ratios
  • A Supportive Team Environment - where everyone is treated with respect, dignity, and compassion
  • Proud Partner of the Tampa Bay Buccaneers - join the spirited KARE KREWE of Seven Hills!
Discover a workplace where you are valued and supported every step of the way.
Registered Nurse (RN ) Job Summary:
Registered Nurse ( RN ) Major Duties and Critical Tasks:
  • Works using the guidelines established by the Nurse Practice Act, facility Policies and Procedures, and sound nursing judgment
  • Assesses, plans and evaluates nursing care delivered to patients/residents requiring long-term and/or rehabilitation care
  • Delivers nursing care to patients/residents requiring long-term and/or rehabilitative care
  • Implements the patient/resident plan of care and evaluates the patient/resident response
  • Directs and supervises care provided by other nursing personnel
  • Provides input in the formulation and evaluation of standards of care
  • Maintains knowledge of necessary documentation requirements
  • Maintains knowledge of equipment set-up, maintenance and use (i.e. monitors, infusion devices, drain devices, etc.)
  • Maintains confidentiality and compliance with patient/resident rights, relating to all patient/resident/personnel information
  • Provides patient/resident/family/caregiver education as appropriate and/or directed
  • Conducts self in a professional manner in compliance with unit and facility policies
  • Works rotating shifts, holidays and weekends as scheduled

Registered Nurse ( RN ) Required Education and Experience:
  • Must be a graduate of a basic education program in professional nursing
  • A minimum of one year medical/surgical nursing experience in an acute care (hospital) setting or long-term care setting (acute/critical care is preferred)
  • Must possess a current Registered Nurse ( RN ) license in state(s) of practice. Must have a reliable source of transportation

The Registered Nurse ( RN ) is responsible to plan and deliver nursing care to patients/residents requiring long-term and/or rehabilitative care.

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