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Director Stop Loss Rn Jobs in Kentucky (NOW HIRING)

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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 are the most commonly searched types of Stop Loss Rn jobs in Kentucky?

The most popular types of Stop Loss Rn jobs in Kentucky are:

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

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

$45/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago


Job description

About Us :

Signature HealthCARE of Elizabethtown is a 112-bed facility offering short-term rehabilitative care as well as long-term care. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives.

About Signature :

Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.


We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.

Overview:

Are you a seasoned RN looking for a new home, a new grad looking to start your career, or somewhere in between?

Weโ€™ve got great opportunities for you!  

We are looking for RN candidates who thrive on delivering excellent care, enjoy being part of a strong team and build bonds that last a lifetime!  

Come join us in serving with purpose, building lasting relationships and a rewarding career.       

Additional Details:  New Full Time Sign on Bonus RN $5KSignature HEALTHCARE of ElizabethtownNew Increased RN Wages! How you Will make a Difference:
  • Provide direct nursing care to residents, including medication administration, wound care, and skilled nursing procedures.
  • Assist residents with activities of daily living (ADLs) and ensure comfort, dignity, and safety at all times.
  • Supervise and direct nursing assistants and medication aides during the assigned shift in accordance with facility policies and regulations, as applicable.
  • Monitor and observe residentsโ€™ physical and emotional status; notify the attending physician and responsible party of any change in condition.
  • Develop, implement, and review individualized resident care plans in collaboration with the interdisciplinary team.
  • Complete accurate and timely clinical documentation per facility policy and procedure.
  • Coordinate resident admissions, transfers, and discharges according to established procedures.
  • Participate in quality assurance activities, staff education, and regulatory surveys as needed.
  • Perform other duties as assigned by the Director of Nursing or designee.
What you Need to make a Difference:
  • Current, active RN license in the state of practice.
  • CPR/BLS certification preferred (American Heart Association or American Red Cross).
  • Minimum one (1) year of clinical nursing experience; long-term care experience, preferred.
  • Experience in a supervisory or charge nurse role, preferred.
  • Strong clinical observation, medication administration, and documentation skills.
  • Knowledge of Federal and State long-term care regulations.
  • Effective verbal and written communication skills.
  • Ability to work independently, prioritize tasks, and exercise sound clinical judgment.
  • Experience in a supervisory or charge nurse role.
  • Familiarity with electronic health records (EHR) systems.
  • Proficiency with Microsoft Office applications.
Our exceptional Benefits Package and Signature Perks include the following and more! (if applicable):

Live with Purpose at Signature HealthCARE

Our exceptional benefits and Signature Perks are designed to support your health, wealth, and well-being, including:

  • Medical, Dental & Vision Coverage
  • First Stop Health Virtual Healthcare
  • 401(k) & Roth 401(k)
  • Company-Paid & Voluntary Life Insurance
  • Health Savings Account (HSA) & Flexible Spending Account (FSA)
  • Paid Time Off (PTO) & Holiday Incentive Pay
  • Tuition Reimbursement & Tuition Discounts with Select Universities
  • Student Debt Assistance (eligible SNF RNs & LPNs)
  • Uniform Allowance
  • Partner Perks Discount Program
  • Perfect Attendance Program
  • Pay Advance & Next Day Pay
  • Employee Assistance Program (EAP)
  • Support Beyond Benefits with VitalLink and the Signature Inspire Foundation

At Signature HealthCARE, our team members are empoweredโ€”not just encouragedโ€”to use their talents and abilities to solve problems. 
Our culture is built on three pillars: Learning, Spirituality, and Intra-preneurship.

Each pillar has dedicated initiatives that strengthen our culture and create opportunities for growth.


Come see what the revolution is all about!

Signature HealthCARE is an Equal Opportunity/Affirmative Action Employer. We are committed to creating an inclusive workplace for all applicants and stakeholders.

Pay Range: Up to USD $45.00/Hr. Hashtag : #LI-MS1 Indeed Hashtag: #INDRN