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Director Stop Loss Rn Jobs in Oregon (NOW HIRING)

LeaderStat

Travel Progressive Care Unit RN

Coos Bay, OR · On-site

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

LeaderStat

Travel CVOR RN

Corvallis, OR · On-site

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

LeaderStat

Travel CVOR Registered Nurse

Portland, OR · On-site

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

LeaderStat

Travel CVOR RN

Portland, OR · On-site

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

LeaderStat

Travel ER RN

Lakeview, OR · On-site

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

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All JobsStop Loss Rn JobsDirector Stop Loss Rn JobsDirector Stop Loss Rn Jobs in Oregon

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 Oregon?

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

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

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

Director Stop Loss Rn jobs near you

Registered Nurse (RN)

Beaverton of Cascadia LLC

Beaverton, OR

Part-time

Re-posted 22 days ago

Job description

Description

Position Summary

Beaverton Post Acute is seeking a compassionate and dependable Registered Nurse (RN) to supervise staff and provide high-quality nursing care during the day shift. This role is responsible for administering medications, assessing residents, treatments, coordinating care with the interdisciplinary team, follow-up with families and supporting a safe, respectful, and resident-centered environment.  The ideal candidate brings strong clinical judgment, clear communication, ability to delegate effectively and a commitment to quality care in a post-acute setting.  Provides clinical care in compliance with current federal and state guidelines, and company regulations. 


Current Openings:  Dayshift 6:30a-7p   Part Time  Sun & Wed

Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each state's specific background check requirements prior to contact with patients/residents.


Essential Functions

  • Provides the highest quality of patient care to facility residents/patients.
  • Documents care performed and observations of resident status in the clinical record promptly by utilizing standard clinical documentation guidelines as required by the facility, and local, state and federal rules and regulations.
  • Communicates with resident's physician.
  • Completes all nursing documentation: assessments, orders, progress notes, flowsheets, consents, and any assigned tasks and ensures that said documentation accurately reflects services required by the resident and provided to the residents.
  • Participates in medication management to promote optimal safety and effectiveness for residents by:
  • Administering medications as ordered, including next scheduled dose following admission/readmission. Notifies Supervisor of medications not available;
  • Preparing, administering and documenting medications as prescribed;
  • Observing and reporting resident responses to medication;
  • Identifying and promptly communicating adverse drug reactions;
  • Initiating enteral or parenteral therapy as ordered;
  • Maintaining narcotic records accurately; 
  • Ordering or arranging for ordering of pharmaceuticals;
  • Notifying physicians of automatic stop order; and/or
  • Completing recapitulated physician orders review, as assigned.
  • Assists with or institutes emergency measures for sudden adverse developments with residents. Directs and administers cardiopulmonary resuscitation.
  • Punctuality and regular attendance for assigned shifts.


Other Functions

  • Ensures compliance with company's clinical policies and procedures.
  • Follows the guidelines established from the Nurse Practice Act, company standards, policies and procedures and sound nursing judgment.
  • Performs other related duties, as assigned.


Knowledge/Skills/Abilities

  • Must maintain confidentiality and protect resident rights, regarding all resident/personnel information.
  • Strong knowledge of HIPAA laws and related regulations.
  • Must possess strong communication, customer service, teamwork and organizational skills.
  • Positive , enthusiastic attitude.



Requirements

Qualifications

Education

Graduate of an accredited RN School of Nursing. BSN preferred.


Licenses/Certification  

Current RN Licensure in the State employed.

Valid CPR Certification.


Experience

Six months experience in a long-term care environment preferred.


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