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Stop Loss Rn Jobs in Illinois (NOW HIRING)

Mosaic

RN - RN

Rockford, IL · On-site

$2.1K/wk

Details Client Name Mosaic - Rockford, IL Job Type Travel Offering Nursing Profession RN Specialty ... reply STOP to cancel and HELP for help) Client Details Address 1111 S Alpine Rd Ste 401 City ...

Talent4Health

RN (Registered Nurse)

Rockford, IL · On-site

$2.7K/wk

Registered Nurse Specialty: Cardiac Catheterization Lab Duration: 15 weeks Shift: Day Hours per ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...

Hallmark of Pekin

Registered Nurse RN

Pekin, IL · On-site

Join Our Team as a Registered Nurse (RN) Location: Hallmark Healthcare of Pekin, Pekin, IL Shift ... Apply online or stop by in person today: 2501 Allentown Road, Pekin, IL 61554 Apply Online: We look ...

Avantara Joliet

Registered Nurse, RN

Joliet, IL · On-site

If you are an RN with a passion for excellence and a drive to lead, stop in to learn more and get your career started. Avantara Joliet is an equal opportunity employer. All qualified applicants will ...

Avento Health

Registered Nurse (RN)

Peoria, IL · On-site

$90K - $100K/yr

Registered Nurse (RN) - Community-Based Care Location: Peoria, IL 61601 Schedule: Monday-Friday, 9 ... Virtual primary care, virtual mental health, and telemedicine through First Stop Health for ...

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Showing results 21-40

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Stop Loss Rn information

What is a Stop Loss RN?

A Stop Loss RN is a registered nurse who reviews medical claims and patient records to evaluate the necessity, accuracy, and cost of healthcare services for insurance companies or employers. They help determine whether claims exceed stop-loss insurance thresholds, which protect insurers or self-funded employers from excessive financial risk. This role involves assessing medical necessity, verifying coding accuracy, and collaborating with case managers, providers, and insurance teams. Strong analytical skills and clinical expertise are essential for making informed decisions on high-cost claims.

What are the typical daily responsibilities of a Stop Loss RN?

As a Stop Loss RN, your typical day involves reviewing high-cost medical claims, verifying the medical necessity of treatments, and assessing policy compliance to determine insurance coverage. You’ll collaborate closely with clinical staff, insurance specialists, and sometimes directly with healthcare providers to gather relevant information and ensure accurate case evaluations. Many Stop Loss RNs also prepare detailed reports and participate in case conferences. This role often combines remote desk work with communications across multidisciplinary teams, creating a dynamic environment well-suited for nurses looking to leverage their clinical expertise in an insurance or administrative setting.

What are the key skills and qualifications needed to thrive in the Stop Loss RN position, and why are they important?

To thrive as a Stop Loss RN, you need in-depth clinical nursing experience, a strong understanding of insurance policies and claims, and RN licensure. Familiarity with medical claims adjudication systems, electronic health records, and utilization review platforms is typically required. Excellent communication, critical thinking, and attention to detail set top performers apart in this role. These skills are important to effectively review complex medical cases, ensure appropriate healthcare coverage, and collaborate with both providers and insurers.

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Stop Loss Rn jobs near you

Registered Nurse RN

Carlinville, IL

Lakeside Health and Rehab Center
See more jobs at Lakeside Health and Rehab Centerexternal

$40 - $46/hr

Other

Medical, Dental, Vision

Re-posted 10 days ago

Job description

Advance Your Nursing Career with Us as a Registered Nurse (RN)

Location: Lakeside Health & Rehab – Carlinville, IL
Shifts Available: Full-Time and Part-Time Opportunities
Competitive Pay + Benefits

At Lakeside Health & Rehab, we believe in supporting our nursing team and empowering you to grow with us! We are looking for compassionate and dedicated Registered Nurses (RNs) to join our team and provide exceptional care to our residents. Whether you’re an experienced nurse or looking to take the next step in your career, we offer opportunities for leadership growth, mentorship, and professional development.

Why Lakeside Health & Rehab?

  • Competitive pay with daily pay options

  • Comprehensive health, dental, and vision insurance

  • Tuition reimbursement – continue your education with our support

  • Leadership growth opportunities including MDS, Infection Prevention, ADON, and DON pathways

  • Supportive and team-oriented work environment

  • Strong leadership and mentorship programs

  • Opportunities for advancement and continued professional development

  • Meaningful work where you can truly impact residents’ lives every day

Your Role:

  • Provide compassionate, high-quality nursing care to residents

  • Coordinate and ensure quality care services are delivered consistently

  • Collaborate with healthcare professionals to support positive resident outcomes

  • Maintain accurate and timely documentation of all care provided

  • Encourage restorative care and resident independence

  • Advocate for residents while promoting dignity, comfort, and safety

  • Work cooperatively with the interdisciplinary team to maintain excellent standards of care

  • Support a positive and resident-centered environment

Who We’re Looking For:

  • Current Registered Nurse (RN) license in the state of Illinois

  • Passionate about patient care and teamwork

  • Dependable, compassionate, and resident-focused

  • Motivated to grow professionally in a supportive environment

  • Strong communication and leadership skills

Who We Are

Lakeside Health & Rehab is more than a healthcare facility — we’re a close-knit community committed to providing compassionate hometown care while helping our employees grow and succeed.

Ready to Join Our Team?

We’re excited to meet passionate nurses who are ready to make a difference! Apply online today or stop by to complete an application in person.

Lakeside Health & Rehab
1200 University Street
Carlinville, IL 62626

Call: (217) 854-4433
Email: info@lakeside-hrc.com

Apply online today:
Lakeside Health & Rehab Careers 


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