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Stop Loss Rn Jobs in Illinois (NOW HIRING)

IntelyCare

Registered Nurse, RN

Shorewood, 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 ...

Avantara Joliet

Registered Nurse, RN

Joliet, IL · On-site

$32 - $44.68/hr

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 ...

Cynet Health

Cath Lab RN

Chicago, IL

$2.20K/wk

Details Client Name Ascension Saint Joseph - Chicago Job Type Travel Offering Nursing Profession RN ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...

Cynet Health

RN - MS

Mattoon, IL

Registered Nurse Registered Nurses are responsible for assessing, planning, implementing, and ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

Avantara Joliet

Treatment Nurse RN

Joliet, IL

$35 - $44/hr

We are currently searching for a Treatment Nurse RN to join our friendly, caring and supportive ... If you are a Nurse who gets satisfaction from knowing they made a difference, stop in to learn more ...

Cynet Health

RN - MS

Mattoon, IL

Registered Nurse Registered Nurses are responsible for assessing, planning, implementing, and ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

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Stop Loss Rn information

What is a Stop Loss RN job?

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 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.

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.
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Stop Loss Rn jobs near you

Registered Nurse (RN)

Cedar Ridge Health and Rehab Center

Lebanon, IL

$42 - $52/hr

Other

Posted 28 days ago

Job description

Join Our Team as a Registered Nurse (RN) – Make a Meaningful Impact!

Location: Cedar Ridge Health & Rehab, Lebanon, IL
Shifts Available: Full-Time and Part-Time
Competitive Pay + Benefits

Are you ready to take your nursing career to the next level? At Cedar Ridge Health & Rehab, we’re not just another healthcare facility; we’re a close-knit team that’s dedicated to providing personalized care and making a real difference in our community. We need YOU to join us!

Why Cedar Ridge?

  • Leadership Growth: If you’re looking to take on more responsibility, we offer amazing leadership opportunities! Whether it’s MDS, Infection Prevention, ADON, or DON, we support your career growth every step of the way. Ask us about our Clinical Leadership Program!

  • A Culture of Care: We pride ourselves on fostering a positive, team-oriented environment. Work hard but have fun and feel valued every day.

  • Make an Impact: This isn’t just about doing your job—it's about forming meaningful connections with residents, helping them recover, and celebrating their victories!

Your Role:

As a Registered Nurse (RN) at Cedar Ridge, you’ll be at the heart of patient care, ensuring the highest quality of service for our residents.

  • Be a compassionate leader and advocate for residents

  • Responsible for the planning, coordination, and assurance of quality care services to residents.

  • Collaborate with a stellar team of healthcare professionals

  • Work cooperatively with healthcare team members to maintain established standards of care.

  • Maintain accurate documentation of all care rendered

  • Encourage restorative care to obtain maximum resident independence

  • Any other job duties, as assigned by my management

Who You Are:

  • Licensed Registered Nurse (RN) in Illinois

  • Passionate about patient care and teamwork

  • Ready to make a lasting impact in a dynamic, supportive environment

  • Dependable and committed to providing excellent care

Perks & Benefits:

  • Competitive pay!

  • Comprehensive health, dental, and vision benefits

  • Daily Pay—access your earned wages anytime!

  • Tuition reimbursement. Let us help you further and continue your education!

Ready to Join?

This is your chance to be part of something special! We’re excited to meet passionate nurses like you who want to grow, thrive, and make a difference. Apply now or stop by to fill out an application—we can’t wait to see what you bring to the team! https://www.cedarridgerehab.com/careers/

1 Perryman St, Lebanon, IL 62254

Call: 618.537.6165
Email: info@cedarridgerehab.com

Cedar Ridge Health & Rehab—where healthcare meets community and career growth.

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