Registered Nurse RN
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Quick apply
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Quick apply
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Quick apply
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Quick apply
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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Hampton, IA · 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. Rehabilitation Center of Hampton is an equal opportunity employer. All qualified ...
Battle Creek, IA · 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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Battle Creek, IA · 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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Battle Creek, IA · 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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Battle Creek, IA · 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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Battle Creek, IA · 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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Battle Creek, IA · 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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
$34 - $42.50/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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Quick apply
$34 - $42.50/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. Willow Dale Wellness Village is an equal opportunity employer. All qualified ...
Waterloo, IA · On-site
$1.8K/wk
... RN Specialty MS Tele Job ID 35519863 Job Title RN Weekly Pay $1894.0 Shift Details Shift Night ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Waterloo, IA · On-site
$1.8K/wk
... RN Specialty MS Tele Job ID 35519863 Job Title RN Weekly Pay $1894.0 Shift Details Shift Night ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Corning, IA · On-site
$2.1K/wk
Registered Nurse Specialty: Medical Surgical Duration: 13 weeks Shift: 12H Nights Hours per Shift ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Corning, IA · On-site
$2.1K/wk
Registered Nurse Specialty: Medical Surgical Duration: 13 weeks Shift: 12H Nights Hours per Shift ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Aplington, IA · On-site
$34 - $40/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. Maple Manor Village is an equal opportunity employer. All qualified applicants ...
Aplington, IA · On-site
$34 - $40/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. Maple Manor Village is an equal opportunity employer. All qualified applicants ...
Emmetsburg, IA · 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. Emmetsburg Care Center is an equal opportunity employer. All qualified ...
Emmetsburg, IA · 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. Emmetsburg Care Center is an equal opportunity employer. All qualified ...
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.
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.
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.

Full-time
Retirement, PTO
Re-posted 11 days ago
5.9
Based on 55 frontline employees who took The Breakroom Quiz
759th of 887 rated healthcare providers
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
5,001 - 10,000 Employees
Skokie, IL, US
2008