Registered Nurse RN
Sac City, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Sac City, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Sac City, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Waukon, IA · On-site
$35 - $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. Northgate Care Center is an equal opportunity employer. All qualified applicants ...
Waukon, IA · On-site
$35 - $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. Northgate Care Center is an equal opportunity employer. All qualified applicants ...
Storm Lake, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Storm Lake, 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. Park View Rehabilitation Center 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 ...
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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 ...
Storm Lake, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Storm Lake, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Dumont, 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 ...
Dumont, 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. Rolling Green Village is an equal opportunity employer. All qualified applicants ...
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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. Rolling Green Village is an equal opportunity employer. All qualified applicants ...
Armstrong, IA · On-site
$34 - $35.50/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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
Armstrong, IA · On-site
$34 - $35.50/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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
Emmetsburg, IA · On-site
$34 - $37.50/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. Emmetsburg Care Center is an equal opportunity employer. All qualified ...
Emmetsburg, IA · On-site
$34 - $37.50/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. Emmetsburg Care Center is an equal opportunity employer. All qualified ...
Dubuque, IA · On-site
$2.1K/wk
Details Client Name MercyOne Dubuque Medical Center 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 ...
New
Dubuque, IA · On-site
$2.1K/wk
Details Client Name MercyOne Dubuque Medical Center 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 ...
New
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 Belmond is an equal opportunity employer. All qualified ...
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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 Belmond 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. Park View Rehabilitation Center 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Waterloo, 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. Harmony House Care Center is an equal opportunity employer. All qualified ...
Waterloo, 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. Harmony House Care Center is an equal opportunity employer. All qualified ...
Elma, IA · On-site
$37 - $45.50/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. Colonial Manor of Elma is an equal opportunity employer. All qualified ...
Elma, IA · On-site
$37 - $45.50/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. Colonial Manor of Elma is an equal opportunity employer. All qualified ...
Iowa Falls, 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 ...
Iowa Falls, 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 ...
$34 - $35.50/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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
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$34 - $35.50/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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
Carroll, 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. Park View Rehabilitation Center is an equal opportunity employer. All qualified ...
Carroll, 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. Park View Rehabilitation Center 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. Park View Rehabilitation Center 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. Park View Rehabilitation 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.
Assist with supervising the activities of all clinical staff on the assigned unit.
Provide guidance and education to clinical staff.
Ensure established infection prevention practices are maintained and ensure adequate staffing for residents' needs.
6.0
Based on 54 frontline employees who took The Breakroom Quiz
731st of 877 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