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. Hallmark Care Center 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. Hallmark Care Center 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. Hallmark Care Center is an equal opportunity employer. All qualified applicants ...
Mount Vernon, 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. Hallmark Care Center is an equal opportunity employer. All qualified applicants ...
Mount Vernon, 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. Hallmark Care Center is an equal opportunity employer. All qualified applicants ...
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 Allison 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 Allison is an equal opportunity employer. All qualified ...
Allison, 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 Allison is an equal opportunity employer. All qualified ...
Allison, 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 Allison is an equal opportunity employer. All qualified ...
Allison, 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 Allison is an equal opportunity employer. All qualified ...
Allison, 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 Allison is an equal opportunity employer. All qualified ...
Allison, 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 Allison is an equal opportunity employer. All qualified ...
Allison, 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 Allison is an equal opportunity employer. All qualified ...
Des Moines, IA · On-site
$1.9K/wk
Details Client Name MercyOne Children's Hospital 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 ...
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Des Moines, IA · On-site
$1.9K/wk
Details Client Name MercyOne Children's Hospital 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
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 ...
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 ...
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 ...
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 ...
Davenport, IA · On-site
$2.1K/wk
Minimum Years of Experience Required License: RN License Required Certifications: BLS, PALS, ACLS ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Davenport, IA · On-site
$2.1K/wk
Minimum Years of Experience Required License: RN License Required Certifications: BLS, PALS, ACLS ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Mason City, IA · On-site
$2.1K/wk
Current RN license Certifications: BLS, ACLS, TNCC, NIHSS Must-Have: Every third weekend required ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Mason City, IA · On-site
$2.1K/wk
Current RN license Certifications: BLS, ACLS, TNCC, NIHSS Must-Have: Every third weekend required ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Armstrong, 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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
Armstrong, 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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
Nevada, 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. Rolling Green Village is an equal opportunity employer. All qualified applicants ...
Nevada, 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. Rolling Green Village is an equal opportunity employer. All qualified applicants ...
Estherville, 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. Valley Vue Care Center is an equal opportunity employer. All qualified ...
Estherville, 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. Valley Vue Care 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. Guttenberg Care 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. Guttenberg Care 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 Independence West Campus is an equal opportunity ...
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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 Independence West Campus is an equal opportunity ...
Elma, 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. Colonial Manor of Elma is an equal opportunity employer. All qualified ...
Elma, 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. Colonial Manor of Elma is an equal opportunity employer. All qualified ...
$36 - $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. Oelwein Healthcare Center is an equal opportunity employer. All qualified ...
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$36 - $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. Oelwein Healthcare 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.

Other
Retirement
Re-posted 10 days ago
Are you looking for a rewarding career in Skilled Nursing? We are currently searching for a nurses to join our friendly, caring and supportive team.
Hallmark Care Center is looking to invest in our nurses by providing opportunities to further your career and with the tools and encouragement you need to succeed.
We offer great benefits including:
Competitive wages.
Shift differentials.
Tuition reimbursement.
Internal growth opportunities.
Comprehensive benefits package.
401K with employer match.
Employee concierge program.
And more!
As a staff nurse you are instrumental in managing operations of your assigned unit. Your work will ensure our residents receive the high standard of care they have grown to expect at Hallmark Care Center by assisting with supervising the activities of all clinical staff on your assigned unit, providing guidance and education to clinical staff, assisting with instilling a positive and inclusive facility culture, ensuring established infection prevention practices are maintained and ensuring adequate staffing for our resident’s needs. Our residents will depend on your knowledge, skills, and attention to detail to ensure they receive an unparalleled standard of care.
To be eligible for consideration applicants should have:
As a minimum, an unencumbered State of Iowa (or compact state) Registered Nurse (R.N.) license; experience in a Skilled Nursing Facility setting is preferable.
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.
Hallmark Care Center is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.
Hallmark Care Center never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.
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