Boston, MA · On-site
$2.6K/wk
Details Client Name Tufts Medical Center Job Type Travel Offering Nursing Profession RN Specialty ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Boston, MA · On-site
$2.6K/wk
Details Client Name Tufts Medical Center Job Type Travel Offering Nursing Profession RN Specialty ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Danvers, MA · On-site
$2.4K/wk
... Offering Nursing Profession RN Specialty Clinical RN Job ID 18610454 Weekly Pay $2435.39 Shift ... You can reply "STOP" anytime to unsubscribe or send e-mail at nexusqueries@talent4health.com.
Danvers, MA · On-site
$2.4K/wk
... Offering Nursing Profession RN Specialty Clinical RN Job ID 18610454 Weekly Pay $2435.39 Shift ... You can reply "STOP" anytime to unsubscribe or send e-mail at nexusqueries@talent4health.com.
Somerville, MA · On-site
$2.8K/wk
Details Client Name CHA Somerville Campus Job Type Travel Offering Nursing Profession RN Specialty ... You can reply "STOP" anytime to unsubscribe or send e-mail at nexusqueries@talent4health.com.
New
Somerville, MA · On-site
$2.8K/wk
Details Client Name CHA Somerville Campus Job Type Travel Offering Nursing Profession RN Specialty ... You can reply "STOP" anytime to unsubscribe or send e-mail at nexusqueries@talent4health.com.
New
Nantucket, MA · On-site
$2.4K/wk
Details Client Name Nantucket Cottage 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
Nantucket, MA · On-site
$2.4K/wk
Details Client Name Nantucket Cottage 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
Cambridge, MA · On-site
$2.0K/wk
Details Client Name Spaulding Hospital Cambridge 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 ...
Cambridge, MA · On-site
$2.0K/wk
Details Client Name Spaulding Hospital Cambridge 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 ...
Hingham, MA · On-site
$58/hr
Registered Nurse - Assistant Director Hingham, MA Pay From: $58 per hour MUST: The Registered Nurse ... management, weight loss, and dehydration Participating in Wound Rounds, Operations Meetings ...
Hingham, MA · On-site
$58/hr
Registered Nurse - Assistant Director Hingham, MA Pay From: $58 per hour MUST: The Registered Nurse ... management, weight loss, and dehydration Participating in Wound Rounds, Operations Meetings ...
Cambridge, MA · On-site
$2.0K/wk
Registered Nurse Specialty: Oncology Duration: 13 weeks Shift: Night Shift Hours per Shift: 12.5 ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Cambridge, MA · On-site
$2.0K/wk
Registered Nurse Specialty: Oncology Duration: 13 weeks Shift: Night Shift Hours per Shift: 12.5 ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Oak Bluffs, MA · On-site
$2.3K/wk
Details Client Name Martha's Vineyard 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 ...
Oak Bluffs, MA · On-site
$2.3K/wk
Details Client Name Martha's Vineyard 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 ...
We are seeking Registered Nurses to join our ICU department! The RN will provide nursing care to ... Text STOP to opt out or HELP for help
We are seeking Registered Nurses to join our ICU department! The RN will provide nursing care to ... Text STOP to opt out or HELP for help
We are seeking Registered Nurses to join our ICU department! The RN will provide nursing care to ... Text STOP to opt out or HELP for help Employment Type: FULL_TIME
We are seeking Registered Nurses to join our ICU department! The RN will provide nursing care to ... Text STOP to opt out or HELP for help Employment Type: FULL_TIME
Boston, MA · On-site
$2.6K/wk
Registered Nurse - Oncology Profession: RN Specialty: Oncology Duration: 13 weeks Shift: Unknown ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Boston, MA · On-site
$2.6K/wk
Registered Nurse - Oncology Profession: RN Specialty: Oncology Duration: 13 weeks Shift: Unknown ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Charlestown, MA · On-site
$1.8K/wk
... RN Specialty MS Job ID 35499448 Job Title Registered Nurse- Med/Surg RN Weekly Pay $1849.88 Shift ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Charlestown, MA · On-site
$1.8K/wk
... RN Specialty MS Job ID 35499448 Job Title Registered Nurse- Med/Surg RN Weekly Pay $1849.88 Shift ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Boston, MA · On-site
Discipline: RN * Start Date: 08/24/2026 * Duration: 26 weeks * 40 hours per week * Shift: 8 hours ... But our commitment doesn't stop at placement. We're here to ensure your success every step of the ...
Boston, MA · On-site
Discipline: RN * Start Date: 08/24/2026 * Duration: 26 weeks * 40 hours per week * Shift: 8 hours ... But our commitment doesn't stop at placement. We're here to ensure your success every step of the ...
Boston, MA · On-site
$3.0K/wk
Details Client Name Brigham and Women'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 ...
Boston, MA · On-site
$3.0K/wk
Details Client Name Brigham and Women'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 ...
Boston, MA · On-site
Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 30 hours per week * Shift: 8 hours ... But our commitment doesn't stop at placement. We're here to ensure your success every step of the ...
Boston, MA · On-site
Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 30 hours per week * Shift: 8 hours ... But our commitment doesn't stop at placement. We're here to ensure your success every step of the ...
Oak Bluffs, MA · On-site
$2.2K/wk
Details Client Name Martha's Vineyard 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 ...
Oak Bluffs, MA · On-site
$2.2K/wk
Details Client Name Martha's Vineyard 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 ...
Newton Center, MA · On-site
$2.7K/wk
Home Health RN Profession: RN Home Health Specialty: RN Home Health Duration: 13 weeks Shift: Day ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Newton Center, MA · On-site
$2.7K/wk
Home Health RN Profession: RN Home Health Specialty: RN Home Health Duration: 13 weeks Shift: Day ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Boston, MA · On-site
RN Oncology Traveler Job Title: RN Oncology Traveler Profession: Registered Nurse Specialty ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...
Boston, MA · On-site
RN Oncology Traveler Job Title: RN Oncology Traveler Profession: Registered Nurse Specialty ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...
Northampton, MA · On-site
$2.5K/wk
Operating Room Registered Nurse Profession: RN Specialty: RN Duration: 13 weeks Shift: 07:00 AM ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Northampton, MA · On-site
$2.5K/wk
Operating Room Registered Nurse Profession: RN Specialty: RN Duration: 13 weeks Shift: 07:00 AM ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...
Beverly, MA · On-site
LeaderStat is seeking a travel nurse RN Med Surg for a travel nursing job in Beverly, Massachusetts ... But our commitment doesn't stop at placement. We're here to ensure your success every step of the ...
Beverly, MA · On-site
LeaderStat is seeking a travel nurse RN Med Surg for a travel nursing job in Beverly, Massachusetts ... But our commitment doesn't stop at placement. We're here to ensure your success every step of the ...
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.
8.0
Based on 50 frontline employees who took The Breakroom Quiz
133rd of 1,056 rated hospitals
Get the full story on Breakroom
Sourced by ZipRecruiter
It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we provide it. And that starts with our employees.
Health care and social assistance
5,001 - 10,000 Employees
Boston, MA, US
1796
