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Stop Loss Rn Jobs in Massachusetts (NOW HIRING)

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 ...

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But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Home Health - Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and ...

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Stop Loss Rn information

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.

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 is a Stop Loss RN?

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 most commonly searched types of Stop Loss Rn jobs in Massachusetts? The most popular types of Stop Loss Rn jobs in Massachusetts are:
What are popular job titles related to Stop Loss Rn jobs in Massachusetts? For Stop Loss Rn jobs in Massachusetts, the most frequently searched job titles are:
What cities in Massachusetts are hiring for Stop Loss Rn jobs? Cities in Massachusetts with the most Stop Loss Rn job openings:
Infographic showing various Stop Loss Rn job openings in Massachusetts as of August 2026, with employment types broken down into 3% As Needed, 57% Full Time, 15% Part Time, and 25% Contract. Highlights an 98% Physical, and 2% Remote job distribution.

RN - Clinic - Kidney Transplant

OU Health (Parent)

Boston, MA • On-site

$1.9K/wk

Other

Re-posted 14 days ago


OU Health rating

7.2

Company rating: 7.2 out of 10

Based on 149 frontline employees who took The Breakroom Quiz

349th of 887 rated healthcare providers


Job description

Details
Client Name
Boston Medical Center
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Transplant
Job ID
35465837
Job Title
RN - Clinic - Kidney Transplant
Weekly Pay
$1950.1
Shift Details
Shift
Day - 12x3 - 07AM
Scheduled Hours
36
Job Order Details
Start Date
08/31/2026
End Date
11/28/2026
Duration
13 Week(s)
Job Description
Job Title: RN
Profession: Registered Nurse
Specialty: Clinic
Duration: 13 weeks
Shift: Variable
Hours per Shift: 8
Experience: 3+ years of transplant coordinator experience preferred. Strong ambulatory nursing experience required. Experience coordinating pre- and post-transplant care, reviewing labs, patient education, triage, multidisciplinary coordination, and managing medically complex patients.
License: Required
Certifications: BLS Required
Must-Have: Basic Life Support (BLS)
Description:
The position involves working in an ambulatory specialty clinic that coordinates care for pre- and post-transplant patients.
Responsibilities include patient screening, coordination of testing and appointments, and education.
Medication management and multidisciplinary communication are also key components of this role.
Ongoing clinical follow-up with patients is required.
Experience with the kidney transplant population and familiarity with Epic is preferred.
Client Details
Address
One Boston Medical Center Pl
City
Boston
State
MA
Zip Code
02118
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About OU Health

Sourced by ZipRecruiter

OU Health is a leading company in the healthcare industry, based in Oklahoma City, OK, US. As the state's only comprehensive academic health system, OU Health provides a full spectrum of medical care, from world-class cancer treatments to life-saving emergency care. Founded with a mission to advance healthcare, medical education, and research across the state, the company has a solid reputation for clinical excellence and a patient-centered approach. Upholding its core values of compassion, integrity, and innovation, OU Health has remarkably made a significant contribution to medical research and education and raised the standard of care across a broad range of specialties.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Oklahoma City, OK, US

Year founded

2020