... Nurse Practitioners Ensure prescription safety prioritizing technical functions to Pharmacy ... Registered Technicians and Assistants as required Provide quarterly reports to facility ...
... Nurse Practitioners Ensure prescription safety prioritizing technical functions to Pharmacy ... Registered Technicians and Assistants as required Provide quarterly reports to facility ...
... Nurse Practitioners Ensure prescription safety prioritizing technical functions to Pharmacy ... Registered Technicians and Assistants as required Provide quarterly reports to facility ...
... Nurse Practitioners Ensure prescription safety prioritizing technical functions to Pharmacy ... Registered Technicians and Assistants as required Provide quarterly reports to facility ...
Provide education to nursing staff * Participate on facility committees, complete biannual ... Ensure prescription safety prioritizing technical functions to Pharmacy Registered Technicians and ...
Provide education to nursing staff * Participate on facility committees, complete biannual ... Ensure prescription safety prioritizing technical functions to Pharmacy Registered Technicians and ...
Provide education to nursing staff * Participate on facility committees, complete biannual ... Ensure prescription safety prioritizing technical functions to Pharmacy Registered Technicians and ...
Provide education to nursing staff * Participate on facility committees, complete biannual ... Ensure prescription safety prioritizing technical functions to Pharmacy Registered Technicians and ...
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 job?
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 popular job titles related to Stop Loss Rn jobs in Edmonton, AB? For Stop Loss Rn jobs in Edmonton, AB, the most frequently searched job titles are:
What job categories do people searching Stop Loss Rn jobs in Edmonton, AB look for? The top searched job categories for Stop Loss Rn jobs in Edmonton, AB are:
Full-time, Part-time
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Job description
Requisition ID:
Career Group:
Pharmacy Careers
Job Category:
Retail - Pharmacy
Travel Requirements:
0 - 10%
Job Type:
Part-Time
Country:
Canada (CA)
Province:
Alberta
City:
Edmonton
Location:
8866 Coliseum Safeway Pharmacy
Postal Code:
T5B 0S1
Safeway grocery stores provide an exceptional food shopping experience to consumers from Vancouver, British Columbia to Thunder Bay, Ontario. We are the newest member of Sobeys Inc.u2019s retail food offering which serves the needs of Canadians with more than 1,600 stores in over 930 communities from coast-to-coast. Whether it''s your first job or you''re ready for a new challenge, we have a career to fit your life. Our commitment to delivering top quality products and superior service to our customers, and for giving back to the communities we serve has earned us a reputation as an employer of choice for those looking for an exciting career in food retail.
Ready to Make an impact?
We are passionate about taking care of the health and well-being of individuals and families in our communities.
Youu2019ll be part of our pharmacy team thatu2019s committed to providing exceptional patient-centered care and exceeding patientsu2019 expectations. We are looking for friendly, knowledgeable, and professional individuals to join our team who will make meeting the health needs of our patients their top priority.
Hereu2019s where youu2019ll be focusing:
Demonstrate warmth, empathy, and compassion while playing a key role in achieving excellence in the areas of patient centered care, customer service, workflow efficiencies, corporate pharmacy programs and contractual requirements of continuing care facilities based on corporate agreements
Responsible for the provision of clinical services focused on continuing care contractual obligations (i.e., disease state management, medication reviews, full scope of practice, reporting, after-hours emergency service); at times required to be on site
Participate in professional programs and collaborate with colleagues to provide excellence in health & wellness services to all patients
Initiate care plans, follow up, and complete proper documentation
Identify actual and potential drug related problems through completion of medication reviews
Provide education to nursing staff
Participate on facility committees, complete biannual medication reviews as part of the care team with Nurses, Physicians, and Nurse Practitioners
Ensure prescription safety prioritizing technical functions to Pharmacy Registered Technicians and Assistants as required
Provide quarterly reports to facility administration, review all medication errors and complete audits (stat box supplies, antibiotic and antipsychotic use, and wound care)
Thoroughly understand all relevant corporate pharmacy service offerings/programs, and provide each customer/patient with the program that meets their health care needs
Maintain current knowledge of pharmacy practice, regulatory requirements, and
industry trends/developments; attend training as required
Adhere to all regulatory requirements, Company policies, processes, and procedures (e.g., OHS, Loss Prevention, CQI)
What you have to offer:
Bachelor of Science in Pharmacy from a recognized institution
Must be a Licensed Pharmacist, in good standing, in the province of responsibility
Injection and First Aid Certification
Additional certifications (i.e. Certified Geriatric Pharmacist, Advance Prescribing)
Kroll software experience is preferred
We offer a competitive compensation package, which varies by role. Some websites share our job opportunities and may provide salary estimates without our knowledge. These estimates are based on similar jobs and postings for general comparison, but these numbers are not provided by our organization nor monitored for accuracy.
We will consider factors such as your working location, work experience and skills as well as internal equity, and market conditions to ensure the selected candidate is paid fairly and competitively. We look forward to discussing the specific compensation details relevant to this role with candidates who are selected to move forward in the recruitment process.
We are committed to accommodating applicants with disabilities throughout the hiring process and will work with applicants requesting accommodation at any stage of this process.
We may use Artificial Intelligence (AI) tools to support efficiencies in the candidate screening, assessment, and recruitment processes. These AI tools do not make hiring decisions on behalf of the Company, these decisions are made by our Hiring Teams.
Please note: successful candidates will be required to provide documentation to prove their legal ability to work in the position during the onboarding process. Documentation will be assessed by the employer prior to commencement of work.
Career Group:
Pharmacy Careers
Job Category:
Retail - Pharmacy
Travel Requirements:
0 - 10%
Job Type:
Part-Time
Country:
Canada (CA)
Province:
Alberta
City:
Edmonton
Location:
8866 Coliseum Safeway Pharmacy
Postal Code:
T5B 0S1
Safeway grocery stores provide an exceptional food shopping experience to consumers from Vancouver, British Columbia to Thunder Bay, Ontario. We are the newest member of Sobeys Inc.u2019s retail food offering which serves the needs of Canadians with more than 1,600 stores in over 930 communities from coast-to-coast. Whether it''s your first job or you''re ready for a new challenge, we have a career to fit your life. Our commitment to delivering top quality products and superior service to our customers, and for giving back to the communities we serve has earned us a reputation as an employer of choice for those looking for an exciting career in food retail.
Ready to Make an impact?
We are passionate about taking care of the health and well-being of individuals and families in our communities.
Youu2019ll be part of our pharmacy team thatu2019s committed to providing exceptional patient-centered care and exceeding patientsu2019 expectations. We are looking for friendly, knowledgeable, and professional individuals to join our team who will make meeting the health needs of our patients their top priority.
Hereu2019s where youu2019ll be focusing:
Demonstrate warmth, empathy, and compassion while playing a key role in achieving excellence in the areas of patient centered care, customer service, workflow efficiencies, corporate pharmacy programs and contractual requirements of continuing care facilities based on corporate agreements
Responsible for the provision of clinical services focused on continuing care contractual obligations (i.e., disease state management, medication reviews, full scope of practice, reporting, after-hours emergency service); at times required to be on site
Participate in professional programs and collaborate with colleagues to provide excellence in health & wellness services to all patients
Initiate care plans, follow up, and complete proper documentation
Identify actual and potential drug related problems through completion of medication reviews
Provide education to nursing staff
Participate on facility committees, complete biannual medication reviews as part of the care team with Nurses, Physicians, and Nurse Practitioners
Ensure prescription safety prioritizing technical functions to Pharmacy Registered Technicians and Assistants as required
Provide quarterly reports to facility administration, review all medication errors and complete audits (stat box supplies, antibiotic and antipsychotic use, and wound care)
Thoroughly understand all relevant corporate pharmacy service offerings/programs, and provide each customer/patient with the program that meets their health care needs
Maintain current knowledge of pharmacy practice, regulatory requirements, and
industry trends/developments; attend training as required
Adhere to all regulatory requirements, Company policies, processes, and procedures (e.g., OHS, Loss Prevention, CQI)
What you have to offer:
Bachelor of Science in Pharmacy from a recognized institution
Must be a Licensed Pharmacist, in good standing, in the province of responsibility
Injection and First Aid Certification
Additional certifications (i.e. Certified Geriatric Pharmacist, Advance Prescribing)
Kroll software experience is preferred
We offer a competitive compensation package, which varies by role. Some websites share our job opportunities and may provide salary estimates without our knowledge. These estimates are based on similar jobs and postings for general comparison, but these numbers are not provided by our organization nor monitored for accuracy.
We will consider factors such as your working location, work experience and skills as well as internal equity, and market conditions to ensure the selected candidate is paid fairly and competitively. We look forward to discussing the specific compensation details relevant to this role with candidates who are selected to move forward in the recruitment process.
We are committed to accommodating applicants with disabilities throughout the hiring process and will work with applicants requesting accommodation at any stage of this process.
We may use Artificial Intelligence (AI) tools to support efficiencies in the candidate screening, assessment, and recruitment processes. These AI tools do not make hiring decisions on behalf of the Company, these decisions are made by our Hiring Teams.
Please note: successful candidates will be required to provide documentation to prove their legal ability to work in the position during the onboarding process. Documentation will be assessed by the employer prior to commencement of work.