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Stop Loss Rn Jobs in Lancaster, PA (NOW HIRING)

KurzSolutions

CRNA

Manchester, PA · On-site

With nonstop service to 17 cities and one-stop connections to cities around the world, you'll be ... The CRNA is responsible for Pre-anesthetic evaluation. * Shall prepare an appropriate health ...

Cynet Health

RN - OR

York, PA · On-site

Registered Nurse Specialty: Operating Room Duration: 13 weeks Shift: Day 3x12-Hour Hours per Shift ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

Cynet Health

RN - CVOR

York, PA

$2.52K - $3.42K/wk

Registered Nurse CVOR Job Title: Registered Nurse Profession: Registered Nurse Specialty: CVOR ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

Cynet Health

RN - CVOR

York, PA

$2.52K - $3.42K/wk

Registered Nurse CVOR Job Title: Registered Nurse Profession: Registered Nurse Specialty: CVOR ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

Cynet Health

RN - SICU

York, PA

Registered Nurse Profession: Nursing Specialty: Surgical Intensive Care Unit Duration: 13 weeks ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

Cynet Health

RN - SICU

York, PA

Registered Nurse Profession: Nursing Specialty: Surgical Intensive Care Unit Duration: 13 weeks ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

Cynet Health

RN - ICU

York, PA · On-site

ICU Registered Nurse Job Type: Travel Profession: Registered Nurse Specialty: Intensive Care Unit ... Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared ...

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Stop Loss Rn information

See Lancaster, PA salary details

$66.1K

$111.2K

$200.2K

How much do stop loss rn jobs pay per year?

As of May 28, 2026, the average yearly pay for stop loss rn in Lancaster, PA is $111,153.00, according to ZipRecruiter salary data. Most workers in this role earn between $95,700.00 and $122,900.00 per year, depending on experience, location, and employer.

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 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 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.
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Stop Loss Rn jobs near you

RN - RN

Allcare Workforce Solutions

Lancaster, PA

Other

Posted 20 days ago

Job description

AllCare Medical Services is currently seeking a RN for a position in LANCASTER, PA. The ideal candidate will possess an active license or accreditation in the state applying for and have at least 1-2 years of recent specialty experience. Additional requirements and/or certifications may be requested based on facility or unit.
Shift: 5×8 Evenings
By applying for this job, you agree to receive calls, text messages, or emails from AllCare Medical Services and its affiliates. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages.
You can reply STOP to cancel and HELP for help.
0
  • Degree :
  • RN
  • Job Specialty :
  • Job ID :
  • 63131134

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