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Stop Loss Rn Jobs in Portland, ME (NOW HIRING)

Sedgewood Commons

Unit Manager, RN

Falmouth, ME · On-site

$40 - $50/hr

As a Unit Manager/Director - RN where within an assigned unit you will support the Director of ... memory loss. This role offers the chance to mentor and support your team, build strong ...

Unum UK

Clinical Consultant

Portland, ME

$53.30K - $100.70K/yr

... loss, customers are counting on the combined talents of our entire team. Help us help others, and ... Associate Degree in Nursing and active RN License is required but BS degree strongly preferred * 3+ ...

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Stop Loss Rn information

See Portland, ME salary details

$69.6K

$117K

$210.8K

How much do stop loss rn jobs pay per year?

As of May 31, 2026, the average yearly pay for stop loss rn in Portland, ME is $117,018.00, according to ZipRecruiter salary data. Most workers in this role earn between $100,800.00 and $129,400.00 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.
More about Stop Loss Rn jobs
What are popular job titles related to Stop Loss Rn jobs in Portland, ME? For Stop Loss Rn jobs in Portland, ME, the most frequently searched job titles are:
What job categories do people searching Stop Loss Rn jobs in Portland, ME look for? The top searched job categories for Stop Loss Rn jobs in Portland, ME are:
What cities near Portland, ME are hiring for Stop Loss Rn jobs? Cities near Portland, ME with the most Stop Loss Rn job openings:
Stop Loss Rn jobs near you
Infographic showing various Stop Loss Rn job openings in Portland, ME as of May 2026, with employment types broken down into 6% As Needed, 56% Full Time, 31% Part Time, and 7% Contract. Highlights an 93% Physical, and 7% Remote job distribution, with an average salary of $117,018 per year, or $56.3 per hour.
Registered Nurse - Cardiac Cath Lab7:30AM-4:00PM

Registered Nurse - Cardiac Cath Lab7:30AM-4:00PM

Mission Hospital

Portland, ME

$2.62K/wk

Other

Posted 15 days ago

Mission Hospital (Asheville) rating

6.3

Company rating: 6.3 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

736th of 990 rated hospitals

Job description

Details
Client Name
Mercy Hospital
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Cardiac Cath Lab/RN
Job ID
18155452
Job Title
Registered Nurse - Cardiac Cath Lab7:30AM-4:00PM
Weekly Pay
$2623.99
Shift Details
Shift
5 Day Shifts X 8 Hrs
Scheduled Hours
40
Job Order Details
Start Date
05/11/2026
End Date
08/10/2026
Duration
13 Week(s)
Job Description
Specializes in the care of patients with heart conditions or those undergoing cardiac procedures.
Client Details
Address
175 Fore River Pkwy
City
Portland
State
ME
Zip Code
04102
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