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Stop Loss Rn Jobs (NOW HIRING)

Grove Nursing Center

Registered Nurse (RN)

Grove, OK · On-site

RN Weekend Supervisor. Primary Purpose of this Position The primary purpose of this position is to ... loss, general malaise or decreased range of motion(ROM); conduct assessments and notify the ...

CaroMont Health

Registered Nurse (RN)

Gastonia, NC · On-site

$1.8K/wk

Details Client Name CaroMont Health Job Type Travel Offering Nursing Profession RN Specialty Tele ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...

Meadowood Nursing Center

Registered Nurse

Clearlake, CA

$55 - $62/hr

Registered Nurse (RN) - Full-Time Clearlake, CA Shift Options: * 6:30 AM - 3:00 PM * 2:30 PM - 11 ... Reliable commute or willingness to relocate to Clearlake, CA Apply Today Stop by to apply in person ...

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Stop Loss Rn information

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$68K

$114.4K

$206K

How much do stop loss rn jobs pay per year?

As of Aug 11, 2026, the average yearly pay for stop loss rn in the United States is $114,374.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,500.00 and $126,500.00 per year, depending on experience, location, and employer.

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.

More about Stop Loss Rn jobs
What cities are hiring for Stop Loss Rn jobs? Cities with the most Stop Loss Rn job openings:
What are the most commonly searched types of Stop Loss Rn jobs? The most popular types of Stop Loss Rn jobs are:
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What job categories do people searching Stop Loss Rn jobs look for? The top searched job categories for Stop Loss Rn jobs are:
Stop Loss Rn jobs near you
Infographic showing various Stop Loss Rn job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 53% Full Time, 14% Part Time, and 29% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $114,374 per year, or $55 per hour.

Registered Nurse (RN)

Grove Nursing Center

Grove, OK • On-site

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

RN Weekend Supervisor.
Primary Purpose of this Position
The primary purpose of this position is to provide skilled nursing care to residents under the medical direction of the residents' attending physician and within the scope of nursing practice for the state.
Duties and Responsibilities
Administrative Functions
  • Provide oversight of Certified Nursing Assistants (CNAs) and licensed nurses as directed by the Director of Nursing.
  • Consult and coordinate with the interdisciplinary team (IDT) and healthcare professionals to assess, plan, implement and evaluate individualized resident care plans.
  • Ensure initial baseline and periodic comprehensive assessments and care plans are completed within required timeframes.
  • Participate in completing sections of the Minimum Data Set (MDS) assessment as requested.
  • Facilitate physician rounds by preparing charts, flagging areas of concern and preparing physician orders for signature; document physician visits with residents.
  • Initiate requests for consultations or referrals as requested.
  • Report any suspicion of a crime that may have been committed to a resident in the facility.
  • Perform administrative duties by completing medical forms, reports, evaluations, studies, charting, etc.
Committee Functions
  • Participate in quality committees including quality assurance and performance improvement (QAPI), infection control, safety, risk management, etc.
  • Serve on, participate in and attend various other committees of the facility (e.g., policy advisory) as required and as appointed by the Administrator.
Resident Care Functions
  • Provide nursing services to residents in accordance with scope of practice, facility policies and professional standards of care.
  • Monitor residents for developments of acute changes of condition including confusion, fever, difficulty breathing, increased pain, difficulty with urination, loss of appetite, constipation, diarrhea, vision or hearing loss, general malaise or decreased range of motion(ROM); conduct assessments and notify the provider as needed.
Duties and Responsibilities
  • Monitor the chronic health conditions of residents; be familiar with reportable changes and potential causes for concern.
  • Assist in the admission process; provide resident orientation as appropriate.
  • Assist with a discharge planning process that focuses on the resident's discharge goals and preparation for successful transition to post-discharge care.
  • Ensure that newly admitted residents have physician orders for immediate care.
  • Participate in initial, comprehensive, quarterly, change of condition and other resident assessments using appropriate MDS forms.
  • Contribute to the development of individualized, resident-centered care plans in coordination with the IDT.
  • Provide nursing care that is compassionate and sensitive to residents with cognitive decline, memory loss or history of trauma.
  • Provide nursing care that is appropriate and sensitive to the culture, language and background of the resident.
  • Monitor resident weight and intake of food and fluids; notify the practitioner of significant weight loss or gain or changes in consumption.
  • Maintain documentation of all nursing care and services provided to the residents; use nurse's notes, flow sheets and electronic medical records according to facility protocol.
  • Collaborate with hospice services to provide end-of-life palliative care for dying residents.
  • Promote the facility falls prevention practices to maximize resident safety.
  • Provide first aid to residents as necessary and according to facility protocols.
  • Adhere to the facility infection prevention and control practices.
  • Administer medications according to practitioner orders and report adverse consequences, side effects or any medication errors.
  • Transcribe telephone, verbal and telemedicine orders from providers as appropriate.
  • Provide oversight of CNAs as directed.
  • Assess for and address resident pain as necessary and appropriate and consistent with provider orders.
  • Provide support and assistance with resident personal care and activities of daily living (ADLs) as needed.
  • Help bed-bound or chair-bound residents reposition and turn as scheduled.
  • Monitor the skin health of the resident; provide preventative skin care; administer wound treatments as ordered.
  • Collect and submit specimens for laboratory analysis as ordered.
Education
Must possess, as a minimum, a nursing degree from an accredited college or university or be a graduate of an approved Licensed Practical Nurse (LPN)/Registered Nurse (RN)program.
Experience
Must have, as a minimum, two (2) year(s)of experience as an LPN/RN.
Specific Requirements
  • Must possess a current unencumbered active license to practice as an LPN/RN in the state.
  • Must be able to read, write, speak and understand the English language.
  • Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
  • Must be a supportive team member, contribute to and be an example of team work and team concept.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
  • Must be knowledgeable of nursing and medical practices and procedures as well as laws regulations, and guidelines that pertain to long-term care.
  • Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
  • Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies, procedures, etc., that are necessary for providing quality care.
  • Must have patience, tact, a cheerful disposition and enthusiasm as well as the willingness to handle difficult residents.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
  • Must be able to relate information concerning a resident's condition.
  • Must not pose a direct threat to the health or safety of other individuals in the workplace.

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