South Carolina Licensed Stop Loss Nurse

A company is looking for a Stop Loss Registered Nurse to evaluate and manage catastrophic episodes of illness for underwriting and claims. Key Responsibilities Facilitates cost estimates for new and renewal stop loss business Consults with underwriters on catastrophic episodes of illness Provides Case Management oversight of Managed Care between the TPA and the company Required Qualifications, Training, and Education Associate's degree in a job-related field Graduate of an accredited School of Nursing 10 years of experience (five years clinical plus five years medical management experience) Active RN licensure in the state hired Working knowledge of Managed Care and various forms of healthcare delivery systems

Mar 25, 2025 - 16:19

A company is looking for a Stop Loss Registered Nurse to evaluate and manage catastrophic episodes of illness for underwriting and claims. Key Responsibilities Facilitates cost estimates for new and renewal stop loss business Consults with underwriters on catastrophic episodes of illness Provides Case Management oversight of Managed Care between the TPA and the company Required Qualifications, Training, and Education Associate's degree in a job-related field Graduate of an accredited School of Nursing 10 years of experience (five years clinical plus five years medical management experience) Active RN licensure in the state hired Working knowledge of Managed Care and various forms of healthcare delivery systems