Top 3127 Nurse Jobs in Berea Oh

Medical Review Nurse- Stop Loss
Roundstone —Rocky River, OH
- $80,000 - $85,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Registered Nurse (RN) Case Manager Hospice
Buckeye Hospice Care —Strongsville, OH
- From $40 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
- 401(k)
- 401(k) matching
Quick Apply
RN - Urology Medical/Surgical Unit
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- Day shift
- Nursing
- RN License
- Hospital
- Dental insurance
- Vision insurance
6d
RN - Post-Anesthesia Care Unit (PACU)
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
RN - Digestive Disease Surgery
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- Acute care
- Nursing
- Surgery
- Loan repayment program
- Relocation assistance
7d
RN - Birthing Center
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- On call
- Nursing
- RN License
- Military
- Loan repayment program
- Relocation assistance
Registered Nurse (New Grad) Observation
University Hospitals —Westlake, OH
- $33 - $52 an hour
- Nursing
- RN License
- PALS Certification
Registered Nurse (RN) Emergency Services
University Hospitals —Westlake, OH
- $35.00 - $48.85 an hour
- Nursing
- RN License
- PALS Certification
- Health insurance
- Dental insurance
Registered Nurse (RN) Medical ICU
University Hospitals —Westlake, OH
- $35.00 - $58.85 an hour
- Nursing
- RN License
- PALS Certification
- Health insurance
- Dental insurance
New Grad RN Resident - Orthopaedic Surgery
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- Day shift
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
7d
RN Surgery Resident - Cardiothoracic OR
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- Monday to Friday
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
6d
RN Navigator Aortic Center
University Hospitals —Cleveland, OH
- $100,859 - $157,768 a year
- Nursing
- RN License
- English
New Grad OR - St. John Medical Center
University Hospitals —Westlake, OH
- $35.00 - $46.93 an hour
- Full-time
- Nursing
- Outpatient experience
- Operating room
- Free parking
- Loan repayment program
5d
Registered Nurse (RN) Weekender Acute Medical Surgical
University Hospitals —Westlake, OH
- $35.00 - $58.85 an hour
- 12 hour shift
- Acute care
- Nursing
- RN License
- Health insurance
- Dental insurance
RN-DAHMS Clinical Research Unit
University Hospitals —Cleveland, OH
- $35.00 - $58.85 an hour
- Nursing
- RN License
- PALS Certification
6d
Registered Nurse - Medical Surgical
E-Solutions IT Services Private Limited —Cleveland, OH
- $68 - $69 an hour
- Night shift
- Acute care
- Background check
- RN License
Quick Apply
4d
RN-Med/Psych Part-Time
University Hospitals —Cleveland, OH
- $35.00 - $58.85 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
- Free parking
- Health insurance
Registered Nurse (RN) Weekender Acute Medical Surgical
University Hospitals —Elyria, OH
- $35.00 - $58.85 an hour
- 12 hour shift
- Acute care
- Nursing
- RN License
- Health insurance
- Dental insurance
RN - Birthing Center
Cleveland Clinic —Cleveland, OH
- $35.50 - $55.60 an hour
- On call
- Nursing
- RN License
- Military
- Loan repayment program
- Relocation assistance
Registered Nurse (RN) Medical Surgical
University Hospitals —Parma, OH
- $35.00 - $58.85 an hour
- Acute care
- Nursing
- Surgery

I want to receive the latest job alert for nurse in berea oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

nurse jobs near berea oh

Registered Nurse Pacu jobs in Cleveland, OH

Registered Nurse Medical Surgical jobs in Cleveland, OH

Registered Nurse jobs in Westlake, OH

Psychiatric Nurse jobs in Cleveland, OH

Registered Nurse jobs in Cleveland, OH

Nurse Navigator jobs in Cleveland, OH

Utilization Review Nurse jobs in Cleveland, OH

Clinical Research Specialist jobs in Cleveland, OH

Rn Pacu jobs in Washington State

School Nurse jobs in Yonkers, NY

Sports Nurse jobs in Baltimore County, MD

Pacu Nurse jobs in Massachusetts

Digestive Disease Specialist jobs in Thousand Oaks, CA

Peer Support Specialist jobs in Buffalo, NY

Digestive Disease Specialist jobs in Phoenix, AZ

Digestive Disease Specialist jobs in Texas

Digestive Disease Specialist jobs in Florida

Clinical Specialist jobs in Orange County, CA

Clinical Documentation Specialist jobs in Raleigh, NC

Pre Hospital Registered Nurse jobs in Pennsylvania

Medical Review Nurse- Stop Loss

Roundstone -
Rocky River, OH

Quick Apply

Job Details

Full-time
$80,000 - $85,000 a year

Benefits

Health savings account
Disability insurance
Health insurance
On-site gym
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Life insurance
Referral program

Qualifications

Nursing
Critical & intensive care
RN experience
Insurance medical billing
Attention to detail
Medical treatment knowledge
Medical billing
Bachelor's degree in nursing
Oncology
Clinical documentation standards
Medical terminology

Full Job Description

Medical Review RN – Stop Loss

Founded in 2003, Roundstone is not your typical insurance company. We’re on a mission to help employers save on healthcare benefits so they can put those savings towards bettering their businesses and taking care of their employees.

Role Description

As a Medical Review Nurse in Roundstone’s medical expense stop loss program, you will work with the claims staff to identify potentially large claims early in the process and use your expertise to manage the medical services. You’ll serve as a subject matter expert on newly approved and emerging treatments and help spot trends in patient care. Third party administrators and vendors will work closely with you on a regular basis. This position also works closely with the stop loss underwriters when preparing renewal and potential quotes for cost predictions and cost containment options. Review of amendments and informing underwriters if this addition to the plan will have a significant financial impact on the group. This is a great opportunity for someone with a nursing background to move into the insurance field.

Key Duties & Responsibilities:

Ability to recognize potentially catastrophic diagnoses.
Strong communicator, particularly regarding discussing and concisely summarizing medical conditions with non-medical professionals.
Recognizes salient data to leverage in individual cases and trend for business stakeholders.
Capable of identifying and completing tasks with minimal direct instruction. Tracks results and communicates status with stakeholders.
Ability to multitask, prioritize, and find creative problem resolutions.
Open collaborator with the ability to influence and lead indirectly.

Skills and Qualifications:

Bachelor's degree in nursing
Oncology and Critical Care experience a plus
Exposure to medical billing, coding, and negotiation is a plus, but not required
Minimum of 2 years nursing experience
Experience reviewing/auditing medical records related to patient treatment, diagnosis, and provider billing to identify any medical and coding discrepancies.
Critical/analytical skills with a strong attention to detail
Strong work ethic

Better Benefits:

We’re leaders in our industry, so naturally, we look out for our employees’ best interests with a robust benefits package. Roundstone employees are eligible for:

Medical, dental and vision benefits
Annual bonus
Dependent care 100% match up to max allowable
Parental leave
Parental leave
PTO beginning on Day 1
Tuition reimbursement
Healthy work/life balance
Hybrid office schedule
401(k) plan with company match
Employee Assistance Program
On-site gym with personal trainer access
Life insurance and short term disability insurance

More About Roundstone

Headquartered in Rocky River, Ohio, Roundstone is proud to be a Northeast Ohio Top Workplace as recognized by The Plain Dealer and cleveland.com, based on anonymous employee feedback. We foster a supportive, values-driven culture where employees feel engaged, valued, and celebrated. Roundstone has also been named an Inc. 5000 award recipient for eight consecutive years, reflecting our continued growth and success.

Our Core Values

Live well: Be healthier and bring positive energy to all you do.
Work smarter: Get things done, better.
Own it: Accountability is your middle name. Be on time, do what you say, and finish what you start.
Be intellectually curious: Always be learning. See opportunity everywhere and have a drive to know.

Culture and fit are integral to success and in an effort to achieve a better match both from a candidate's perspective and our organization, please take a minute, click on the link and take the really brief survey:

https://go.cultureindex.com/p/vdNOUHg4OcQTU

Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Roundstone Insurance we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

Job Type: Full-time

Pay: $80,000.00 - $85,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Professional development assistance
Referral program
Tuition reimbursement
Vision insurance

Work Location: Hybrid remote in Rocky River, OH 44116

Quick Apply

Refine Your Search

nurse jobs in berea oh

Medical Review Nurse- Stop Loss

Registered Nurse (RN) Case Manager Hospice

RN - Urology Medical/Surgical Unit

RN - Post-Anesthesia Care Unit (PACU)

RN - Digestive Disease Surgery

RN - Birthing Center

Registered Nurse (New Grad) Observation

Registered Nurse (RN) Emergency Services

Registered Nurse (RN) Medical ICU

New Grad RN Resident - Orthopaedic Surgery

RN Surgery Resident - Cardiothoracic OR

RN Navigator Aortic Center

New Grad OR - St. John Medical Center

Registered Nurse (RN) Weekender Acute Medical Surgical

RN-DAHMS Clinical Research Unit

Registered Nurse - Medical Surgical

RN-Med/Psych Part-Time

Registered Nurse (RN) Weekender Acute Medical Surgical

RN - Birthing Center

Registered Nurse (RN) Medical Surgical

I want to receive the latest job alert for nurse in berea oh

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected