Top 1185 Nurse Jobs in Lorain, 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) Medical Surgical
University Hospitals —Parma, OH
- $35.00 - $58.85 an hour
- Acute care
- Nursing
- Surgery
- Health insurance
- Dental insurance
Registered Nurse (RN) Inpatient Rehab
University Hospitals —Parma, OH
- $35.00 - $58.85 an hour
- Nursing
- RN License
- PALS Certification
RN MDS Nurse Part Time
Lake Pointe Health Center —Lorain, OH
- Part-time
- Nursing
- Skilled nursing facility
- RN License
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse Medical Surgical
University Hospitals —Parma, OH
- $35.00 - $58.85 an hour
- Nursing
- Surgery
- RN License
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 Inpatient Psych
University Hospitals —Elyria, OH
- $35.00 - $58.85 an hour
- Nursing
- RN License
- PALS Certification
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
RN1, Cardiology - E:yria
University Hospitals —Elyria, OH
- $33 - $52 an hour
- Nursing
- RN License
- PALS Certification
14d
Registered Nurse (RN) Medical Surgical Observation
University Hospitals —Elyria, OH
- $35.00 - $58.85 an hour
- Nursing
- RN License
- PALS Certification
Dispensing Nurse - LPN
MedMark Treatment Centers —Amherst, OH
- Per diem
- CPR Certification
- Computer literacy
- BLS Certification
Registered Nurse (RN) Acute Medical Surgical
University Hospitals —Elyria, OH
- $35.00 - $58.85 an hour
- Acute care
- Nursing
- RN License
Registered Nurse - Stress and Echo Labs
University Hospitals —Elyria, OH
- $33 - $52 an hour
- Nursing
- RN License
- PALS Certification
13d
Registered Nurse (RN) Medical Surgical Observation
University Hospitals —Elyria, OH
- $35.00 - $58.85 an hour
- Nursing
- RN License
- PALS Certification
Registered Nurse (RN)- OR
University Hospitals —Westlake, OH
- $33 - $52 an hour
- 8 hour shift
- Nursing
- RN License
- PALS Certification
10d
Registered Nurse (No On-call, Weekends or Holidays)
Avon Surgery Center —Avon, OH
- $38 - $39 an hour
- Full-time
- Medication administration
- Surgery
- RN License
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse - Device Clinic
University Hospitals —Elyria, OH
- $33 - $52 an hour
- Nursing
- RN License
- PALS Certification
RN/LPN - FT Days 6a-6p, Daily Pay, Up to $42.84/Hour
The Woods on French Creek —Avon, OH
- Up to $42.84 an hour
- Full-time
- Skilled nursing facility
- RN License
- LPN
- Disability insurance
- Health insurance
Quick Apply
6d
Registered Nurse (RN)- Infusion Medical Oncology- Avon
University Hospitals —Avon, OH
- $33 - $52 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
Registered Nurse Infusion Center North Ridgeville Part Time
University Hospitals —North Ridgeville, OH
- $33 - $52 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
7d

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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 lorain, oh

Medical Review Nurse- Stop Loss

Registered Nurse (RN) Medical Surgical

Registered Nurse (RN) Inpatient Rehab

RN MDS Nurse Part Time

Registered Nurse Medical Surgical

New Grad OR - St. John Medical Center

Registered Nurse Inpatient Psych

Registered Nurse (RN) Weekender Acute Medical Surgical

RN1, Cardiology - E:yria

Registered Nurse (RN) Medical Surgical Observation

Dispensing Nurse - LPN

Registered Nurse (RN) Acute Medical Surgical

Registered Nurse - Stress and Echo Labs

Registered Nurse (RN) Medical Surgical Observation

Registered Nurse (RN)- OR

Registered Nurse (No On-call, Weekends or Holidays)

Registered Nurse - Device Clinic

RN/LPN - FT Days 6a-6p, Daily Pay, Up to $42.84/Hour

Registered Nurse (RN)- Infusion Medical Oncology- Avon

Registered Nurse Infusion Center North Ridgeville Part Time

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

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