Care Manager, RN Cover Letter

In response to your job posting for care manager, RN, I am including this letter and my resume for your review.

In my previous role, I was responsible for individualized evidence based care coordination / management for patients with identified needs in collaboration with the PCP and health care team members.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Bilingual (English and Cantonese / Mandarin, Bengali, Russian, or Spanish)
• ICU/CCU or strong cardiac experience
• Associate for RN
• Previous experience in Care / Case Management
• Bilingual (English and Chinese / Russian)
• Basic Life Support (BLS) for the Healthcare Provider certified
• Experience in home health or hospital case management
• Home Health and/or Hospice

I am excited to be applying for the position of care manager, RN. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for appropriate Documentation With Authorization For Services As Needed To Assure Reimbursement And Limit Non-Payment Of Services Rendered.

My experience is an excellent fit for the list of requirements in this job:

• Previous experience in a telephonic or field role
• Previous Nursing experience in case management or clinic setting strongly preferred
• Current American Heart Association Basic Life Support (AHA-BLS) for Health Care Provider certification within 6 months of hire
• Revenue Cycle Management (RCM) within 9 months of hire
• Resident Care Manager certification at time of hire
• Experience with discharge planning/case management
• Current CA RN license to practice professional nursing with no restrictions
• Is able to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines

I submit this application to express my sincere interest in the care manager, RN position.

In the previous role, I was responsible for direction for concurrent modification to clinical documentation to ensure appropriate coding for reimbursement for clinical severity and services provided to patients with a DRG-based payer.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Case Management Certification (CCM, ACM, or ANCC) or obtained within 12 months of employment
• Experience with Disease Management and application of motivational interview techniques
• Knowledge of Utilization management and prior authorization
• Medical home care model experience highly
• Current, unrestricted NYS Registered Nurse (RN) license
• Experience providing clinical services to individuals with co-occurring Chronic Medical and Behavioral Health conditions
• Experience in a Home Care, Hospice / Palliative Care, Acute Care, and/or Care Management role
• Experience working collaboratively with a Interdisciplinary Care team

I am excited to be applying for the position of care manager, RN. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for support to Care Management and teams for clinical reimbursement strategies, systems implementation, training and team development.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Bilingual in English and another language highly preferred
• Fluent in Spanish or Chinese
• Experience with utilization management, discharge planning and/or case management preferred
• Able to communicate effectively with patients, families and all levels of health care providers
• Optimal patient outcomes and appropriate reimbursement for the
• Previous experience as in homecare, long term care or utilization review preferred
• Discharge Planner or Case Manager preferred
• Current NYS RN nursing license

I submit this application to express my sincere interest in the care manager, RN position.

In my previous role, I was responsible for care coordination and facilitate services for members with identified needs, creatively using available and appropriate resources to support the unique needs of each member.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Experience with Coding and abstracting experience
• Able to determine acuity of medical condition through medical terminology and knowledge of resource and persons and places
• Able to present oneself in a professional manner
• Attends learning sessions and shares information learned with team member
• Assists in the development of tools, education and workflow processes to assist the division(s) in meeting CMS, ACO, documentation, and payor quality initiative
• Current licensure as an RN in the state of residence and/or practice or current licensure as a Social Worker in state of residence and/or practice
• Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office processes (preferred)
• Certification in Critical Case Manager(CCM), Accredited Case Manager(ACM), American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)