Case Management Cover Letter

I submit this application to express my sincere interest in the case management position.

Previously, I was responsible for ongoing education and information to medical staff and care/case management staff regarding best practices, organizational structures and functions, use of clinical guidelines, appropriate levels of care, documentation, and relevant new regulation.

Please consider my qualifications and experience:

• Experience with managed care services including population health initiatives, Affordable Care Act, Coordinated Care Organizations, Accountable Care Organizations, and Medicare/Medicaid regulations
• Experience developing innovative partnerships and programs that challenge the norm to support an ever-changing healthcare environment
• Cost stewardship experience using Lean (or similar) principles, which increases effectiveness and cuts waste
• Solution-driven focus with experience using detailed quantitative and process expertise
• Experience in workforce services preferred
• Knowledge of and experience in the TANF program preferred
• Case Management experience, which includes negotiating reimbursement levels preferred
• Experience with InterQual Medical/UM screening criteria and multiple IT/computer systems preferred

I would like to submit my application for the case management opening. Please accept this letter and the attached resume.

In the previous role, I was responsible for oversight and review of coordination of care (e.g., chronic condition management, utilization management, case.

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:

• Knowledge of PC, Interqual criteria and medicare guidelines
• Experience with PC software applications in word processing, Epic, Word, Excel
• Experience in Case Mgmt, Managed Care, acute care, long term care or home health care
• ACM (Preferred)
• Previous professional experience preferred
• Self – Motivated with excellent problem-solving abilities, coupled with solid time management skills
• Completion of undergraduate core coursework in social &/or behavioral science
• AND12 months' training or 12 months' experience in public assistance regulations & policies relative to all public assistance programs

I am excited to be applying for the position of case management. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for on-going case management by coordinating the provision of services to clients according to rules, regulations, and the individual case plans.

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

• Working knowledge of regulatory and accreditation standards preferred (URAC, NCQA, DMHC, Case Management Society of America CMSA) Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirable
• Requires extensive experience in nursing, health care or related field
• Experienced in using EHR
• Registered Nurse or Social Worker licensed in the state of Texas
• Utilization review clerical experience preferred
• Computer experience preferred (data entry, data base and word processing programs)
• Seek always to communicate changes in processes and programs in order to enhance a share vision and mission
• Registered nurse graduated from an accredited school of nursing with a license to practice professional nursing in this state

In response to your job posting for case management, I am including this letter and my resume for your review.

Previously, I was responsible for day-to-day oversight of case management staff and coordination of care for high risk Senior Medicare Advantage and D-SNP population.

Please consider my experience and qualifications for this position:

• Prior management experience in hospital-wide quality resource management programs, monitoring and evaluation, experience in ensuring compliance with Federal and State regulations and statutes relating to healthcare delivery
• Function independently under the guidance of the SVP within the broad scope of department and organization-wide policies, practices and common goals
• NYS license and current registration as a registered nurse
• A bachelor's in nursing or health or human services field
• Experience in managed care and/or care management preferred
• Experience in case management, provision of administrative, program and project support highly preferred
• Experience with technology highly preferred
• Experience in higher education and crisis management environment preferred

I am excited to be applying for the position of case management. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for clinical supervision to Case Managers to ensure that Case Management intervention is consistent with department standards of clinical practice.

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:

• AND3 months' training
• ANDA valid Ohio driver's license
• Applicable software application
• Mainframe database
• Preference will be given to those with prior experience in discharge planning, billing, utilization review, financial counseling or registration
• Access to a registered vehicle with proof of insurance – travel as needed
• Interpersonal skills necessary for effective leadership of assigned personnel and in order to represent department to all levels of Hospital personnel and a variety of community agencies when coordinating patient care
• Analytical skills necessary in order to develop departmental policies and procedures, prepare and administer budgets, evaluate quality of services provided and so forth