Manager RN Cover Letter

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

In the previous role, I was responsible for oversight for appropriate and compliant clinical episodic reimbursement.

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:

• Familiarity with regulatory requirements for managed care, HMOs, and EPOs
• Proficiency with health plan criteria/benefits and regulatory requirements as they relate to patient management across the continuum of care
• Proficient with standardized criteria, Interqual/Milliman, MCG, Medicare
• Knowledge of disease management strategies
• Basic knowledge of CPT and ICD 9/ICD 10 codes
• Willingness to work as part of a team, working collaboratively with others to achieve goals, solve problems, and meet established organizational objectives and management of patients
• Completion of case management certificate preferred
• Medical Oncology certification

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

In my previous role, I was responsible for necessary training and instruction demonstrating CMS guidelines for reimbursement regulations.

Please consider my experience and qualifications for this position:

• Is accountable for ensuring institutional compliance with professional, accrediting and regulatory standards of care
• Provides proper balance between patient care assignments, teaching, administrative responsibilities and appropriate time for inservice, unit meetings, and professional conferences
• Manages human and fiscal resources with an ongoing awareness of health care policies and economics as they affect nursing practice and patient care
• Monitors productivity report and monthly financial statements and provides explanation of variances
• Collaborates and communicates with the health care team and other involved staff/agencies to ensure appropriate coordination of services, including coordinating supported referrals
• Overseeing the care management of a population of patients within an assigned area, unit or clinical function
• Conduct the nursing process, assessment, planning, implementation, and evaluation under the scope of the State's Nurse Practice Act of Registered Nurse licensure
• Coordintates resource utilization, timely and appropriate care interventions, and interdisciplinary communication to enhance patient and family satisfaction, adherence to center's clinical systems and regulatory compliance

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

In the previous role, I was responsible for education to improve documentation ensuring accurate reimbursement for services.

Please consider my experience and qualifications for this position:

• Prior knowledge of managed care / utilization review, preferred
• Demonstrated competency in Therapeutic Boundaries, Search and Contraband, Risk Management, Infection Control, Common Psychiatric Diagnoses, Fire Safety, Behavioral Management, Programming and Documentation
• Strong conflict mediation skills
• Excellent communication in a fast pace work environment across teams on different shifts and different departments
• Highest level of engagement within a team setting to promote a positive work environment
• Promote and embrace the culture of the facility
• Leadership and mentorship skills overseeing nursing and nursing support staff
• Valid license as a Registered Nurse in the FLORIDA

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

In the previous role, I was responsible for supporting documentation for US Federal, state and local income tax audits.

Please consider my qualifications and experience:

• Review Monthly MAR, TAR, and MD orders for accuracy
• Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS), regulatory agencies and Universal American departmental policies
• Identifies user requirements for software products and enhancements, develops external design specification for software products and enhancements
• Maintaining clinical practice and processes in accordance with the facility's policies and procedures and nursing standards of practice
• Perform utilization review and discharge planning for patients
• Completing an initial assessment of patient and family to determine hospice care needs
• Providing, assisting with, and overseeing direct patient care duties
• Coordinates the oversight of delivery of services based on level of care, intent of stay and prior level of function

Please consider me for the manager RN opportunity. I am including my resume that lists my qualifications and experience.

Previously, I was responsible for necessary documentation for reimbursement purposes.

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:

• Initiates and/or leads interdisciplinary committees, focus reviews, task forces, Root Cause Analysis, Healthcare Failure Mode and Effect Analysis, and proactive risk assessments
• Assesses compliance with VA Portland Healthcare System policies, VHA policies, and accreditation standards
• Agenda preparation and interfacing with Peer Review Committee (PRC) chair on cases for review and submitting quarterly reports to the Medical Staff Council (MSC)
• Providing consultative expertise in planning, designing and implementation of processes improvements and other policy-making activities
• Leveraging technology, and working closely as part of a provider, interdisciplinary care team, the case manager will identify complex, high-risk patients and proactively manage care including but not limited to care management planning, referral management, post-discharge planning, and coordinating transitional and community based care
• If tactically warranted and logistically possible, participate in practice patient care strategy meetings (huddles) as appropriate either locally or remotely
• When appropriate, conduct at-home assessments and intervention sessions with highest risk patient population
• Consults with Medical Director and/or other appropriate programs/resources to overcome barriers to meeting goals and objectives and presents cases to appropriate resources to obtain multidisciplinary view in order to achieve optimal outcomes