RN Case Manager Cover Letter

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

In my previous role, I was responsible for guidance to all levels of management regarding utilization of appropriate practices in conjunction with regulatory requirements and changes, if necessary.

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

• Coordinate and collaborate with other members of the ICT or external programs to ensure a fully integrated care plan addressing all beneficiary needs and conditions
• Support the Patient Care Coordinators with the coordination of care for beneficiaries not under case management as needed
• Discharge Planning and/or Utilization Review background
• Working knowledge of various reimbursement mechanisms, insurance carriers, and third party payer requirements
• Knowledge of the ANA/CMSA Code of Ethics
• Experience in home health and/or Nurse Case Management
• Current, unrestricted, Registered Nurse license
• Current Louisiana Registered Nurse license

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

In the previous role, I was responsible for quarterly quality reviews of Utilization Management staff determinations and regulatory compliance and correct application of Milliman guidelines.

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

• Excellent analytical and problem-solving skills to judge medical necessity and appropriateness of patient services and treatments on a case by case basis
• Substantial knowledge of Microsoft Office including SharePoint, Outlook, Excel and Word, PowerPoint
• Proficiency in medical management software utilized for utilization review, medical appeals, and case management preferred
• Prior healthcare experienced preferred
• Mus possess basic knowledge of Federal and State requirements set forth by regulatory agencies
• Case Management certification or active pursuit of certification preferred
• Current/Active Florida Registered Nurse License (RN) OR Approved Multi-State License
• BSN with active Florida licensure

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

In my previous role, I was responsible for skilled review of clinical charts in utilization review/focused audits to ensure meeting agency policy/program and regulatory requirements.

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

• Specialty certification in UR/CM preferred
• Current Maryland RN license
• Experience working with medically fragile pediatrics preferred
• Current infant, child and adult CPR certification
• Previous Case Management experience in hospital setting or insurance setting
• Proficiency with a Microsoft Windows operating system
• Proficient computer skills (electronic health system, word, excel)
• Solid clinical decision-making skills

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

In the previous role, I was responsible for utilization review and management for health plan members while at the same time coordinating quality of care, in a timely and cost-effective manner.

Please consider my qualifications and experience:

• Knowledge of health care payer systems including managed care and Medicare eligibility and coverage requirements
• Active, unrestricted RN license in the state of Colorado
• Graduate of an accredited school of nursing as a Registered Nurse
• Certification in case management or utilization review preferred
• Current licensure as a Registered Nurse in the State of Alaska or RN compact license from participating compact states
• Current Michigan Nursing License • BLS preferred • Certification in Case Management preferred
• RN with a valid unrestrictive license in state of Indiana
• Excellent communication skills are needed

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

In the previous role, I was responsible for continuity of care and post hospital planning in order to optimize cost efficient resource utilization and reduce re-hospitalization.

Please consider my qualifications and experience:

• Works cooperatively as a team with other Case Managers, Social Services, and interdisciplinary team members
• Attends and participates in St David's Partnership committees and community committees
• Coordinates Grand Rounds for the interdisciplinary team
• Assessment of members◦Uses clinical tools and information / data review to conduct comprehensive assessments of referred member's needs / eligibility
• Accurately collects and prepares reports on data requested for utilization review/case management and/or quality purposes, and sends reports or directly reports data to necessary parties
• Coordinates care in conjunction with physicians and other staff to facilitate effective use of clinical and financial resources
• Evaluates level of care for appropriateness and communicates pertinent clinical information to physicians, payors and others as needed
• Proactively recommends, on an ongoing basis, the most effective mix of available clinical resources to treat the patient's condition while making prudent use of the patient's health care benefits