Clinical Quality RN Cover Letter

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

Previously, I was responsible for experience managing at least 5 direct reports is highly preferred.

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:

• HEDIS experience preferred
• Familiar with NCQA, CMS, IHA, HEDIS, AHRQ resources and quality measures, Lean, Six Sigma, PDCA and/or other performance improvement methodologies
• Current and unrestricted RN licensure in applicable state
• Knowledge of HEDIS, knowledge of HEDIS measures
• CNL certification
• Charge or Resource Nurse experience
• Previous audit or quality assurance experience preferred
• Previous background in training and development preferred

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

Previously, I was responsible for current RN license in the state of Georgia.

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:

• CPHQ or CPHRM certification highly preferred, or willingness to obtain within the first 12 months of employment
• Peer Review/Quality Management department experience preferred
• Managed care experience, broad-base knowledge of current concepts, practices and procedures within the health care field related to various plan types (HMO, PPO, Medicare) preferred
• Preferred knowledge and understanding of QI functions in an MCO
• Preferred knowledge of Medicaid/Medicare
• Knowledge of Medicare Local Coverage Determination, National Coverage Determination and MCG criteria
• Knowledge and experience with clinical information technology preferred
• ART or ACLS/CPR certification at time of hire with commitment to get ART within 6 months of hire date

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

Previously, I was responsible for experience with the preparations of audit reports designed to bring results and findings to the attention of management, preferred.

Please consider my experience and qualifications for this position:

• Skilled, knowledgeable, and experienced in various Clinical Operations department operations and familiar with departmental policies and procedures Federal, State, and Local laws and regulations
• Skilled in the preparation of audit reports designed to bring results and findings to the attention of management
• Thorough knowledge of Managed Care practices and procedures
• Strong understanding of quality and auditing processes
• Good adult learning skills
• CNS (Clinical Nurse Specialist) is preferred
• Current, unrestricted RN licensure for the state of Wisconsin
• Experience with project management, program evaluation, team facilitation, data analysis, and/or case review

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

In the previous role, I was responsible for experience working with The Healthcare Effectiveness Data and Information Set (HEDIS).

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

• Current unrestricted RN licensure in HI
• Proficiency using a PC in a Windows environment, including MS Word
• High attention to detail, exceptional documentation abilities, and organizational skills
• Preferred experience with health plan Grievance and Appeals
• Registered Nurse (RN) with unrestricted license in state of operations
• Experience with internal/external customer relations
• PC experience to include Microsoft Word, Access, and Excel
• Current, unrestricted RN license in the state of Michigan

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

In my previous role, I was responsible for cCRN, CPAN or other Specialty Certification.

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

• Strong knowledge of CMS 5 Star, HEDIS, Risk Adjustment, and other Pay for Performance Programs
• Effective self-management, listening and negotiating skills
• Experience auditing peers
• Group presentation experience
• Knowledge of state and federal quality standards and regulations
• Clinical training in managed care capitated healthcare environment
• Knowledge of evidence based clinical practice guidelines
• High proficiency with an electronic practice management system/EMR