Quality Improvement Nurse Cover Letter

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

Previously, I was responsible for analytical interpretation of STARS and HEDIS reporting, including executive summaries to plan and provider groups.

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

• Experience preparing documentation for auditors or project management
• Knowledge and understanding of the healthcare industry and regulatory requirements
• Registered Nurse (RN) with unrestricted, current license in the State of New Mexico or reciprocity
• Knowledge of accreditation requirements regarding appeals and quality management
• Experience using Total Quality Management (TQM) / Continuous Quality Improvement (CQI) methodologies
• Experience in quality management in a managed care environment, including regulatory compliance
• Experience interpreting, understanding, and applying accreditation standards
• Experience in risk mitigation

I submit this application to express my sincere interest in the quality improvement nurse position.

Previously, I was responsible for analytical interpretation of HEDIS/Stars reporting and develop recommendations, including executive summaries and presentations.

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:

• Registered Nurse with a California license
• Current knowledge in quality data collection functions or data abstracting and the development of data bases for quality monitoring and tracking
• Knowledge of software programs including proficiency in Microsoft Word, Excel, Power Point
• Working knowledge of PDSA and other performance improvement principles and practices
• Database management and data entry experience preferred
• Excellent interpersonal communication skills and Good PC skills, experience with MS Office programs and other computer applications
• Knowledge of Federal and State regulation / requirements
• Conducts review of member grievances related to Quality of Care and Quality of service issues

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

Previously, I was responsible for oversight for regional contract staff and coordinate the effort of retrieval of HEDIS and/or STARS records; complete medical record audits for HEDIS and/or STARS data collection or quality of care reviews as required.

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 NCQA, Title 22, Title 10, and other regulations governing provider participation in Managed Care
• Facility Site Review Master Trainer Certification
• Experience using the MIDAS computer system, or comparable database, highly desirable
• Federal and state licensing regulations and accreditation standards including The Joint Commission, CDPH, and CMS
• Collection and use of data, and statistical process control
• Legal process in California
• Medical staff functions
• Principles of change management

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

In the previous role, I was responsible for strategic leadership, management, and direction to the Medicare Quality-STARS and Member Experience teams to support the overall vision and goals.

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:

• Proficiency with computer programs, word processing, databases and spreadsheets
• Excellent interpersonal skills to be able to tactfully direct the efforts of diverse groups of health professionals toward performance improvement and risk reduction
• Analytic, problem resolution, persuasion and negotiation skills
• Active Nurse License
• Requires knowledge of Information systems and databases, principles such as work flow analysis, statistical analysis, work simplification and process improvement techniques as they apply to healthcare clinical operations
• Prefer someone with experience in a quality database platform or clinical outcomes system such as Premier, Crimson
• Strong interpersonal, verbal, written, and administrative skills
• Strong teamwork, interpersonal and customer service skills

I submit this application to express my sincere interest in the quality improvement nurse position.

Previously, I was responsible for direction and strategic leadership for HEDIS® performance for 60+ health plans across the National Landscape accounting for potential Stars revenue of 1.8B dollars.

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

• Prepares reports to support CMS reporting requirements for quality topics such as Serious Reportable Adverse Events
• Conducts medical record reviews to support regulatory requirements for the purposes of re-credentialing, HEDIS, Star Ratings and Medicare quality indicator reporting as needed
• Extract, collect, analyze and summarize performance data for quality of care issues, quality initiatives, HEDIS, surveys, and audits
• Proficiency with clinical data management and statistical quality tools
• Recent experience in use of Electronic Health Record for clinical documentation
• Computer Skills (i.e., Microsoft Excel, Microsoft PowerPoint, Microsoft Word, etc)
• Hospital Quality Measures (CMS & Joint Commission) - preferred
• Facilitation of various PI methodologies (Six Sigma, Lean, PDSA, etc)- preferred