Registered Nurse Case Manager Cover Letter

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

In my previous role, I was responsible for support to local and regional Managed Care negotiators to support negotiation of effective contracts and to ensure ongoing payer compliance by resolving problems and advising of new payer protocols, policies and procedures at a national and local level.

Please consider my qualifications and experience:

• Proficiency in MS Office Word, Excel and windows-based systems
• Excellent written and verbal skills in communicating with Members, Caregivers and providers
• Current Colorado RN or compact license
• Current Licensure in the State of Kansas as a Registered Nurse (RN) or Current Multi-State Licensure as a Registered Nurse (RN)
• Current Basic Life Support (BLS) verification course through American Heart Assoc
• Certification in case management or utilization review is preferred
• InterQual experience is preferred
• Demonstrates effective communication skills and knowledge of disease processes and normal growth and development for all age groups, in order to ascertain an accurate understanding of the patient's symptomology

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

In my previous role, I was responsible for clinical information requested by the managed care companies in accordance with contractual agreements.

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

• The role of the RN Case Manager is to assess each assigned patient referral to identify discharge planning needs, and collaborates with patient, family, significant other, and members of the health care team to develop and implement comprehensive plan of care and discharge plans
• Balances individual clinical and psychosocial patient/family needs with the efficient and cost effective utilization of resources, while promoting quality outcomes through the continuum of care
• Reviews and performs utilization review functions on each assigned patient per hospital policy and procedure
• Serves as a patient advocate, delivering quality efficient health care

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

Previously, I was responsible for timely clinical information to the managed care companies as part of contractual agreements.

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

• Facilitate communication among all treatment team members
• Issues applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare, Medicare Outpatient Observation Notice, Bundle Payment Care Initiative notification
• Hospital - Coordinates and integrates effective utilization management through chart review and interdisciplinary team collaboration to ensure appropriate resource utilization
• Assure that patients are placed on appropriate clinical pathway and protocols, individualizes patient care needs through consultation with the multidisciplinary team
• Applies knowledge of local, state and federal programs to expedite discharge while maintaining sound stewardship of healthcare resources
• Maintains clinical competency and current knowledge of community resources and payor requirements to perform job responsibilities
• Oversees the care of the patient from beginning to end of episode
• Collaborates with multi-disciplinary team

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

In the previous role, I was responsible for contractual quality assurance, control, and compliance, with guidance from the PM and Contracts Administrator as required.

Please consider my qualifications and experience:

• Provides skilled nursing care in a patient’s home as ordered
• Helps decrease re-hospitalizations by providing education on preventative measures
• Promotes continuity of care with appropriate admissions, transfers and discharges
• Counsels patient and family on the disease/injury processes and how to manage
• Oversees and supervises total care of patient provided by nurse aides and LPNs
• Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines
• The Health Risk Assessments are physical health risk assessments for a Managed Medicare Population completed by the customer with case management support
• Knowledge of community resources is also helpful