Senior Case Manager Cover Letter

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

In the previous role, I was responsible for resolution to srv complaints by Health Plan members, other Kaiser health care professionals, Dept heads, & employees.

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:

• Initiative ideas to streamline process on new business end-to-end process and other aspects to improve our service offering for HNW customer segment
• Maintain the production turnaround time of medical and non-medical cases fall within company benchmark
• Monitor the functioning of underwriting systems and recommend changes and enhancements to U&I Technical Team
• Handle enquiry from all channels via HNW Hotline or email and make sure the response is provided within the agreed time limit
• Policy order and screening
• Handle daily administration, eg
• Good knowledge about market operations and distribution management
• First point of contact on inbound calls and determines needs and handles accordingly

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

In my previous role, I was responsible for health care instructions to the member as appropriate per assessment and care plan.

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

• Experience with Case Manager 5.2, BPM, DataCap 9.1, eForms, Case Analyzer, and IBM P8 5.2 platform highly preferred
• Experience with P8 5.2 API to build custom ECM components preferred
• Knowledge of off-host scheduler and ETL processes preferred
• AIX and Microsoft experience (WAS, Active Directory, IIS, Windows Server) preferred
• Experience working in multi-platform environments
• Support ICSR distribution process through workload allocation
• Minimum of B.Sc
• Proficiency in technical safety systems including ARISg and medical

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

In the previous role, I was responsible for resolution to service complaints by Health Plan members, other Kaiser health care professionals, department heads, & employees.

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

• Creates and completes accurate applications for enrollment with a sense of urgency
• Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database
• Conducts outbound correspondence when necessary to help support the needs of the patient and/or program
• Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing
• Working alongside teammates to best support the needs of the patient population o Will transfer caller to appropriate team member (when applicable)
• Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance
• Update internal treatment plan statuses and external pharmacy treatment statuses
• Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry

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

In my previous role, I was responsible for leadership and direction to identify, plan and implement projects that tie strongly to the business strategic plan and corporate objectives.

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:

• Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information
• Notify patients, physicians, practitioners, and or clinics of any financial responsibility of services provided as applicable
• Serve as a liaison between client sales force and applicable party
• Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
• Log and maintain a reconciliation report for all Field requests to send to client at their designated preferred date range
• Support team with call overflow and intake when needed
• As needed conduct research associated with issues regarding the payer, physician’s office, and pharmacy to resolve issues swiftly
• Full SDLC experience with IBM Case Manager 5.2.x Solutions

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

In my previous role, I was responsible for sME knowledge related to Pharmacy Encounters to Corporate business and State Health plan resources.

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:

• SPHR, PHR, or CPDM certifications, or equivalent
• Experience providing case management services for a large, multi-state employer or on behalf of a carrier/TPA with clients in multiple states
• Exposure working from banks, insurance or super companies that manages claims will be advantageous
• Collaborative and influential
• Predictive Dialer experience preferred
• Registered Nurse (RN) with an active and unrestricted license in CT
• Home care or nursing home experience
• ICD-10 coding experience / knowledge