Care Coordination Cover Letter

I submit this application to express my sincere interest in the care coordination position.

In the previous role, I was responsible for information/education on appropriate community resources through triage process with individuals and alternate level of care providers.

Please consider my qualifications and experience:

• Registered Nurse with a license to practice in the State of New Jersey
• Current unrestricted /RN licensure along with a thorough and diverse knowledge of healthcare delivery, managed care regulations, utilization management, case management, and governmental home health agency regulations
• Experience in business and product development, preferred
• Knowledge of State and Federal regulations in regard to Utilization Management and accreditation standards URAC, NCQA
• Leadership or prior supervisory experience preferred
• Knowledge of clinical best practice and optimal care delivery practices
• Demonstrated knowledge of clinical operations and care management resources
• Demonstrates presentation/facilitation, teambuilding, and verbal and written communication skills

I submit this application to express my sincere interest in the care coordination position.

In the previous role, I was responsible for education congruent with patient needs, focusing on disease process, expected side effects of treatment and community 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:

• Current Arkansas resident
• Demonstrated knowledge of Medicare and Medi-CAL guidelines
• RN licensure is preferred
• Leadership experience in case management in a third party administration or managed health care setting preferred
• Information systems, Midas preferred
• Broad knowledge base of quality and cost efficiency practices with in the hospital setting
• Experience in establishing new programs related to care transitions and overall care coordination highly preferred
• Knowledge of accreditation and licensure requirements desirable

Please consider me for the care coordination opportunity. I am including my resume that lists my qualifications and experience.

In my previous role, I was responsible for services under the direction of VP Care Coordination regarding clinical transformation (primary care redesign), population health and utilization management.

Please consider my experience and qualifications for this position:

• Multiple site management experience preferred
• Strong working knowledge of industry regulations including Medicare, Medicaid and Commercial HMOs and those covering IPAs and related organizations
• Familiarity with Medical Homes and ACOs
• Able to provide cooperative leadership and direction to the staff and physician group(s)
• Experience in utilization review or care/case management
• A combination of experience, education and training which substantially demonstrates knowledge, skills and abilities as a leader able to rapidly lead change in a complex healthcare environment across multiple disciplines and departments
• Knowledge of external requirements that impact the department, such as JCAHO and Department of Health
• Knowledge of information systems to support the evaluation of current capacity future needs

In response to your job posting for care coordination, I am including this letter and my resume for your review.

In the previous role, I was responsible for expertise, evaluation, resources, and education/training related to support documentation of patient care/status in a manner which:.

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 in the areas of population health, case management, utilization management, and/or social services preferred
• Previous management experience is preferred.Special Knowledge, Skills, Abilities
• Experience in developing presentation material in all types of media and format
• Experience in holding a variety of communication sessions including one-on-one, class room settings and web based programs
• Intermediate proficiency with Microsoft Office Suite.Travel
• Extensive understanding of case management practices and knowledge of reimbursement methodologies
• Effective leadership, human relations and communications skills
• Current Arkansas RN license or current Social Work license

I would like to submit my application for the care coordination opening. Please accept this letter and the attached resume.

In my previous role, I was responsible for ad hoc education (based on manager request or identified issue) for nursing related to case management, length of stay (LOS) and resource utilization and for the Case Managers in utilizing the principles and practices of patient flow so that patient care results in appropriate admission status and targeted LOS.

Please consider my qualifications and experience:

• Knowledge of reimbursement principles, utilization management and denials and appeals essential
• Knowledge of quality tools and principles (i.e., control charts, Donabedian principles, risk adjustment models) highly desirable
• Pertinent experience, track record, and training in medical management philosophy and practices
• Possesses an active Wisconsin RN nursing license or current Social Worker license
• Nationally recognized certification preferred, , Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified Professional Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP)
• Knowledge of HEDIS, PQRI, Core Measures, NCQA
• Proficient with design and prototyping tools such as Axure RP, Adobe Creative Suite, InVision, and an interest in learning new tools and techniques
• Knowledge of modern web based technology, responsive design, and familiarity with HTML, CSS, and JavaScript