Clinical Reviewer Cover Letter

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

Previously, I was responsible for supervision and collaborative oversight for CCS Practitioners who provide CCS Practitioner Services in the Service Area, consistent with the Collaborative Practice Agreements and any applicable Protocols, and in accordance with applicable state and federal law;.

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:

• Reviews, processes, and audits medical necessity
• Current, unrestricted FL Registered Nurse license
• Working knowledge of computers and programs such as internet search engines, Outlook, and Microsoft Office suite
• Thorough understanding of the drug development process, knowledge of ICH Guidelines and GCP including a basic understanding of regulatory requirements in other countries
• Depending on business need
• General knowledge of clinical trial processes and/or experience working with clinical data
• Familiarity with Microsoft Excel preferred
• LPN state license and registration preferred

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

In my previous role, I was responsible for real-time oversight of USAMRMC-supported research protocols through timely documented reviews of protocol lifecycle actions to assure ongoing compliance with all applicable Federal, DoD, DA, state, host nation, and USAMRMC HSP regulatory requirements.

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:

• Expertise in Human Subjects research
• Current RN license or CPT Coding Certification
• Beginner level in Microsoft Office
• Previous Microsoft Access experience
• Oxford Claims experience
• Current unrestricted PA Practical Nurse license or PA Registered Nurse license
• Valid State ofMassachusettsRegistered Nurse
• Clinical knowledge of assigned clinical conditions and physiological systems to discern the impact of specific indicators on outcomes and to identify potential gaps in clinical care processes

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

In the previous role, I was responsible for leadership to the Prior Authorization program and review Prior Authorization requests, including gathering medical information, making coverage decisions, and communicating with patients, physicians or pharmacists as required.

Please consider my experience and qualifications for this position:

• Utilization Management experience with Medicare Part D
• Unrestricted current and valid license to practice pharmacy in the state of Massachusetts and/or in any other relevant/applicable state
• Experience in direct supervision of technical support staff for clinical and/or service and operational programs is desirable
• RN from an accredited school of nursing
• Well organized with a sense of urgency and responsibility for project and time management
• Necessary to have efficient competency to complete assigned projects on time and follow through with supervisor when necessary
• Good transferable project experience across phases I - III drug development
• Experience managing and interpreting the results of clinical trials

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

Previously, I was responsible for guidance to laboratory staff as required by applicable state and federal regulations.

Please consider my qualifications and experience:

• Experience being on a data review team is desirable focusing on good communication, passion for customers and working collaboratively
• Solid clinical knowledge in Behavioral Health
• CCM, CPUR, CPUM or other applicable certification(s) desirable
• Current CT license
• Successfully completes the SCR training program
• Attain Certification upon eligibility
• Clinical knowledge and understanding of patient care related to data collection and identification of areas for quality improvement
• Experience gathering information in a complex hospital system environment

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

Previously, I was responsible for for (1) cost-effective use of patient care resources and case delivery at the most appropriate level; (2) collaboration with the medical staff on resource utilization issues; and (3) compliance with, public program contracts and applicable federal and state regulatory mandates.

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:

• Previous Clinical chart review and abstraction experience preferred
• RN licensed preferred
• Pediatrics or Emergency Room settings preferred
• Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follow appropriate reporting requirements
• Working knowledge of Cardiovascular nursing standards and best practices
• Knowledge of surgical processes and terminology
• Strong understanding of clinical care of Cardiovascular patients*
• Understands performance improvement techniques and is able to implement tools to achieve improvements*