Manager, Case Management Cover Letter

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

Previously, I was responsible for regular feedback to providers, inpatient case managers, and utilization management coordinators on the appropriateness of complex case management referrals.

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

• Experience in overseeing programs that address capacity and LOS issues
• Advanced clinical skills in area of expertise (Utilization Review and Discharge Planning)
• Proficient knowledge and understanding of utilization management, healthcare finances, alternative options, goals and outcomes and regulatory and professional implications
• Very good to excellent communication and critical thinking skills
• Able to work collaboratively with interdisciplinary team
• Knowledge of team building skills and principles of self-managed work teams
• Proficient with information systems and computer programs such as Word, Excel
• CA licensed LCSW or RN

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

Previously, I was responsible for engaged leadership to facility Executive Staff and facility Case Management Directors with Case Management and Utilization Management issues.

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

• Application of InterQual® and or Milliman® Criteria set
• Assessment of appropriate use of hospital services and care coordination
• Current license of RN in Florida or licensure from another state with verification of application of eligibility for Florida licensure by endorsement
• Current RN license in Maryland
• Considerable clinical knowledge in various settings with working knowledge of management principles
• Considerable knowledge of the principles and practices of case management including utilization review
• Substantial background in management in an acute care setting
• Registered Nurse with active and unrestricted license in the state of FL or Social Worker

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

In the previous role, I was responsible for operational management, overall leadership and strategic planning for the Case Management / Utilization Management department, including pre-admissions review, utilization review, social services, and discharge planning.

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:

• Behavioral health and case management experience preferred
• Leadership, collaboration, and motivational skills
• Enthusiastic, innovative and flexible
• Provide expert advice and management of program case and stakeholder activities within the Office of Housing Coordination
• Support councils, industry and Government stakeholders to resolve issues
• Establish and foster collaborative relationships with proponents, Councils, and other state government agencies
• Drive housing supply in accordance with State Government Policy
• Lean-Six-Sigma or ITIL certification would be appreciated

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

In the previous role, I was responsible for clinical social work services, case management and discharge planning within the continuum of care.

Please consider my qualifications and experience:

• E2E thinking, understanding of E2E processes
• Self-starter and willingness to dig in into Case Mgt systems, Reporting and data sets
• Reporting knowledge and experience
• Experience in interfacing with a development team would be appreciated
• Certified Case Manager - Interqual and/or Milliman knowledge - Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State Department of Health (NYSDOH) regulations governing medical management in managed care
• Certified Case Manager - Interqual and/or Milliman knowledge
• Strong Communication skill and strong English written & spoken
• Keen insights to recognize operational gaps and mitigate quickly

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

In my previous role, I was responsible for guidance to Case Management staff to ensure program and utilization goals are met/exceeded.

Please consider my qualifications and experience:

• Access data in computer data base
• Motivational Interviewing Skills experience preferred
• Two yrs experience working with a medical group or IPA performing utilization review with managed care plans strongly preferred
• Familiarity with regulatory requirements for managed care and HMOs
• Prior experience providing supports and services to individuals with intellectual and developmental disabilities preferred
• Clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
• Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders
• LSCW or RN preferred