Utilization Management Nurse Cover Letter

Utilization Management Nurse Cover Letter

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15 Utilization Management Nurse cover letter templates

What to include in a Cover Letter
1
Company Address
2
Salutation
3
Compelling Details
4
Respectful Closing

How to Write the Utilization Management Nurse Cover Letter

971 Anderson Path
Orlandoton, OR 71483
Dear Phoenix Braun,

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

In my previous role, I was responsible for a clinical review of the medical record to determine an admission status type of a patient.

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

  • Participates in the design, development and implementation of the RMS and MCG.*
  • Serves as the go to person for general questions related to the RMS and MCG.*
  • With UM Director, ensures optimal use of RMS/MCG
  • Collaborates with other health care providers in reviewing actual and proposed medical care and services against CMS and MCG guidelines.*
  • Gathers clinical information and applies the appropriate policy, procedure and clinical judgment to render coverage recommendation along the continuum of care
  • Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
  • Lends expertise to other internal and external constituents in the coordination and administration of the utilization management / benefit management function
  • Interface with sales/account managers as appropriate to meet customer’s needs

Thank you for taking your time to review my application.

Sincerely,

Emerson Ebert

Responsibilities for Utilization Management Nurse Cover Letter

Utilization management nurse responsible for administrative support includes setting up meetings, managing the Microsoft outlook schedules, attending product meetings, and preparing minutes.

Active Kentucky RN license
Experience with Microsoft systems with strength in Excel
Prior clinical experience preferably in skilled, rehabilitation or home health clinical setting
Experience with CGX, CCP2
Previous experience in utilization management, case management, discharge planning, sub-acute (SNF) and home health care
Skilled Nursing Facility experience is strongly preferred
Previous experience in utilization management, case management, discharge planning and/or chart reviews and audits
Daily queue management to include RN and Screener assignments.*

Utilization Management Nurse Examples

Example #1

Example of Utilization Management Nurse Cover Letter

63352 Williamson Pine
East Cristopher, OK 23785
Dear Marion Pfannerstill,

I submit this application to express my sincere interest in the utilization management nurse position.

Previously, I was responsible for clinical review and decisions including but not limited to: physician and member appeals, member or provider information/education.

Please consider my qualifications and experience:

  • Current RN licensure (unrestricted)
  • Managed Care experience, discharge planning experience, and/or experience with Milliman Care Guidelines preferred
  • Graduate of an approved NLN accredited School of Nursing
  • Current RN licensed in the State of Ohio
  • Experience with UR/UM in hospital acute care setting preferred
  • Previous experience with Case Management, Utilization Review, or Interqual criteria preferred
  • Knowledge of insurance guidelines and federal, state and local regulations preferred
  • BSN and previous UR/UM experience preferred

Thank you in advance for reviewing my candidacy for this position.

Sincerely,

Skyler Corwin

Example #2

Example of Utilization Management Nurse Cover Letter

75069 Zboncak Point
Valliestad, NE 29929-5546
Dear Hayden Rolfson,

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

Previously, I was responsible for insights & commentary of current & Outlook workforce reporting (including Capacity Creation) with clear linkages to drivers (inc.

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

  • RN or LVN License
  • Registered Nurse in good standing with an active state license
  • Previous managed care experience desirable
  • Knowledge of Medi-Cal & Medicare
  • Communicate and interact appropriately with all internal and external customers
  • Obtain and maintain current, active RN licensure in all states Permanente Advantage conducts business
  • Working knowledge of all local, state and federal and regulatory requirements
  • Excellent organizational, oral and written communication and problem-solving and decision making skills

I really appreciate you taking the time to review my application for the position of utilization management nurse.

Sincerely,

Spencer Boyle

Example #3

Example of Utilization Management Nurse Cover Letter

86993 Leannon Key
Lake Karrenstad, PA 51625
Dear Jordan Howell,

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

In my previous role, I was responsible for correspondence, written and verbal, in accordance to policy and procedure for members with respect to status of pre-certification and utilization review.

Please consider my qualifications and experience:

  • Knowledge of insurance guidelines and federal regulations preferred
  • Registered Nurse with Behavioral Health experience
  • Willingness to obtain RN licensure in other states as needed
  • Registered Nurse licensed in state of Missouri, BSN preferred
  • Proficient in the use of window-based computer programs
  • Previous experience in a medical management or managed care setting with prior authorization experience preferred
  • Proficiency with computer based programs such as Microsoft Word, Excel and SharePoint
  • Models and supports effective team interactions

Thank you for taking your time to review my application.

Sincerely,

Alexis Kris

Example #4

Example of Utilization Management Nurse Cover Letter

293 Gottlieb Bypass
Wunschborough, AR 69118-6846
Dear Indigo Konopelski,

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

Previously, I was responsible for committee support to Medical Policy Committee, Utilization Management Committee, Policy Review Committee and Benefit Review Committee.

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:

  • Perform discharge planning and identifying alternate treatment programs
  • Conduct episodic case management, consulting and collaborating with providers, members, and other resources as appropriate
  • Assessing, planning, and implementing options and services require to meet an individual’s health needs within the scope of their benefit plan
  • Current/active RN TN License
  • Resolve non-standard requests and problems
  • MIDAS, EPIC preferred
  • UM Certification
  • Demonstrated progressive leadership experience

Thank you in advance for reviewing my candidacy for this position.

Sincerely,

Corey Leuschke

Example #5

Example of Utilization Management Nurse Cover Letter

178 Lynne Circle
North Sean, ID 00630-2488
Dear Sutton Gleason,

I would like to submit my application for the utilization management nurse opening. Please accept this letter and the attached resume.

In my previous role, I was responsible for information to providers and members, including but not limited to coverage criteria and Medicare Part B benefit.

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

  • Professional image and behavior
  • Excellent windows-based navigation skills
  • Experience with URAC and NCQA accreditation process
  • Current, unrestricted Michigan Registered Nurse license
  • Provide utilization management (such as prospective concurrent and retrospective review) integrated with clinical care management (such as case management, disease management, and/or care coordination) to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services
  • Patient focused approach to problem solving, such as looking for opportunities to help each member achieve optimal health outcomes
  • Strong customer service skills including listening, patience, empathy, maintaining confidentiality and focus on meeting customer needs
  • Provides utilization management (such as prospective concurrent and retrospective review) to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services

Thank you for your time and consideration.

Sincerely,

Lennon Rowe

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