Utilization Review Nurse Cover Letter

Utilization Review Nurse Cover Letter

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15 Utilization Review 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 Review Nurse Cover Letter

28283 Oneida Parkway
West Lazarostad, OH 95386
Dear Avery Flatley,

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

Previously, I was responsible for consultation to medical and nursing staff, health information management, payers, patients, and patients on potential issues with reimbursement of hospitalization.

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:

  • Acute care hospital nursing experience
  • LPN or RN license in State of Arizona with business/revenue cycle experience preferred or equivalent experience in both a business and clinical setting
  • Experience in an acute care case management department is preferred
  • Demonstrated compentency utilizing healthcare data
  • Proficient in MS Office within a Windows-based environment, Citrix, JIVA, Streamline, and SharePoint
  • Utilization Review experience highly preferred
  • Professional certification as CCM, CDMS, SRS, CVE, and/or CRRN
  • Computer literate and competent (keyboard/automation skills)

Thank you for taking your time to review my application.

Sincerely,

Briar Anderson

Responsibilities for Utilization Review Nurse Cover Letter

Utilization review nurse responsible for concurrent admission, continued stay and retrospective reviews to insurance company staff as contractually required and in accordance with medical necessity and InterQual / MCG guidelines.

Requires an LPN or LVN
Capable of performing NFR
Six months or more experience in a call center environment
Experience in conducting utilization review in a healthcare organization (Home Health/Hospice/Skilled Nursing Facility, Long-term care center,medical clinic)
Experience in a leadership role such as a manager, charge nurse, team leader
Previous Utilization Review or Managed Care experience preferred
Great computer skills including solid understanding of how to use email programs, Word, Excel
Frequent interactions with providers, members that require employee to verbally communicate her and understand spoken information, needs and issues accurately

Utilization Review Nurse Examples

Example #1

Example of Utilization Review Nurse Cover Letter

62075 Coy Ford
South Hal, NM 21081
Dear Quinn Kilback,

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

In my previous role, I was responsible for information and education on quality and performance improvement processes to medical supervisory staff.

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:

  • Nurse with active unrestricted license in USA
  • Experience in Prior Authorization preferred
  • MS Office Experience Preferred - Specifically MS Excel
  • Knowledge of medical/pharmacy terminology/coding and managed care processes
  • Graduation from an accredited nursing education program
  • Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) preferred
  • Current active unrestricted CA RN License
  • If LPN, relevant experience in discharge planning and evaluation in a hospital setting

Thank you for considering me to become a member of your team.

Sincerely,

Armani Friesen

Example #2

Example of Utilization Review Nurse Cover Letter

6536 Sporer Union
Jackistad, OH 89194
Dear Parker Dietrich,

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

Previously, I was responsible for insight and direction to management on any compliance concerns regarding products, company policies and procedures and/or client specifications.

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 of managed healthcare programs - HMO, PPO, and POS are preferred
  • Current/valid State of Florida Registered Nurse (RN) license
  • Current BLS (Basic Life Support) certification from the AHA (American Heart Association)
  • Possesses effective interpersonal skills, can work across departmental boundaries and facilitates problem resolution
  • Knowledge of the functional operations of utilization management, care coordination and transitions of care
  • Available to work a flexible schedule to meet organizational needs
  • Excellent communication, consultancy, facilitation and conflict resolution skills
  • Experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions

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

Sincerely,

Azariah Waelchi

Example #3

Example of Utilization Review Nurse Cover Letter

73998 Bayer Islands
South Omar, AL 28270
Dear Casey D'Amore,

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

Previously, I was responsible for educational assistance to providers and physicians regarding covered and non-covered care for medical/surgical and/or psychiatric claims, as well as appropriate network utilization.

Please consider my experience and qualifications for this position:

  • Clinical expertise maintained through periodic CEU course attendance
  • Active RN license in the state of AL
  • Prior clinical experience preferably in an acute care and home health
  • Excellent customer service skills and exceptional telephone etiquette
  • Overall understanding of payer contracts and government/regulatory compliance
  • Understands payer guidelines, reimbursement methodologies, and appeals process
  • Commercial or managed care payer background
  • Active Florida Registered Nursing license

Thank you for taking your time to review my application.

Sincerely,

Dylan Kiehn

Example #4

Example of Utilization Review Nurse Cover Letter

342 Thuy Forge
Graigmouth, VT 26407-8047
Dear Oakley Fisher,

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

In my previous role, I was responsible for education to employees around medical necessity and supporting documentation as indicated from regulatory standards.

Please consider my qualifications and experience:

  • Should not be easily frustrated and should be able to cope with disappointment
  • Demonstrated competency utilizing healthcare data
  • May serve as a preceptor for new employees
  • Knowledge of Medicare & Medi-Cal guidelines
  • Current BLS card per Registered Nurse (RN) Case Manager contract requirements
  • Current physical exam per state or Registered Nurse (RN) Case Manager contract requirements
  • Graduation from an accredited school of nursing with current RN licensure in the State of Indiana
  • Previous experience preferred in case management, utilization review, quality management and/or discharge planning

Thank you for considering me to become a member of your team.

Sincerely,

Robin Barton

Example #5

Example of Utilization Review Nurse Cover Letter

9823 Jamika Streets
Sanfordtown, IA 52693-2755
Dear Shiloh Armstrong,

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

In the previous role, I was responsible for nursing and medical services to students emphasizing health promotion, health maintenance, illness management, and disease prevention.

Please consider my qualifications and experience:

  • Knowledge of precertification and/or medical review processes in a health care payor or third party
  • Proficiency with Microsoft Office products (Outlook, PowerPoint, Excel and Word)
  • PDF files
  • Excellent investigational, analytical, organizational and critical thinking skills
  • Detail oriented with analytic perspective
  • Knowledge of criteria used to review for medical necessity (InterQual)
  • Active Ohio State Registered Burse license
  • California Registered Nurse (RN) preferred

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

Sincerely,

Lennon Pagac

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