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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 (xxx-xxx-xxxx


Results-focused RN eager to offer solid talents in Case Management, Discharge Planning, and Patient Relations, as well as Emergency Room and Med-Surg Nursing skills, toward maximizing your success.


High-Volume Case Analysis / Management Insurance Case Management Workers Compensation

Utilization Review Discharge Planning Patient / Physician Relationships HIPAA Compliance

Patient Interviewing InterQual Criteria Treatment Planning Home Care Facility Marketing


         Integral leader who offers proven skills in the coordination and delivery of responsible case management initiatives in alignment with facility or individual needs, along with ensuring responsible practices based on strict standards.

         Excellent communicator who establishes beneficial relationships with patients of various cultural and economic backgrounds while seamlessly interfacing with physicians, healthcare teams, families, and insurance companies.

         Out-of-the-box thinker who plans, prioritizes, and manages case-specific tasks in high-pressure environments.


Education & Professional Credentials


Associate s Degree in Nursing Gateway College


ACM Hospital Case Management (Projected November 2016) American Case Management Association

Previously Achieved Commission for Case Management Certification (CCMC) (1999 2000)


Registered Nurse (State of Florida State of Wisconsin) BLS Certification (Projected November 2016)

Previously Licensed in North Carolina and Colorado for Insurance-Related Telephonic Case Management


Professional Synopsis


Nurse Case Manager Central Florida Regional Hospital HCA, Sanford, FL 2014 Present


         Capitalize on the opportunity to lead forward-thinking utilization review and discharge planning initiatives, including objectively interviewing new patients and assisting with appropriate and safe discharge planning, as well as comprehensively handling reviews for the insurance company using InterQual criteria in alignment with goals.


Nurse Case Manager Halifax Hospital, Daytona Beach, FL 2010 2014


         Utilized broad scope of industry knowledge toward handling utilization processes, including effectively interviewing new patients and assisting with appropriate and safe discharge planning to achieve objectives.


Marketing Nurse Indigo Manor Nursing & Rehabilitation, Daytona Beach, FL 2005 2010


         Strategically steered results-generating marketing endeavors for the hospital, including collaborating with physicians and healthcare teams to actively handle hundreds of patients with a typical daily caseload of up to 40 regular patients.

         Conceptualized, developed, and implemented dynamic marketing events while working with facilities, staff, and families.

         Led key patient admissions to nursing home or assisted living, and then transition from hospital to home healthcare.


Insurance Nurse Case Manager Liaison Florida Healthcare Plans, Daytona Beach, FL 2003 2005


         Drove healthcare success by proficiently covering all nursing homes and hospital patients / clients across the Volusia County and Flagler County areas, including managing length of stay and handling all facets of patient discharge plans.


Utilization Review Case Manager AIG Workers Compensation, Orlando, FL 2002 2003


         Liaised among case management professionals for patients and clients out of work and / or suffering from various injuries, including efficiently setting patients up with appropriate treatments, as well as facilitating follow up patient care.


Utilization Review Case Manager Humana Insurance, Daytona Beach, FL 2000 2002


         Expertly handled utilization review and discharge planning efforts, including interviewing new patients and assisting with safe discharge planning activities, as well as handling reviews for insurance company using InterQual criteria.


ER Nurse Florida Hospital Central Florida Regional Hospital 1992 2000


         Played a vital role in handling fast-paced Emergency Room nursing efforts for two high-profile, high-volume Central Florida-based hospitals, including proactively assessing patient needs and delivering quality-focused care at all times.

Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 (xxx-xxx-xxxx










Hiring Agent Name


Company Name


City/State/Zip Code




I am actively seeking relocation to [ Insert Metro Area ] and am interested in pursuing a challenging [ Insert Job Title ] role within your facility. Please kindly accept my resume for your careful review.


I can offer cross-functional experience in High-Volume Case Analysis / Management, Insurance Case Management, Utilization Review, and Discharge Planning. I am also well-versed in Patient Interviewing, Patient / Physician Relationships, InterQual Criteria, HIPAA, and Regulatory Compliance, among other areas.


To complement my background, please note that I graduated with an Associate s Degree in Nursing from Gateway College and am projected to attain my ACM credentials in Hospital Case Management from the American Case Management Association (ACMA) in November 2016. I am a Registered Nurse in the State of Florida and State of Wisconsin, and am additionally projected to attain BLS Certification in November 2016.


Currently, as a Nurse Case Manager with Central Florida Regional Hospital / HCA, I expertly lead forward-thinking utilization review initiatives. Within this role, I successfully interview new patients and assist with appropriate and safe discharge planning. I also comprehensively handle reviews for the insurance company using InterQual criteria in alignment with healthcare goals. [ Suggestion! Address Here Any Skills / Qualifications / Achievements Relevant to the Job Posting ]. As this is just a sampling of my job history, please refer to my enclosed resume for additional nursing, leadership, and healthcare facility marketing experience.


I look forward to hearing from you, as I believe the sum of these aforementioned reasons will prove me to be an incredible asset to your facility. Thank you in advance for your consideration.






Yyyyyy x. yyyyyy

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