Cardiac Telephonic Nurse Case Manager (Medical)

TL;DR

Cardiac Telephonic Nurse Case Manager (Medical): Managing Workers' Compensation medical cases involving cardiac conditions with an accent on care coordination, medical necessity evaluation, and return-to-work outcomes. Focus on evaluating complex cardiovascular diagnoses, treatment plans, and monitoring recovery progress via telephonic case management.

Location: Fully remote within the United States

Salary: $80,000 - $85,000 / year

Company

A specialist professional services and technology firm supporting the risk and insurance value chain for highly regulated global businesses.

What you will do

• Review, evaluate, and coordinate treatment plans for cardiovascular conditions and cardiac procedures.
• Collaborate with cardiologists, healthcare providers, employers, and adjusters to optimize medical and return-to-work outcomes.
• Evaluate the medical necessity of cardiac treatment plans using evidence-based guidelines and clinical best practices.
• Educate injured workers on cardiac diagnoses, medication compliance, and lifestyle modifications.
• Coordinate modified duty and transitional return-to-work opportunities.
• Maintain thorough case documentation and ensure strict compliance with HIPAA and privacy regulations.

Requirements

• Active Registered Nurse (RN) license with current state licensure.
• Minimum of 3 years of clinical nursing experience.
• Recent cardiac clinical experience is required (e.g., Cardiac Unit, ICU, Cardiology Practice, or Cath Lab).
• Ability to work independently in a telephonic case management environment.
• Strong understanding of cardiac treatment protocols, medications, and diagnostics.

Nice to have

• Minimum of 3 years of Workers' Compensation case management experience.

Culture & Benefits

• Comprehensive medical, dental, and vision insurance plans.
• 401(k) plan with employer matching.
• Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees.
• Paid holidays.
• Life insurance and short-term/long-term disability coverage.