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Cardiac Telephonic Nurse Case Manager
Job Location:
Yearly Salary:
Posted:
15 July 2026 (30+ days ago)
Posted:
Application Deadline:
12 October 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Our Story
Imagine being part of a team thats not just shaping the future but actively driving it. At Davies North America were at the forefront of innovation and excellence blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group we help businesses navigate risk optimize operations and spearhead transformation in the insurance and regulated sectors.
We are seeking an experienced Cardiac Telephonic Nurse Case Manager to manage Workers Compensation medical cases involving cardiac conditions and related treatment addition to traditional telephonic case management responsibilities this role requires a strong clinical background in cardiac care and the ability to evaluate complex cardiovascular diagnoses treatment plans procedures medications and recovery progress.
The ideal candidate will leverage their clinical expertise to coordinate care identify barriers to recovery facilitate appropriate return-to-work outcomes and ensure injured workers receive high-quality evidence-based treatment throughout the continuum of care.
Key Responsibilities
- Utilize advanced cardiac clinical knowledge to review evaluate and coordinate treatment plans involving cardiovascular conditions cardiac procedures and related medical care.
- Monitor recovery progress and treatment outcomes for injured workers with cardiac injuries diagnoses or comorbidities.
- Collaborate with treating physicians cardiologists healthcare providers employers adjusters and injured workers to support optimal medical and return-to-work outcomes.
- Evaluate medical necessity and appropriateness of cardiac treatment plans utilizing evidence-based treatment guidelines and clinical best practices.
- Identify barriers to recovery specific to cardiac conditions and develop appropriate intervention strategies.
- Educate injured workers regarding cardiac diagnoses treatment recommendations medication compliance lifestyle modifications and recovery expectations as appropriate.
- Review medical records treatment plans diagnostic testing and provider recommendations.
- Encourage injured worker participation in treatment and recovery plans.
- Evaluate return-to-work capabilities and discuss restrictions with providers and employers.
- Obtain and review job descriptions to assist providers in determining appropriate work capacity.
- Coordinate modified duty and transitional return-to-work opportunities when medically appropriate.
- Adhere to state treatment guidelines evidence-based protocols account requirements and organizational standards.
- Monitor compliance with ODG ACOEM state-specific treatment guidelines and utilization criteria as applicable.
- Identify cases requiring utilization review physician review pre-certification pre-authorization concurrent review or retrospective review.
- Track treatment outcomes disability durations and return-to-work progress.
- Maintain timely accurate and thorough case documentation within electronic case management systems.
- Ensure compliance with HIPAA and all applicable state and federal privacy regulations.
- Serve as a patient advocate while maintaining legal ethical and regulatory standards.
- Participate in quality improvement initiatives client meetings and team collaboration activities as needed.
- Assist with training mentoring and knowledge-sharing opportunities when appropriate.
- Perform additional duties and special projects as assigned.
Skills knowledge & expertise
- Active Registered Nurse (RN) license with proof of current state licensure.
- Minimum of 3 years of clinical nursing experience.
- Minimum of 3 years of Workers Compensation case management experience preferred.
- Recent cardiac clinical experience is required.
- Cardiac experience may include one or more of the following:
- Working on a Cardiac Unit or Cardiac Step-Down Unit.
- Critical Care/ICU experience managing cardiac patients.
- Experience titrating cardiac drips and monitoring complex cardiac conditions.
- Employment within a Cardiology Practice or Cardiology Provider Office.
- Interventional Radiology experience supporting cardiac procedures.
- Cardiac Catheterization Lab experience.
- Cardiovascular Case Management experience.
- Other direct cardiac care experience involving the treatment and management of cardiac patients.
- Strong understanding of cardiac conditions treatment protocols procedures medications diagnostics and recovery planning.
- Ability to independently review and interpret medical records treatment plans diagnostic studies and physician recommendations.
- Strong clinical assessment care coordination and communication skills.
- Ability to work independently in a telephonic case management environment.
Equal Employment Opportunity & Legal Notices
Benefits
At Davies North America we are dedicated to supporting the wellbeing and future of our qualifying employees. Our comprehensive benefits package includes:
- Medical dental and vision plans to support your health and that of your family
- A 401(k) plan with employer matching
- Timeoff policies including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for nonexempt employees
- Paid holidays
- Life insurance and shortterm and longterm disability coverage
Benefit offerings eligibility and required employer contributions may vary based on role classification and applicable federal state and local laws including those tied to an employees primary work location.
Where required by law the Company provides paid sick leave paid family and parental leave and other mandated benefits in accordance with applicable state and local requirements.
Diversity and Inclusion
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity and we actively promote an environment where all voices are valued and heard.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills experience qualifications and geographic location which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Background Check & Fair Chance Compliance
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills experience qualifications and geographic location which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Background Check & Fair Chance Compliance
Any background check or review of criminal history if applicable to the role will be conducted only after a conditional offer of employment and in compliance with applicable federal state and local laws including fairchance hiring requirements.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Required Experience:
Manager
