Cardiac Nurse Case Manager

Davies
Orlando
Workplace: RemoteFull timeUSD 78,000 - 85,000 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 3+ yearsSkills: ["Critical thinking","Problem-solving","Organization","Time management","Communication","Relationship building","Independent work","Customer service"]

Provide telephonic nurse case management and clinical oversight for complex cardiac and cardiovascular workers’ compensation claims for Florida first responders. Assess, coordinate, and monitor evidence-based treatment, documentation, and return-to-work progress. Serve as a client-facing clinical liaison, participate in weekly claim review meetings, and recommend interventions including utilization review, medical director consultation, and vocational referrals. Maintain compliant, timely case notes in claims systems and ensure quality, cost-effective outcomes.

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Davies
Davies
13 hours ago

Cardiac Nurse Case Manager

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Last checked: 13 hours agoStatus: Live

Job Summary

Provide telephonic nurse case management and clinical oversight for complex cardiac and cardiovascular workers’ compensation claims for Florida first responders. Assess, coordinate, and monitor evidence-based treatment, documentation, and return-to-work progress. Serve as a client-facing clinical liaison, participate in weekly claim review meetings, and recommend interventions including utilization review, medical director consultation, and vocational referrals. Maintain compliant, timely case notes in claims systems and ensure quality, cost-effective outcomes.
Location: Orlando
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Provide telephonic case management services and clinical oversight across the continuum of care for cardiac/cardiovascular workers’ compensation claims.
  • •Conduct clinical assessments, develop individualized case management plans, and evaluate medical necessity and treatment effectiveness using evidence-based medicine and Florida guidelines.
  • •Coordinate and facilitate communication among injured workers, employers, adjusters, attorneys, providers, and rehabilitation professionals to support efficient claim resolution.
  • •Participate in weekly client claims review meetings by preparing clinical summaries, action plans, and recommendations; identify barriers and cost drivers.
  • •Maintain compliant, accurate clinical documentation and case notes in claims systems; monitor adherence/outcomes and recommend referrals or clinical interventions when indicated.
Travel: Low travel

Pay and Benefits

Salary: USD 78,000 - 85,000 annually
Perks:Health InsuranceDentalVision401kPaid LeavePaid HolidaysLife InsuranceLong-term DisabilityRemote Work

Key Requirements

  • •Current Registered Nurse (RN) license in good standing; compact license preferred.
  • •3+ years of clinical nursing experience in cardiology and/or related specialties (e.g., ICU/CCU, emergency department, occupational health, medical-surgical, or case management).
  • •3+ years of Workers’ Compensation case management experience.
  • •Experience managing cardiac/cardiovascular or other complex medical claims preferred.
  • •Case Management (CCM) certification preferred; experience with public sector/first responder populations and Florida Workers’ Compensation claims strongly preferred.
Experience:3+ yearsWorkers' compensationHealthcareCardiologyFirst respondersFloridaCase management
Skills:Critical thinkingProblem-solvingOrganizationTime managementCommunicationRelationship buildingIndependent workCustomer service
Licenses:Registered Nurse (RN)
Certifications:CCM
Tech Stack:Claims management systemsElectronic medical recordsMicrosoft Office

Company Brief

Davies
Davies is a specialist professional services and technology firm delivering claims, underwriting, and risk solutions to insurers, reinsurers, brokers and regulated businesses globally, with major capabilities in claims management, forensics, and digital transformation.
Industry: Consulting
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Established Company
Valuation: Unicorn (USD 1B+)
Funding: Private Equity Backed
Headquarters: City of London, United Kingdom
Founded: 1968
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Glassdoor: 3.8
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