Cardiac Telephonic Nurse Case Manager

MDD Forensic Accountants

Cardiac Telephonic Nurse Case Manager managing cardiac Workers' Compensation cases. Collaborating with healthcare teams to support recovery and return-to-work outcomes.

Posted 7/14/2026full-timeRemote • Alabama • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced cardiac clinical knowledge and expertise in evaluating and coordinating treatment plans for cardiovascular conditions. Proficient in case management, compliance with treatment guidelines, and effective communication with healthcare providers and injured workers.

Highest-signal resume keywords

Active Registered Nurse (RN) LicenseCardiac Clinical ExperienceWorkers' Compensation Case ManagementClinical Assessment SkillsCare Coordination

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Cardiac Treatment ProtocolsMedical Record ReviewDiagnostic Testing InterpretationTitrating Cardiac DripsMonitoring Complex Cardiac ConditionsCardiovascular Case ManagementInterventional Radiology SupportCardiac Catheterization Lab ExperienceEvidence-Based Treatment GuidelinesReturn-to-Work Evaluation

Soft Skills

Communication SkillsPatient AdvocacyTeam CollaborationMentoringProblem-Solving

Tools & Technologies

Electronic Case Management Systems

Certifications & Qualifications

Registered Nurse (RN) License

Industry Keywords

Cardiovascular ConditionsWorkers' CompensationHIPAA ComplianceQuality Improvement InitiativesState Treatment Guidelines

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Medical, dental, and vision plans to support your health and that of your family
A 401(k) plan with employer matching
Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees
Paid holidays
Life insurance and short-term and long-term disability coverage
Paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements