Cardiac Nurse Case Manager

Our Story

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America , we’re 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.

Davies North America is growing! We are currently looking to fill our Cardiac Nurse Care Manager role. The perfect candidate will be responsible for the clinical management and independent decision-making associated with complex cardiac-related workers' compensation claims involving Florida first responders, including law enforcement officers, firefighters, correctional officers, EMTs, paramedics, and other eligible employees covered under Florida's Heart/Lung Bill and related presumptive legislation.

You will provide telephonic case management services and clinical oversight throughout the continuum of care for cardiac and cardiovascular-related claims. Monitors, analyzes, evaluates, and coordinates high-quality, evidence-based medical treatment and ancillary services to ensure appropriate medical management, timely recovery, and cost-effective outcomes. Performs ongoing assessments of the injured worker's medical status, treatment progression, functional capacity, and return-to-work potential when medically appropriate.

Also serve as a key client-facing clinical resource, partnering closely with claims professionals, employers, attorneys, medical providers, and client stakeholders. Participates in weekly client claims review meetings, providing clinical updates, identifying barriers to claim resolution, discussing treatment plans and outcomes, and making recommendations to support effective claim management and client satisfaction.