RN Care Manager – Cardiac

About Cardiac Care Alliance (CCA)

Cardiac Care Alliance is a Management Services Organization (MSO) dedicated to building a high-performance cardiovascular network. We work in close partnership with independent cardiologists to complement fee-for-service care with value-based care (VBC) models. Our mission is to improve patient access, outcomes, and experiences by delivering proactive, patient-centered care across the cardiac continuum.

Position Summary

CCA is seeking experienced Registered Nurse (RN) Care Managers to support a high-acuity population of patients with complex cardiac conditions, including congestive heart failure (CHF) and other comorbidities. This is a full-time, remote, hourly contract position focused on delivering advanced clinical support through clinical triage, care plan development, and high-risk care management, including Transitional Care Management (TCM), Principal Care Management (PCM), Complex Care Management (CCM), Remote Patient Monitoring (RPM), and other applicable clinical programs.

This role is integral to our population health initiatives — proactively supporting at-risk patients with data-informed outreach, continuity of care, and patient-centered engagement. You'll help reduce avoidable hospitalizations, support patient self-management, and contribute to better long-term cardiac outcomes.

This position also serves as the clinical escalation point for non-RN Care Coordinators, supporting continuity and collaboration across the care team.

Key Responsibilities

Perform comprehensive clinical assessments via phone

Develop and update individualized care plans for cardiac patients

Conduct clinical triage and determine escalation needs

Lead TCM efforts post-discharge, including medication reconciliation

Provide patient and caregiver education

Coordinate with providers and community resources

Serve as the initial point of contact for escalations and provide clinical oversight to Care Coordinators

Document all patient encounters in accordance with CMS requirements

Assess home safety and social determinants of health (SDOH) barriers; escalate resource needs where appropriate

Maintain proactive communication with Cardiologists, PCP offices, and other clinical partners

Review and act on population health dashboards to address care gaps (annual wellness visits, missing labs, symptom monitoring, etc.)

Clinical Escalation Responsibilities

Review reports of CHF symptom worsening

Triage symptoms such as chest pain or irregular heartbeat

Assess medication side effects

Determine need for urgent care or ED visit

Assist with advanced care planning or palliative care/hospice guidance

Coordinate urgent appointments with cardiology partners

Scope of Practice and Limitations

This role includes clinical assessment, nursing triage, patient education, and care coordination in line with industry standards for RN-led care management. RN Care Managers are expected to:

Conduct comprehensive assessments and reassessments to identify high-risk patients

Develop and implement patient-centered, evidence-based care plans

Perform medication reconciliation and monitor adherence

Identify and address gaps in care

Facilitate communication across the care team

Document clinical findings and interventions per CMS and organizational guidelines

Participate in interdisciplinary case conferences and quality improvement initiatives

This role does NOT include:

Prescribing medications (non-APRN role)

Diagnosing new medical conditions

Independent billing or claims processing

In-person patient visits

Initiating or modifying treatment plans outside of established protocols or without provider input

Qualifications

Required:

Active RN license in Texas or a compact state

2+ years of cardiac care or care management experience

Knowledge of chronic conditions, especially heart failure and associated comorbidities

Excellent communication and documentation skills

Preferred:

Based in the Dallas/Fort Worth area

Experience with EHRs and Remote Patient Monitoring (RPM)

Bilingual (Spanish/English)

Position Details

Employment Type: Full-Time, W-2 Contract

Schedule: 40 hours per week, Monday–Friday

Compensation: $45–$60/hour (based on experience)

Work Environment: 100% Remote (Dallas/Fort Worth area preferred)

Potential for ongoing engagement or full-time employment for the right candidate

Must have a dedicated, private workspace suitable for handling PHI, a secure internet connection, and comply with HIPAA and patient privacy policies at all times

Originally posted on Himalayas