Registered Nurse (Cardiology)

Novocardia, a division of CVAUSA, is on a mission to revolutionize cardiovascular care and empower clinicians across the United States to consistently deliver high-quality, prevention-focused, value-based, patient-centered care. We are deeply passionate about improving care quality, and providing more Americans with access to great, evidence-based chronic disease care.

We are looking for a Registered Nurse with high integrity, and is goal-oriented, a proactive team player and passionate about improving the quality of cardiology care. REMOTE WORK FROM HOME POSITION IN THE ORLANDO, FL AREA- must already reside in central Florida/Orlando area.

The Registered Nurse will function as a critical member and leader of the clinical team. This role involves remote patient management, leadership responsibilities, and overseeing the clinical team to deliver high quality, patient-centered care in each aspect of our value-based care programs. The RN will work closely with interdisciplinary teams to optimize health outcomes for patients with chronic cardiovascular conditions. Provide comprehensive care management for cardiology patients, including vascular, EP, general cardiology, the Heart Failure program and Transitional Care Management program. Work with a health coach to develop, implement, and monitor personalized care plans that address patient needs, including medication management, lifestyle modifications, and symptom management. Conduct remote patient assessments to evaluate health status, identify care gaps, SDOH, and comprehensive, holistic chronic care needs. Respond to patients' clinical changes by performing a comprehensive assessment, updating medication regimens, implementing remote patient monitoring protocols, and making necessary adjustments to treatment plans to ensure optimal patient outcomes. Working closely with the clinical team and providers, ensure that interventions, care coordination, and closed communication are delivered and address patients’ needs. Educate patients and their caregivers on disease management and prevention of hospital admissions, emphasizing adherence to care plans, preventive care strategies, risk reduction. Deliver comprehensive transitional care management, ensuring continuity of care, reducing readmissions, ensuring timely visits, and completing medication reconciliation. Provide clinical leadership to a team of clinical staff to deliver high-quality patient-centered and appropriate care. Ensure team adherence to clinical protocols, best practices and regulatory requirements. Collaborate with interdisciplinary teams, including cardiologists, primary care providers, APPs, social workers, care coordinators, to align care delivery across the continuum. Maintain accurate and timely documentation in electronic health record (EHR) systems, and care management platforms, adhering to organizational and regulatory standards. Ensure compliance with HIPAA, CMS guidelines, and other healthcare regulations