Remote Cardiac Care Navigator

Seamless Assist; Chicago (IL); Remote; USD 36,000 - 44,000; Full time

Job summary

Cardiac Care Alliance (CCA) is hiring full-time virtual Care Coordinators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). 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.

This position focuses on PCM, CCM, and TCM services via telephonic outreach and technology-enabled documentation

Qualifications

• Active MA certification or equivalent clinical credential.
• Minimum 2 years in care coordination, case management, or ambulatory care.
• Strong interpersonal communication by phone and in remote settings.
• Familiarity with CMS PCM, CCM, and/or TCM requirements.
• Technologically proficient with care coordination software or EHRs.
• Ability to work independently in a remote environment.

Responsibilities

• Conduct structured telephonic outreach to CHF and other complex cardiac patients.
• Maintain a caseload and use risk stratification to prioritize care.
• Complete initial assessments and timely follow-ups addressing symptoms and adherence.
• Assess home safety and SDOH barriers; escalate resource needs where appropriate.
• Advance care planning and specialty care follow-up.
• Review dashboards to address care gaps and ensure follow-up.
• Provide patient education and self-management support for CHF.
• Document care plans and patient goals in the CMS-aligned platform.

Skills

Interpersonal communication

Remote work capability

Independent work

Phone rapport

Education

Active Medical Assistant (MA) certification

Equivalent clinical credential (CNA, EMT, CHW)

Tools

Care coordination software / EHRs

Job description

Cardiac Care Alliance (CCA) is hiring full-time virtual Care Coordinators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). 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.

This position focuses on PCM, CCM, and TCM services via telephonic outreach and technology-enabled documentation