Remote Cardiac Care Navigator

Seamless Assist; Lafayette (LA); Remote; USD 29,000 - 33,000; Full time

Job summary

Seamless Assist seeks a Remote Care Navigator for Cardiac Care Coordination. This full-time non-clinical role supports medically complex patients with cardiac conditions, primarily CHF, via telephonic outreach and CMS-compliant documentation.

Under RN supervision, you will manage a patient caseload, provide education on self-management, and coordinate across the care team. US-based, CST/PST overlap required, 40 hours weekly.

Qualifications

• Active MA certification or LVN/LPN license.
• Minimum 2 years in care coordination, case management, or ambulatory care.
• Familiarity with CMS PCM, CCM, and/or TCM program requirements and documentation standards.
• Technologically proficient with care coordination software and/or EHRs.
• AI fluency - actively uses AI tools to work faster and more efficiently.
• Must be based in and authorized to work in the United States - time zone compatibility required.
• Excellent written and verbal communication in English.

Responsibilities

• Conduct structured telephonic outreach to CHF and complex cardiac patients.
• Maintain an assigned patient caseload using risk stratification to prioritize outreach.
• Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and SDOH barriers.
• Support Transitional Care Management follow-up within 48 hours post-discharge.
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for signs of worsening conditions or care gaps and escalate to supervising RN.
• Review dashboards to address care gaps (wellness visits, labs, symptom monitoring).
• Document time, interventions, care plans, and patient goals per CMS standards.
• Maintain proactive communication with RN Care Managers, cardiologists, and PCP offices.

Skills

MA certification

LVN/LPN license

Care coordination

Ambulatory care

CMS PCM/CCM/TCM

EHR software

AI fluency

US work authorization

English communication

Tools

Care coordination software

EHR systems

Job description

Seamless Assist seeks a Remote Care Navigator for Cardiac Care Coordination. This full-time non-clinical role supports medically complex patients with cardiac conditions, primarily CHF, via telephonic outreach and CMS-compliant documentation.

Under RN supervision, you will manage a patient caseload, provide education on self-management, and coordinate across the care team. US-based, CST/PST overlap required, 40 hours weekly.