Remote Cardiac Care Navigator — CHF Support & Coordination

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

Job summary

Seamless Assist is hiring a Remote Care Navigator for Cardiac Care Coordination. This full-time, 40-hour position supports medically complex cardiac patients, primarily CHF, via telephonic outreach and CMS-compliant documentation.

The role is non-clinical, supervised by RN Care Managers, and aims to reduce avoidable hospitalizations and enhance self-management. The ideal candidate holds MA certification or LVN/LPN license, with 2+ years in care coordination and strong EHR skills.

Qualifications

• Active Medical Assistant certification or LVN/LPN license.
• Minimum 2 years experience 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 and use of AI tools to increase efficiency.
• Must be based in the United States and authorized to work (US time zones).
• Excellent written and verbal English communication; strong phone presence.

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 (TCM) follow-up within 48 hours post-discharge - medication reconciliation, red-flag symptom screening, appointment scheduling.
• 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 and act on population health dashboards to address care gaps (wellness visits, labs, symptom monitoring).
• Document time, interventions, care plans, and patient goals per CMS billing standards.
• Maintain proactive communication with RN Care Managers, cardiologists, and PCP offices.

Skills

Care coordination experience

EHR proficiency

AI fluency

English communication

Remote collaboration

Education

Active MA certification or LVN/LPN license

Tools

CMS documentation tools

Care coordination software

Job description

Seamless Assist is hiring a Remote Care Navigator for Cardiac Care Coordination. This full-time, 40-hour position supports medically complex cardiac patients, primarily CHF, via telephonic outreach and CMS-compliant documentation.

The role is non-clinical, supervised by RN Care Managers, and aims to reduce avoidable hospitalizations and enhance self-management. The ideal candidate holds MA certification or LVN/LPN license, with 2+ years in care coordination and strong EHR skills.