Remote Cardiac Care Navigator - Elevate Patient Outcomes

Seamless Assist; Chicago (IL); Remote; USD 60,174,000 - 68,770,000; Full time

Job summary

Seamless Assist is hiring a Remote Care Navigator for Cardiac care coordination. The role supports medically complex patients with CHF via telephonic outreach, care plan support, and CMS-compliant documentation under RN supervision.

The full-time, W-2 position requires a valid MA credential, 2+ years in care coordination, and US work authorization. You will work within US business hours and collaborate with cardiology and PCP offices to reduce hospitalizations.

Qualifications

• Active MA certification or equivalent clinical credential (MA, CNA, EMT, CHW).
• Minimum 2 years of 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 — 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 with US business hours.
• Exceptional written and verbal communication in English; 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 screening, appointment scheduling.
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for worsening conditions or care gaps and elevate to supervising RN.
• Document time, interventions, care plans, and patient goals per CMS standards.

Skills

MA certification

Care coordination

CMS PCM/CCM/TCM

EHR proficiency

AI fluency

English communication

US time zone work

Tools

Care coordination software

EHR systems

Job description

Seamless Assist is hiring a Remote Care Navigator for Cardiac care coordination. The role supports medically complex patients with CHF via telephonic outreach, care plan support, and CMS-compliant documentation under RN supervision.

The full-time, W-2 position requires a valid MA credential, 2+ years in care coordination, and US work authorization. You will work within US business hours and collaborate with cardiology and PCP offices to reduce hospitalizations.