Remote Cardiac Care Navigator | Flexible Hours

Seamless Assist; Little Rock (AR); Remote; USD 29,000 - 33,000; Full time

Job summary

Seamless Assist is seeking a Remote Care Navigator for Cardiac care to support medically complex patients with heart failure. This telephonic role works under RN supervision, focusing on care plan support, CMS-compliant documentation, and cross-team coordination.

The position emphasizes non-clinical duties, earlier follow-ups, and proactive outreach to reduce hospitalizations. Experience in care coordination and AI-assisted tools is valued, with US work authorization and CST/PST overlap required.

Qualifications

• Active MA certification or LVN/LPN license required.
• Minimum 2 years of experience in care coordination or ambulatory care.
• Familiarity with CMS PCM, CCM, and/or TCM program requirements and documentation standards.
• Proficient with care coordination software and EHRs.
• AI fluency and ability to leverage AI tools.
• Must be authorized to work in the United States with US time-zone overlap (CST/PST).
• Exceptional 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.
• 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 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 RNs, cardiologists, and PCP offices.

Skills

MA Certification

LVN/LPN License

Care coordination

CMS PCM/CCM/TCM

EHR familiarity

AI fluency

US work authorization

English communication

Education

Active MA certification

LVN/LPN license

Tools

EHR systems

Care coordination software

CMS documentation tools

Job description

Seamless Assist is seeking a Remote Care Navigator for Cardiac care to support medically complex patients with heart failure. This telephonic role works under RN supervision, focusing on care plan support, CMS-compliant documentation, and cross-team coordination.

The position emphasizes non-clinical duties, earlier follow-ups, and proactive outreach to reduce hospitalizations. Experience in care coordination and AI-assisted tools is valued, with US work authorization and CST/PST overlap required.