Remote Cardiac Care Navigator — Flexible Hours

Seamless Assist; McAllen (TX); 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 CHF patients. This non-clinical, telephonic role reports to RN Care Manager and focuses on care plan support, CMS-compliant documentation, and care coordination with the care team.

Responsibilities include structured outreach, risk-based caseload management, patient education, and timely follow-ups within CMS guidelines. Strong English communication and US work authorization are required.

Qualifications

• Active MA certification or LVN/LPN license.
• 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 - uses AI tools to work faster and more efficiently.

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.
• 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 billing standards.

Skills

Medical Assistant certification

Care coordination experience

CMS PCM/CCM/TCM familiarity

Care management software/EHRs

AI fluency

US work authorization

English communication

Tools

EHR platforms

Care management software

Population health dashboards

CMS documentation tools

Job description

Seamless Assist is seeking a Remote Care Navigator for Cardiac care to support medically complex CHF patients. This non-clinical, telephonic role reports to RN Care Manager and focuses on care plan support, CMS-compliant documentation, and care coordination with the care team.

Responsibilities include structured outreach, risk-based caseload management, patient education, and timely follow-ups within CMS guidelines. Strong English communication and US work authorization are required.