Remote Cardiac Care Navigator for CHF Patients

Seamless Assist; Oklahoma; 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, non-clinical role focuses on telephonic patient outreach, care plan support, CMS-compliant documentation, and coordinated care across the team under RN supervision.

You will work 100% remotely across the U.S., with a focus on congestive heart failure patients, aiming to reduce hospitalizations and improve self-management through structured, compliant workflows.

Qualifications

• Active MA certification or equivalent clinical credential.
• Minimum 2 years in care coordination or case management.
• Familiar with CMS PCM/CCM/TCM program requirements and documentation.
• Proficient with care coordination software and/or EHRs.
• AI fluency and effective use of AI tools.
• Based in and authorized to work in the United States with US business hours overlap.
• Excellent written and verbal English communication.

Responsibilities

• Conduct structured telephonic outreach to CHF and complex cardiac patients.
• Maintain a patient caseload using risk stratification for outreach.
• Complete assessments and follow-ups on symptoms, meds, psychosocial status, and SDOH.
• Support TC M follow-up within 48 hours post-discharge including medication reconciliation.
• Educate patients on CHF self-management and evidence-based strategies.
• Monitor for deterioration and escalate to RN as needed.
• Review dashboards to address care gaps and document care plans per CMS rules.
• Communicate with RN Care Managers, cardiologists, and PCP offices.

Skills

MA certification

Care coordination

CMS PCM/CCM/TCM knowledge

Care coordination software / EHRs

AI fluency

US work authorization

English communication

Job description

Seamless Assist is hiring a Remote Care Navigator for Cardiac care coordination. This full-time, non-clinical role focuses on telephonic patient outreach, care plan support, CMS-compliant documentation, and coordinated care across the team under RN supervision.

You will work 100% remotely across the U.S., with a focus on congestive heart failure patients, aiming to reduce hospitalizations and improve self-management through structured, compliant workflows.