Remote Cardiac Care Navigator for CHF Support

Seamlessassist; Chicago (IL); Remote; USD 29,000 - 33,000; Full time

Job summary

Seamlessassist is seeking a Remote Care Navigator for Cardiac care coordination. This full-time, 40-hour/week role focuses on telephonic outreach, care plan support, CMS-compliant documentation, and coordination with the care team.

Supervised by RN Care Managers, the position aims to reduce hospitalizations and enhance patient self-management. The role requires active MA certification or equivalent, at least 2 years in care coordination, and strong English communication.

Qualifications

• Active MA certification or equivalent clinical credential (CNA/EMT/CHW with relevant experience).
• Minimum 2 years of care coordination, case management, or ambulatory care experience.
• 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.
• Must be based in and authorized to work in the United States with US business hours 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.
• Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and SDOH barriers.
• Support Transitional Care Management follow-up within 48 hours post-discharge—medication reconciliation, red-flag screening, and 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

MA certification

Care coordination

CMS PCM/CCM/TCM

EHR proficiency

AI fluency

US work authorization

English communication

Spanish bilingual

Tools

Care coordination software

EHR systems

Job description

Seamlessassist is seeking a Remote Care Navigator for Cardiac care coordination. This full-time, 40-hour/week role focuses on telephonic outreach, care plan support, CMS-compliant documentation, and coordination with the care team.

Supervised by RN Care Managers, the position aims to reduce hospitalizations and enhance patient self-management. The role requires active MA certification or equivalent, at least 2 years in care coordination, and strong English communication.