Remote Cardiac Care Navigator for CHF Support

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

Job summary

Seamless Assist is seeking a Remote Care Navigator to support cardiac care coordination for medically complex patients, primarily CHF. This is a full-time, non-licensed role focused on telephonic outreach, care plan support, and CMS-compliant documentation under RN supervision.

The position is fully remote in the United States (Dallas/Fort Worth area preferred) with US-hours overlap and flexible business hours.

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 - 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 required (US business hours, CST/PST overlap)
• Exceptional written and verbal communication in English; strong phone presence assessed at screening

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 symptom screening, appointment scheduling
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for signs of worsening conditions or care gaps and escalating 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
• Clinical assessment or medical diagnosis
• Medication prescribing or adjustments
• Interpretation of labs, imaging, or EKGs
• Clinical triage or emergency response
• In-person or home visit patient contact
• Billing or coding beyond required time-based documentation

Skills

AI fluency

English communication

Education

MA certification or LVN/LPN license

Experience in care coordination, case management, or ambulatory care

Tools

EHR systems

Job description

Seamless Assist is seeking a Remote Care Navigator to support cardiac care coordination for medically complex patients, primarily CHF. This is a full-time, non-licensed role focused on telephonic outreach, care plan support, and CMS-compliant documentation under RN supervision.

The position is fully remote in the United States (Dallas/Fort Worth area preferred) with US-hours overlap and flexible business hours.