Remote Cardiac Care Navigator (Non-Clinical)

Seamless Assist; Dallas (TX); Remote; USD 29,000 - 33,000; Full time

Job summary

Seamless Assist is hiring a Remote Care Navigator for Cardiac care to support medically complex CHF patients. This non-clinical role focuses on telephonic outreach, care plan support, CMS documentation, and coordination under RN supervision.

Responsibilities include risk-based outreach, post-discharge follow-ups, patient education, and timely escalation of issues to clinicians. Strong English communication and US work authorization are required.

Qualifications

• Active MA certification or equivalent clinical credential.
• 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 (US CST/PST overlap).
• 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 barriers.
• Support Transitional Care Management (TCM) follow-up within 48 hours post-discharge—medication reconciliation and scheduling.
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for signs of worsening conditions and elevate to supervising RN.
• Review dashboards to address care gaps and document CMS-related data.

Skills

MA certification

Care coordination

CMS PCM/CCM/TCM

EHR proficiency

AI fluency

US work authorization

English communication

Education

Active MA certification or equivalent

Tools

EHR systems

Care coordination software

CMS documentation tools

Population health dashboards

Job description

Seamless Assist is hiring a Remote Care Navigator for Cardiac care to support medically complex CHF patients. This non-clinical role focuses on telephonic outreach, care plan support, CMS documentation, and coordination under RN supervision.

Responsibilities include risk-based outreach, post-discharge follow-ups, patient education, and timely escalation of issues to clinicians. Strong English communication and US work authorization are required.