Remote Cardiac Care Navigator: Patient Coordination

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

Job summary

Seamless Assist is seeking a REMOTE CARE NAVIGATOR – CARDIAC to support a growing population of medically complex CHF patients. This full-time, non-clinical telephonic role focuses on outreach, care plan support, CMS documentation, and care-team coordination under RN supervision.

You will work 100% remotely from the US with CST/PST overlap, guided by CMS standards and care management best practices. A Medical Assistant credential and care coordination experience are required; AI familiarity and

Qualifications

• MA certification or equivalent clinical credential required.
• Minimum 2 years in care coordination, case management, or ambulatory care.
• Familiarity with CMS PCM, CCM, and/or TCM program requirements and documentation standards.
• Based in the United States and authorized to work; US business hours CST/PST overlap required.
• Excellent written and verbal English communication; strong phone presence.

Responsibilities

• Conduct structured telephonic outreach to CHF and complex cardiac patients.
• Maintain an assigned patient caseload using risk stratification for 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 screening, appointment scheduling.
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for worsening conditions or care gaps and escalate to supervising RN.
• Document time, interventions, care plans, and patient goals per CMS standards.

Skills

AI fluency

CMS documentation

EHR proficiency

Care coordination

Phone outreach

English communication

Education

Active MA certification or equivalent (CNA/EMT/CHW)

Tools

CMS platforms

Care management software

Population health dashboards

Job description

Seamless Assist is seeking a REMOTE CARE NAVIGATOR – CARDIAC to support a growing population of medically complex CHF patients. This full-time, non-clinical telephonic role focuses on outreach, care plan support, CMS documentation, and care-team coordination under RN supervision.

You will work 100% remotely from the US with CST/PST overlap, guided by CMS standards and care management best practices. A Medical Assistant credential and care coordination experience are required; AI familiarity and