Remote Care Navigator

Seamlessassist; Phoenix (AZ); À distance; USD 60 174 000 - 68 770 000; Plein temps

Résumé du poste

Seamlessassist in the United States is seeking a remote Care Navigator for Cardiac care to support a medically complex CHF patient population. This non-clinical telephonic role works under RN supervision to coordinate care and document per CMS standards.

The position is full-time, 40 hours per week, remote within US hours, with $21–24/hour compensation and a W-2 contract. Strong English, MA certification, and US work authorization are required.

Qualifications

• Active Medical Assistant certification or equivalent credential.
• Minimum 2 years in care coordination, case management, or ambulatory care.
• Familiarity with CMS PCM, CCM, and/or TCM requirements and documentation.
• Proficiency with care coordination software and EHRs.
• AI fluency and ability to use AI tools to work faster.
• US-based, authorized to work in the United States with time-zone overlap.
• Excellent written and verbal English communication.

Responsabilités

• Conduct structured telephonic outreach to CHF and complex cardiac patients.
• Maintain a patient caseload using risk stratification to prioritize outreach.
• Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and SDOH.
• Support CMS-compliant documentation and billing within required timeframes.
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for worsening conditions and escalate to supervising RN.
• Coordinate with RN Care Managers, cardiologists, and PCP offices.

Connaissances

Medical Assistant

Care coordination

Ambulatory care

CMS PCM/CCM/TCM

EHRs

AI fluency

US work authorization

English communication

Formation

Medical Assistant certification

Outils

Care coordination software

EHR systems

Description du poste

REMOTE CARE NAVIGATOR - CARDIAC

Sector

Healthcare - Cardiac Care Coordination

Reports To

RN Care Manager / Clinical Supervisor

Type

Full-Time · 40 hours/week

Schedule

Monday-Friday · Weekends -Flexible business hours (US hours, CST/PST overlap required)

Rate

$21-24 USD/hour (based on experience)

Contract

W-2

Location

100% Remote - US only (Dallas/Fort Worth area preferred)

Tools

EHR platforms, care management software, population health dashboards, CMS documentation tools

Role Overview

Our client - a cardiac care management MSO - is hiring full-time virtual Care Navigators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). This is a non-clinical (non-licensed) role focused on telephonic patient outreach, care plan support, CMS-compliant documentation, and coordination across the care team. The Care Navigator works under the supervision of RN Care Managers, escalating all clinical concerns appropriately. This role plays a critical part in reducing avoidable hospitalizations and supporting patient self-management over the long term.

Key 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 elevate 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

Scope Limitations - This Role Does NOT Include

• 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

Experience & Skills

Required:

• Active Medical Assistant (MA) certification or equivalent clinical credential (CNA, EMT, CHW with relevant experience)
• 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

Preferred:

• Knowledge of cardiac conditions - especially heart failure and associated comorbidities
• Bilingual - Spanish/English (not a must)