Virtual Cardiac Care Navigator (Remote)

Seamlessassist; Baton Rouge (LA); Remote; USD 29,000 - 33,000; Full time

Job summary

Seamlessassist is hiring a Remote Care Navigator to support a growing population of medically complex cardiac patients, primarily CHF, in a non-clinical telephonic role under RN supervision. You will perform outreach, care-plan support, CMS-compliant documentation, and coordinate with the care team.

This full-time, 40-hour/week position is remote (US only; Dallas/Fort Worth area preferred). Compensation ranges $21-$24/hour, with US work authorization required and experience with CMS PCM/CCM/TCM

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

Care coordination

Ambulatory care

CMS PCM/CCM/TCM familiarity

EHR software

AI fluency

English communication

US work authorization

Education

Active MA certification or LVN/LPN license

Tools

Care management software

EHR platforms

Job description

Seamlessassist is hiring a Remote Care Navigator to support a growing population of medically complex cardiac patients, primarily CHF, in a non-clinical telephonic role under RN supervision. You will perform outreach, care-plan support, CMS-compliant documentation, and coordinate with the care team.

This full-time, 40-hour/week position is remote (US only; Dallas/Fort Worth area preferred). Compensation ranges $21-$24/hour, with US work authorization required and experience with CMS PCM/CCM/TCM