Remote Care Navigator

Seamlessassist • Tulsa, OK

4d • Remote

About The Position

The Care Navigator is a full-time, non-clinical, non-licensed role supporting medically complex patients with cardiac conditions, primarily congestive heart failure (CHF), for a cardiac care management MSO. The position focuses on telephonic patient outreach, care plan support, CMS-compliant documentation, and coordination across the care team. The Care Navigator works under RN Care Manager supervision and escalates clinical concerns appropriately. The role supports efforts to reduce avoidable hospitalizations and help patients manage their health over the long term.

This is a 100% remote position open to candidates in the United States, with the Dallas/Fort Worth area preferred. The schedule is Monday through Friday during flexible U.S. business hours, with CST/PST overlap required. The position is 40 hours per week and pays $21–$24 USD per hour based on experience. It is a W-2 role.

Requirements

• Active Medical Assistant (MA) certification or LVN/LPN license.
• At least 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.
• Technological proficiency with care coordination software and/or EHRs.
• AI fluency and active use of AI tools to work more efficiently.
• Must be based in and authorized to work in the United States, with compatibility for U.S. business hours and CST/PST overlap.
• Exceptional written and verbal English communication skills; strong phone presence is assessed during screening.

Nice To Haves

• Knowledge of cardiac conditions, especially heart failure and associated comorbidities.
• Bilingual Spanish/English skills.

Responsibilities

• Conduct structured telephonic outreach to CHF and complex cardiac patients.
• Maintain an assigned patient caseload and use risk stratification to prioritize outreach.
• Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and social determinants of health (SDOH) barriers.
• Support Transitional Care Management (TCM) follow-up within 48 hours after discharge, including medication reconciliation, red-flag symptom screening, and appointment scheduling.
• Provide patient education on CHF self-management and evidence-based strategies.
• Monitor for signs of worsening conditions or care gaps and escalate concerns to the supervising RN.
• Review and act on population health dashboards to address care gaps, including wellness visits, labs, and symptom monitoring.
• Document time, interventions, care plans, and patient goals according to CMS billing standards.
• Maintain proactive communication with RN Care Managers, cardiologists, and primary care provider (PCP) offices.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed