Remote Care Navigator

Seamlessassist•Jonesboro, AR
•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). The role focuses on telephonic patient outreach, care-plan support, CMS-compliant documentation, and coordination across the care team. Care Navigators work under RN Care Manager supervision and escalate clinical concerns appropriately. The position supports long-term patient self-management and efforts to reduce avoidable hospitalizations. The role is 100% remote within the United States, with Dallas/Fort Worth-area candidates 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 position.

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.
  • Active use of AI tools to work faster and 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 communication in English; strong phone presence is assessed at screening.

Nice To Haves

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

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 PCP offices.
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