Remote Care Navigator

Seamlessassist • Albuquerque, NM

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). The position focuses on telephonic patient outreach, care-plan support, CMS-compliant documentation, and coordination across the care team. Care Navigators work under the supervision of RN Care Managers and escalate clinical concerns appropriately. The role supports patient self-management and efforts to reduce avoidable hospitalizations.

The position is 100% remote within the United States, with the Dallas/Fort Worth area preferred. It is scheduled Monday through Friday during flexible U.S. business hours, with CST/PST overlap required. The role is listed as W-2 contract, 40 hours per week, at $21–$24 USD per hour based on experience. The Care Navigator reports to an RN Care Manager / Clinical Supervisor.

The role does not include clinical assessment or medical diagnosis, prescribing or adjusting medication, interpreting labs, imaging, or EKGs, clinical triage or emergency response, in-person or home visits, or billing and coding beyond required time-based documentation.

Requirements

• Active Medical Assistant (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.
• Technological proficiency with care coordination software and/or EHRs.
• AI fluency, including active use of AI tools to work faster and more efficiently.
• Must be based in and authorized to work in the United States; compatibility with U.S. business hours, including CST/PST overlap, is required.
• Exceptional written and verbal communication in English; strong phone presence is assessed during 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.

What This Job Offers

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