Remote Care Navigator

Seamlessassist • Las Cruces, 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), 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, with the goal of supporting patient self-management and reducing avoidable hospitalizations.

The Care Navigator works under the supervision of RN Care Managers and escalates clinical concerns appropriately. The role is 100% remote within the United States, with Dallas/Fort Worth-area candidates preferred. The schedule is Monday–Friday during flexible US business hours, with CST/PST overlap required. The position is W-2, 40 hours per week, at $21–$24 USD per hour based on experience.

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, or billing/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.
• Fluency with AI tools and active use of them to work faster and more efficiently.
• Must be based in and authorized to work in the United States, with compatibility for US 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.

What This Job Offers

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