Remote Care Navigator

Seamlessassist•Dallas, TX
•Remote

About The Position

The Remote 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 and limited to candidates based in the United States, with the Dallas/Fort Worth area preferred. The schedule is Monday through Friday during flexible business hours, with US hours and CST/PST overlap required. The role is listed as W-2, 40 hours per week, at $21–$24 USD per hour based on experience.

Requirements

  • Active Medical Assistant (MA) certification or an equivalent clinical credential, such as CNA, EMT, or CHW with relevant experience.
  • 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.
  • Actively uses AI tools to work faster and more efficiently.
  • Must be based in and authorized to work in the United States, with compatibility with US business hours and CST/PST overlap.
  • 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 ability.

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 barriers.
  • Provide Transitional Care Management 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 physician offices.
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