Remote Care Navigator

Seamlessassist • San Antonio, TX

4d • Remote

About The Position

The Remote Care Navigator is a full-time, non-clinical and 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. Navigators work under the supervision of RN Care Managers and escalate clinical concerns appropriately. The role supports efforts to reduce avoidable hospitalizations and help patients manage their health over the long term.

The position is 100% remote and limited to candidates based in the United States. The Dallas/Fort Worth area is preferred. The schedule is Monday through Friday during flexible U.S. business hours, with CST/PST overlap required; the listing also notes weekends as flexible. Compensation is $21–$24 USD per hour based on experience, and the role is W-2.

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 electronic health record systems.
• Fluency with AI tools and active use of them 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.
• Spanish/English bilingual ability.

Responsibilities

• Conduct structured telephonic outreach to patients with CHF and other complex cardiac conditions.
• Manage 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.
• Support 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 provider offices.

What This Job Offers

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