Care Navigator
Seamlessassist • Baton Rouge, LA5d • Remote
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Remote Care Navigator
Seamlessassist•Baton Rouge, LA
•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. The Care Navigator works under RN Care Manager supervision and escalates 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 Dallas/Fort Worth-area candidates preferred. The schedule is Monday through Friday during flexible U.S. business hours, with CST/PST overlap required. Compensation is $21–$24 USD per hour based on experience, and the role is W-2 employment. The role does not include clinical assessment or diagnosis, medication prescribing or adjustment, interpretation of labs, imaging, or EKGs, clinical triage or emergency response, in-person or home visits, or billing or coding beyond required time-based documentation.
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.
- Spanish/English bilingual 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.
- 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 in accordance with CMS billing standards.
- Maintain proactive communication with RN Care Managers, cardiologists, and PCP offices.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
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