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Open nowFirst seen 2 days ago

Remote Care Navigator

Seamlessassist115 open roles

Where
Houston, Texas, United States, Remote
Work mode
Remote
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Your applicationOpen nowRemote Care NavigatorSeamlessassist · Houston, Texas, United States, Remote
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Share of postings closed within
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  2. 4.4%3 days
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  4. 18.5%14 days
  5. 35.5%30 days
  6. 45.1%60 days
This job: first seen 2 days ago

The posting

REMOTE CARE NAVIGATOR – CARDIAC

Sector

Healthcare — Cardiac Care Coordination

Reports To

RN Care Manager / Clinical Supervisor

Type

Full-Time · 40 hours/week

Schedule

Monday–Friday · Weekends - Flexible business hours (US hours, CST/PST overlap required)

Rate

$21–$24 USD/hour (based on experience)

Contract

W-2

Location

100% Remote — US only (Dallas/Fort Worth area preferred)

Tools

EHR platforms, care management software, population health dashboards, CMS documentation tools

Role Overview

Our client — a cardiac care management MSO — is hiring full-time virtual Care Navigators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). This is a non-clinical (non-licensed) role focused on telephonic patient outreach, care plan support, CMS-compliant documentation, and coordination across the care team. The Care Navigator works under the supervision of RN Care Managers, escalating all clinical concerns appropriately. This role plays a critical part in reducing avoidable hospitalizations and supporting patient self-management over the long term.

Key Responsibilities

  • Conduct structured telephonic outreach to CHF and complex cardiac patients
  • Maintain an assigned patient caseload using risk stratification to prioritize outreach
  • Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and SDOH barriers
  • Support Transitional Care Management (TCM) follow-up within 48 hours post-discharge — medication reconciliation, red-flag symptom screening, appointment scheduling
  • Provide patient education on CHF self-management and evidence-based strategies
  • Monitor for signs of worsening conditions or care gaps and escalate to supervising RN
  • Review and act on population health dashboards to address care gaps (wellness visits, labs, symptom monitoring)
  • Document time, interventions, care plans, and patient goals per CMS billing standards
  • Maintain proactive communication with RN Care Managers, cardiologists, and PCP offices
  • 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
  • Billing or coding beyond required time-based documentation

Scope Limitations — 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
  • Billing or coding beyond required time-based documentation

Experience & Skills

Required:

  • Active Medical Assistant (MA) certification or equivalent clinical credential (CNA, EMT, CHW with relevant experience)
  • 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
  • Technologically proficient with care coordination software and/or EHRs
  • AI fluency — actively uses AI tools to work faster and more efficiently.
  • Must be based in and authorized to work in the United States — time zone compatibility required (US business hours, CST/PST overlap)
  • Exceptional written and verbal communication in English; strong phone presence assessed at screening

Preferred:

  • Knowledge of cardiac conditions — especially heart failure and associated comorbidities
  • Bilingual — Spanish/English (not a must)
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