Remote Care Navigator

Sector

Healthcare Cardiac Care Coordination

Reports To

RN Care Manager / Clinical Supervisor

Type

Full-Time 40 hours/week

Schedule

MondayFriday 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

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.

• 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

• 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

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)