Remote Care Navigator

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) Originally posted on Himalayas