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Remote Care Navigator

REMOTE CARE NAVIGATOR – CARDIAC Sector Healthcare — Cardiac Care Coordination Reports To RN Care Manager / Clinical Supervisor Type Full-Time <ul><li> 40 hours/week </li></ul>Schedule Monday–Friday <ul><li> Weekends - Flexible business hours (US hours, CST/PST overlap required) </li></ul>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 <ul><li>Conduct structured telephonic outreach to CHF and complex cardiac patients</li><li>Maintain an assigned patient caseload using risk stratification to prioritize outreach</li><li>Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and SDOH barriers</li><li>Support Transitional Care Management (TCM) follow-up within 48 hours post-discharge — medication reconciliation, red-flag symptom screening, appointment scheduling</li><li>Provide patient education on CHF self-management and evidence-based strategies</li><li>Monitor for signs of worsening conditions or care gaps and escalate to supervising RN</li><li>Review and act on population health dashboards to address care gaps (wellness visits, labs, symptom monitoring)</li><li>Document time, interventions, care plans, and patient goals per CMS billing standards</li><li>Maintain proactive communication with RN Care Managers, cardiologists, and PCP offices</li><li>Clinical assessment or medical diagnosis</li><li>Medication prescribing or adjustments</li><li>Interpretation of labs, imaging, or EKGs</li><li>Clinical triage or emergency response</li><li>In-person or home visit patient contact</li><li>Billing or coding beyond required time-based documentation </li></ul>Scope Limitations — This Role Does NOT Include <ul><li>Clinical assessment or medical diagnosis</li><li>Medication prescribing or adjustments</li><li>Interpretation of labs, imaging, or EKGs</li><li>Clinical triage or emergency response</li><li>In-person or home visit patient contact</li><li>Billing or coding beyond required time-based documentation </li></ul>Experience & Skills Required: <ul><li>Active Medical Assistant (MA) certification or equivalent clinical credential (CNA, EMT, CHW with relevant experience)</li><li>Minimum 2 years of experience in care coordination, case management, or ambulatory care</li><li>Familiarity with CMS PCM, CCM, and/or TCM program requirements and documentation standards</li><li>Technologically proficient with care coordination software and/or EHRs</li><li>AI fluency — actively uses AI tools to work faster and more efficiently.</li><li>Must be based in and authorized to work in the United States — time zone compatibility required (US business hours, CST/PST overlap)</li><li>Exceptional written and verbal communication in English; strong phone presence assessed at screening </li></ul>Preferred: <ul><li>Knowledge of cardiac conditions — especially heart failure and associated comorbidities</li><li>Bilingual — Spanish/English (not a must) </li></ul>

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