Remote Care Navigator

About the role

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. The position is 100% remote (US only, Dallas/Fort Worth area preferred).

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

Requirements

• 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

Skills

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

Pay

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

Schedule

Monday‑Friday, 40 hours/week; flexible business hours with CST/PST overlap required (weekends as needed)