Remote Care Navigator – Cardiac Care Coordination
Overview
Full‑Time Remote Care Navigator supports CHF patients delivering telephonic outreach and coordination. This non‑clinical role reports to RN Care Manager and drives reduced hospitalizations. Work 40 hours weekly Monday Friday with flexible weekends CST PST overlap required.
What You'll Do9
- 1Conduct structured telephonic outreach to CHF and complex cardiac patients
- 2Maintain assigned patient caseload using risk stratification to prioritize outreach
- 3Complete initial assessments covering symptoms medications psychosocial status and SDOH barriers
- 4Support Transitional Care Management follow‑up within 48 hours post discharge including medication reconciliation red‑flag screening and appointment scheduling
- 5Provide patient education on CHF self‑management and evidence‑based strategies
- 6Monitor for worsening conditions or care gaps and escalate to supervising RN
- 7Review and act on population health dashboards to address care gaps such as wellness visits labs and symptom monitoring
- 8Document time interventions care plans and patient goals per CMS billing standards
- 9Maintain proactive communication with RN Care Managers cardiologists and PCP offices
Requirements10
- 15+ years building ETL pipelines with Spark and Airflow
- 22 years experience in care coordination case management or ambulatory care
- 3CMS PCM CCM and/or TCM program requirements and documentation standards
- 4Active Medical Assistant certification or equivalent clinical credential (CNA EMT CHW)
- 5Minimum 2 years of experience in healthcare coordination
- 6Familiarity with care coordination software and/or EHRs
- 7AI fluency actively uses AI tools to work faster and more efficiently
- 8Based in and authorized to work in the United States with US time zone compatibility
- 9Exceptional written and verbal communication in English strong phone presence assessed at screening
- 10Bilingual Spanish English preferred not mandatory
Salary Insight
$21 - $24k per year
Location
Required Skills
Similar open positions
Explore active roles that match your skills and interests.
5-50 GROUP LLC
VerifiedPatient Care & Technology Coordinator Miami Florida
The Patient Care & Technology Coordinator supports high-risk patients using AI-powered predictive analytics and remote patient monitoring. This role serves as a key liaison between patients, providers, and caregivers while ensuring effective communication and timely intervention. The ideal candidate has a strong healthcare background and experience in a fast-paced environment.
Medix
VerifiedRegistered Nurse, Clinical Operations & Care Coordination
Registered Nurse (RN) will own clinical care coordination for an AI-enabled healthcare organization, managing patient outreach and chronic disease support at scale. This remote role sits on the Care Team Operations team, partnering with Operations, Product, and Technology to improve workflows. The position demands strong clinical judgment and independent work in a fully remote environment. What sets this apart is the chance to shape clinical guidelines and mentor team members while driving healthcare delivery innovation.
Astrana Health, Inc.
VerifiedCare Manager I - RN Astrana Health Remote
The Care Manager I - RN leads development and execution of client‑centered Individual Care Plans that align with Medicare Medicaid and other entitlement program guidelines. They identify community services monitor patient progress collaborate with multidisciplinary teams manage discharge plans act as patient advocates and maintain comprehensive clinical records. This role drives continuity of care across providers and ensures privacy compliance while supporting population health initiatives.
Belle, LLC
VerifiedRemote Urgent Care Nurse Practitioner - Medicare Telehealth
Belle seeks a compassionate Nurse Practitioner to provide remote telehealth support for Medicare beneficiaries in our Chronic Care Management program. You will assess urgent non-emergent clinical concerns and collaborate with nurses and care teams to prevent emergency department visits. This fully remote role offers competitive compensation and opportunities for career growth.
Tandem365
VerifiedRN Navigator Tandem365
TANDEM365 seeks a Registered Nurse Navigator to lead community-based care in Wayne County Michigan. This autonomous position enables you to practice at the top of your license while building lasting relationships with individuals needing care. The role focuses on guiding participants through complex medical systems and ensuring they remain safely at home.
HFMS HF Management Services, LLC
VerifiedAssessment Nurse Remote Hybrid HF Management Services
The Assessment Nurse will conduct home and virtual evaluations for members across downstate New York. This hybrid role combines remote work with in‑person visits. You will own member enrollment and drive care decisions. The position offers flexible scheduling and competitive compensation.