Role OverviewFull-time virtual Care Navigator to support medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). Conducts telephonic patient outreach, care plan support, CMS-compliant documentation, and coordination across the care team.
What You Will Do
Conduct structured telephonic outreach, maintain patient caseload, complete initial assessments and follow-ups, support Transitional Care Management (TCM) follow-up, provide patient education, and monitor for signs of worsening conditions or care gaps.
Why It Might Be a Fit
Must be an active Medical Assistant (MA) certification holder or equivalent clinical credential holder with 2+ years of experience in care coordination, case management, or ambulatory care.
Requirements
- Active Medical Assistant (MA) certification or equivalent clinical credential
- 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
- Must be based in and authorized to work in the United States — time zone compatibility required (US business hours, CST/PST overlap)
Benefits
- Flexible business hours (Monday–Friday · Weekends - Flexible business hours)
- 100% Remote — US only (Dallas/Fort Worth area preferred)
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