Role OverviewThe 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.
What You Will Do
Conduct structured telephonic outreach to CHF and complex cardiac patients, maintain an assigned 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
The ideal candidate will have experience in care coordination, case management, or ambulatory care, be technologically proficient with care coordination software and/or EHRs, and have strong written and verbal communication skills.
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 — 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)
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