•  Provide administrative and clinical support to the Director of Nursing, Clinical Manager, nurses, therapists, and other members of the interdisciplinary team.
•  Assist with organizing and maintaining patient clinical records.
•  Review patient charts for completeness and identify missing documents, signatures, orders, or other required
• information for follow-up.
•  Assist with tracking physician orders, plans of care, certifications, recertifications, discharge documents, and other
• clinical paperwork.
•  Fax, securely transmit, and follow up on orders and other documents sent to physicians and healthcare providers.
•  Maintain documentation of transmission and receipt of clinical documents as required by agency policy.
•  Contact physician offices and other healthcare providers to follow up on outstanding orders, signatures, medical
• records, and other documentation.
•  Upload and appropriately file received medical records and clinical documents into the electronic medical record.
•  Assist clinical leadership with maintaining tracking logs and compliance reports.
•  Support preparation of patient charts for clinical review, audits, surveys, and quality assurance activities.

 Patient Care Coordination

•  Assist with communication between patients, families, physicians, hospitals, pharmacies, medical equipment
• providers, and agency clinical staff.
•  Receive patient or caregiver calls and appropriately route clinical questions or concerns to a licensed nurse.
•  Assist with scheduling and coordinating home health visits as directed.
•  Help coordinate appointments, referrals, laboratory services, diagnostic testing, medical equipment, and other
• services ordered for patients.
•  Follow up with patients and caregivers regarding non-clinical scheduling and coordination matters.
•  Promptly communicate reports of changes in patient condition, medication concerns, falls, hospitalizations,
• emergency room visits, or other clinical concerns to the appropriate licensed clinician.
•  Assist with coordinating resumption of care following hospitalization or other transitions in care.
•  Support discharge and transfer coordination as directed by clinical leadership.

• Assist with receiving and processing new patient referrals.
• Obtain required referral documentation, including demographics, insurance information, physician information,
• hospital records, medication lists, and supporting clinical documentation.
• Assist in verifying that required referral documentation has been received before admission.
•  Communicate missing referral information to referral sources and follow up until requested records are received.
• Enter referral and patient information into the agency's electronic medical record.
•  Assist with coordinating initial patient visits with appropriate clinical personnel.
• Maintain referral and admission tracking information.
• Communicate potential clinical concerns identified during the referral process to the Director of Nursing or other
• licensed clinician for review.

•  Maintain systems for tracking outstanding physician orders and plans of care.
•  Submit physician orders and other documents for signature in a timely manner. Follow up with physician offices regarding unsigned or outstanding documents.
•  Document follow-up efforts according to agency procedures.
•  Ensure signed orders are uploaded and filed in the appropriate patient's clinical record.
•  Notify clinical leadership of orders that remain outstanding or require escalation.
•  Assist with monitoring documentation deadlines and alert appropriate staff when documentation is approaching or
• exceeding established timelines.

•  Assist with obtaining medication lists from patients, hospitals, physician offices, pharmacies, and other authorized healthcare providers.
•  Enter or update medication information in the electronic medical record when directed and reviewed by a licensed
• clinician.
• Identify apparent discrepancies between medication lists and refer them to a Registered Nurse or other appropriate
• licensed clinician for reconciliation.
•  Assist nurses with obtaining clarification from physician offices or pharmacies regarding medication documentation.
•  The Medical Assistant may not independently perform medication reconciliation, make medication-related clinical
• decisions, or provide medication instructions to patients.

•  Assist the Director of Nursing and agency leadership with routine chart audits and compliance monitoring.
•  Review records for administrative completeness using agency-approved checklists and audit tools.
•  Track missing documentation and communicate deficiencies to the appropriate staff member.
•  Assist with maintaining logs related to admissions, orders, hospitalizations, transfers, discharges, incidents,
• complaints, and other agency quality indicators.
•  Assist with preparation for state, federal, Medicare, accreditation, and other regulatory surveys.
•  Participate in quality improvement activities as assigned.
•  Maintain patient confidentiality and comply with HIPAA requirements.
•  Follow all Graceful Aging Home Health Care policies and procedures.
• Report compliance, documentation, patient safety, or operational concerns to appropriate agency leadership.

•  Answer and appropriately route telephone calls.
•  Communicate professionally with patients, caregivers, physicians, referral sources, vendors, and other healthcare
• professionals.
•  Assist with scanning, filing, faxing, copying, and maintaining clinical records.
•  Monitor incoming faxes and clinical communications and route documents to the appropriate staff member.
•  Assist with maintaining organized electronic and physical records.
•  Support agency leadership with reports, spreadsheets, tracking tools, and special projects.
•  Attend staff meetings, training sessions, and in-service education as required.
•  Perform other related duties as assigned.

•  High school diploma or equivalent.
•  Completion of a Medical Assistant training program.
•  Medical Assistant certification or registration preferred.
•  Minimum of one (1) year of experience in a medical office, physician practice, hospital, home health agency, or other
• healthcare setting preferred.
• Current CPR certification preferred.
•  Successful completion of required criminal background checks and health screenings.

•  Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), Certified Clinical Medical Assistant (CCMA), or equivalent credential.
•  Previous experience working in a home health agency.
•  Experience working with Medicare-certified healthcare providers.
•  Experience processing physician orders and plans of care.
•  Experience communicating with physician offices, hospitals, pharmacies, and other healthcare providers.
•  Experience conducting medical record or documentation audits.
•  Familiarity with home health admissions, recertifications, transfers, resumptions of care, and discharges.
• Experience using Axxess or another home health electronic medical record system.
•  Experience with Microsoft Office, spreadsheets, electronic fax systems, and document management.

•  Successful criminal background check.
•  Required health screening and TB testing.
•  Drug screening as required by agency policy.
•  Ability to maintain patient confidentiality.
•  Reliable transportation if travel is required.
•  Compliance with all agency training and competency requirements.