Medical Records & Intake Assistant / Home Health Aide

Big Sky Hospice•Bozeman, MT

8h•Onsite

About The Position

This role combines the responsibilities of a Medical Records & Intake Assistant and a Home Health Aide (CNA). The Medical Records & Intake Assistant is responsible for managing medical records, data entry, patient intake coordination, and supporting agency operations. This includes maintaining patient confidentiality, preparing for meetings, handling phone calls, and establishing positive relationships with various stakeholders. The Home Health Aide (CNA) provides direct patient care under the supervision of a registered nurse or therapist, including personal care, meal preparation, assisting with ambulation and exercises, and monitoring patient condition. Both roles are crucial for supporting the agency's operations and ensuring quality patient care.

Requirements

Medical records management
Data entry
Maintaining patient records
Preparing for meetings
Answering and directing telephone calls
Coordinating patient intake
Managing workflow
Establishing and maintaining positive relationships with internal staff, clinical field employees, contract staff, patients/families, and referral sources
Responding to staff requests/concerns
Maintaining information to assist in coordination of patient services and staff availability
Protecting organization clinical records
Certified Nursing Assistant (CNA) qualification
Ability to observe patients and report observations
Ability to document observations and care performed
Completion of a competency evaluation program
Ability to provide personal care services
Ability to take and record vital signs (with appropriate skills competency)
Ability to assist in ambulation and exercise
Ability to perform range of motion and other simple procedures
Ability to assist patient in self-administration of medication
Ability to meet safety needs of patients and use equipment safely
Ability to adhere to documentation and care procedures
Ability to attend in-service training

Responsibilities

Maintains confidentiality of patient information.
Assists the Intake department with entering and coordinating new patient referrals.
Maintains accurate up-to-date medical records in accordance with regulations and policy.
Communicates effectively on the telephone with patients, families, and staff.
Answers incoming calls and forwards to appropriate staff or takes messages.
Welcomes and assists all guests.
Manages incoming, outgoing, and interoffice mail.
Performs typing, faxing, and copying tasks for various staff.
Inputs data into computer for billing purposes.
Orders and maintains accurate records of medical equipment and supplies.
Informs staff of any changes, updates, etc., regarding admissions, discharges, visits, schedules, and clinical meetings.
Tracks admission, discharge, IDTs, certification, and re-certification dates on all patients.
Assists with audits of patient information.
Maintains accurate mailing lists of employees, patients, volunteers, Medical Directors, physicians, and nursing facilities.
Protects the confidentiality of patient and organization information.
Forwards copies of clinical records to authorized users according to policy.
Monitors aged unsigned physician orders and follows up on overdue orders.
Completes an administrative record audit following patient discharge.
Ensures accurate and prompt filing and retrieval of clinical records.
Performs other necessary functions/duties as assigned.
Provides personal care including baths, back rubs, oral hygiene, shampoos, changing bed linen, assisting patients with dressing and undressing, nail & skin care, assisting with toileting, and keeping patient’s living area clean and orderly.
Plans and prepares nutritious meals.
Assists in feeding the patient, if necessary.
Takes and records vital signs when ordered.
Assists in ambulation and exercise according to the plan of care.
Performs range of motion and other simple procedures as ordered.
Assists patient in the self-administration of medication.
Does patient’s laundry, as appropriate.
Meets safety needs of patients and uses equipment safely and properly.
Reports on patient’s condition and significant changes to the assigned nurse.
Adheres to the Organization's documentation and care procedures and standards of personal and professional conduct.
Attends 12 clock hours of in-service training annually.
Attends scheduled Case Conference meetings to discuss patients.