Discharge Assistant - Care Management

at  Carilion Clinic

The Discharge Assistant provides direct support to the Social Work and Case Manager roles within Care Management to assure efficient, quality and cost effective services.

• Serves as a support resource at the direction of Social Work and Nurse Case Manager staff on the medical units and facilities.
• Resolves concerns including research and resolution of issues and requests ensuring a timely turnaround to facilitate throughput.
• Prioritizes and performs clerical duties to maintain workflow functions as primary responsibility or back up and as applicable to the department.
• Regulatory tasks that are federally mandated such as the Medicare Important Message letter delivery and the UAI long term care Medicaid approval process. Delivery of in person letters to patients (Medicare Important Rights, observation to IP and Code 44 etc.).
• Process health plan specific referral requirements including prior authorizations, and assisting with denial resolutions as well as peer to peer initiations related to post-acute and throughput needs. Will be a resource/liaison with regard to payers, billing, staff, patients and providers. Field phone calls re: pricing, benefits, coverage, information about programs and insurance questions.
• Facilitates timely collection of paperwork, signatures, and other correspondence from the Care team and external agencies required to facilitate a timely discharge.
• Ability to travel between units, care areas, and floors of a medical facility to facilitate throughput needs

• Serves as a support resource at the direction of Social Work and Nurse Case Manager staff on the medical units and facilities.
• Resolves concerns including research and resolution of issues and requests ensuring a timely turnaround to facilitate throughput.
• Prioritizes and performs clerical duties to maintain workflow functions as primary responsibility or back up and as applicable to the department.
• Regulatory tasks that are federally mandated such as the Medicare Important Message letter delivery and the UAI long term care Medicaid approval process. Delivery of in person letters to patients (Medicare Important Rights, observation to IP and Code 44 etc.).
• Process health plan specific referral requirements including prior authorizations, and assisting with denial resolutions as well as peer to peer initiations related to post-acute and throughput needs. Will be a resource/liaison with regard to payers, billing, staff, patients and providers. Field phone calls re: pricing, benefits, coverage, information about programs and insurance questions.
• Facilitates timely collection of paperwork, signatures, and other correspondence from the Care team and external agencies required to facilitate a timely discharge.
• Ability to travel between units, care areas, and floors of a medical facility to facilitate throughput need