Carilion Clinic

Non-profit health system delivering comprehensive care

Discharge Assistant - Central Resource Center

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeRoanoke, VA, USA$17.39 - $24.35

About the Job

Requirements

An associate’s degree, or two years of experience in lieu of a degree.
Two years of experience in data collection and analysis and/or advanced administrative support.
Virginia Managed Long-Term Services and Supports (MLTSS/UAI) Certification is required upon completion of orientation and must be maintained throughout employment.
Advanced proficiency with Microsoft Office applications and database or spreadsheet software.
Ability to manage multiple priorities, maintain confidentiality, and work effectively in a dynamic healthcare environment.

Responsibilities

Prioritize daily workflow to support efficient patient throughput and discharge operations, including managing faxes, voicemails, correspondence, and incoming communications.
Coordinate peer-to-peer reviews by scheduling discussions between providers and payors, documenting determinations, communicating authorization decisions, and obtaining required demographic and clinical information.
Support utilization management and appeals by coordinating denial and appeal documentation, communicating with payors, Carilion billing, and care management teams, and assisting with insurance, benefits, and coverage inquiries.
Process health plan referral requirements, including prior authorizations, denial and appeal activities, and peer-to-peer requests related to admissions and patient progression.
Support federally mandated regulatory activities, including Medicare Important Message, Lifetime Reserve, Status Change, Code 44, and Notice of Medicare Non-Coverage workflows; coordinate documentation, distribute notifications, and record delivery in the electronic medical record.
Maintain Epic work queues, databases, spreadsheets, and departmental records for accurate tracking, reporting, production, and distribution of utilization management and throughput activities.
Research and resolve administrative issues affecting patient progression and discharge to facilitate timely care transitions.
Respond to inquiries from payors, providers, billing, patients, and care management staff about authorizations, approvals, denials, benefits, coverage, and insurance-related matters.
Coordinate timely collection of required documentation, signatures, and correspondence from internal and external stakeholders to support efficient discharge planning.
Provide administrative support to utilization management physicians, nurses, and care management staff, and assist with departmental workflows and special projects.
Travel between regional facilities and provide virtual and telephonic support across enterprise Care Management locations to meet operational and patient throughput needs.
Maintain confidential records, prepare correspondence, manage office systems and equipment, and use Microsoft Office applications and other software to support departmental operations.
Communicate with leadership, clinical staff, patients, visitors, vendors, and external agencies while maintaining customer service in a fast-paced environment with frequently changing priorities.
Maintain required competencies through continuing education, staff meetings, in-service training, and completion of required certifications.

Employment Status:

Full time

Shift:

Day (United States of America)

Facility:

1906 Belleview Ave SE - Roanoke

Requisition Number:

R163319 Discharge Assistant - Central Resource Center (Open)



How You’ll Help Transform Healthcare:

The Throughput and Discharge Assistant supports efficient, high-quality, and cost-effective patient throughput and discharge operations across Carilion Clinic. Coordinates utilization management and discharge-related administrative processes by scheduling peer-to-peer (P2P) reviews, gathering and distributing clinical and demographic information, maintaining payer documentation, and facilitating communication among providers, payers, and care teams.



The Throughput and Discharge Assistant

Prioritizes daily workflow to support efficient patient throughput and discharge operations, including managing faxes, voicemails, correspondence, and distribution of incoming communications.
Coordinates P2P reviews by scheduling discussions between providers and payors, documenting determinations, communicating authorization decisions, and obtaining required demographic and clinical information.
Supports utilization management and appeals processes by coordinating denial and appeal documentation, communicating with payors, Carilion billing, and care management teams, and assisting with insurance, benefits, and coverage inquiries.
Processes health plan referral requirements, including prior authorizations, denial and appeal activities, and P2P requests related to admissions and patient progression.
Performs federally mandated regulatory activities, including supporting Medicare Important Message (IM), Lifetime Reserve (LTR), Status Change, Code 44, and Notice of Medicare Non-Coverage (NOMNC) workflows. Coordinates required documentation, distributes notifications, and records delivery in the electronic medical record.
Maintains Epic work queues, databases, spreadsheets, and departmental records to ensure accurate tracking, reporting, production, and distribution of utilization management and throughput activities.
Researches and resolves administrative issues affecting patient progression and discharge to facilitate timely care transitions.
Serves as a liaison among payors, providers, billing, patients, and care management staff by responding to inquiries regarding authorizations, approvals, denials, benefits, coverage, and insurance-related matters.
Coordinates the timely collection of required documentation, signatures, and correspondence from internal and external stakeholders to support efficient discharge planning.
Provides administrative support to utilization management physicians, nurses, and care management staff while assisting with departmental workflows and special projects.
Travels between regional facilities and provides virtual and telephonic support across enterprise Care Management locations to meet operational and patient throughput needs.
Maintains confidential records, prepares correspondence, manages office systems and equipment, and utilizes Microsoft Office applications and other software to support departmental operations.
Communicates effectively with leadership, clinical staff, patients, visitors, vendors, and external agencies while maintaining excellent customer service in a fast-paced environment with frequently changing priorities.
Maintains required competencies through continuing education, staff meetings, in-service training, and completion of required certifications.

What We Require:

Education: Associate’s degree or 2 years of experience may be considered in lieu of a degree.

Experience: 2 years of experience in data collection and analysis and/or advanced administrative support required.

Licensure, Certification, and/or Registration: Virginia Managed Long-Term Services and Supports (MLTSS/UAI) Certification required upon completion of orientation and must be maintained throughout employment.

Other Minimum Qualifications: Advanced proficiency with Microsoft Office applications and database or spreadsheet software. Excellent communication, customer service, organizational, and problem-solving skills. Ability to manage multiple priorities, maintain confidentiality, and work effectively in a dynamic healthcare environment.

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Compensation Range:

$17.39 - $24.35

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter:

DANA JOHNSON

Recruiter Email:

[email protected]

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

Comprehensive Medical, Dental, & Vision Benefits
Employer Funded Pension Plan, vested after five years (Voluntary 403B)
Paid Time Off (accrued from day one)
Onsite fitness studios and discounts to our Carilion Wellness centers
Access to our health and wellness app, Personify Health
Discounts on childcare
Continued education and training

About the Company

Carilion Clinic

Non-profit health system delivering comprehensive care

Carilion Clinic is a non-profit health care system in Virginia that serves about one million people through a network of hospitals, outpatient specialty centers, and primary care practices. It delivers care via multi-specialty physician teams that collaborate to put the patient first, aiming to improve outcomes and quality of care while advancing medical education and research. Its approach centers on integrated care across a broad regional network, combined with ongoing teaching and clinical studies. This makes it different from many competitors by pairing patient-focused, outcome-driven care with a strong emphasis on education and research within a nonprofit framework. The company’s goal is to provide high-quality health care, improve patient outcomes, and advance medical knowledge through education and research.

Company size: 5,001-10,000
Company stage: Grant
Total funding: $310K
Headquarters: Roanoke, VA
Founded: 1976

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