Current jobs related to Clinical Authorization Specialist - Middleton - University of Wisconsin Hospitals and Clinics Authority

  • Authorization Specialist

    7 hours ago

    Middleton, Wisconsin, United States UW Health Full time

    {"title": "Authorization Representative", "description": "Work Schedule and LocationThis is a full-time position with a 1.0 FTE schedule. Shifts will be scheduled Monday to Friday, 8:30 a.m. to 5:00 p.m. The position will be remote upon successful completion of training.About the RoleWe are seeking an Authorization Representative to obtain prior...

  • Patient Authorization Specialist

    3 weeks ago

    Middleton, Wisconsin, United States UW Health Full time

    Work Schedule:This is a full-time position with a commitment of 1.0 FTE. Work hours are typically scheduled from Monday to Friday, 8:30 a.m. to 5:00 p.m. Please note that hours may be adjusted based on the operational requirements of the department. This role will be performed remotely following the successful completion of training, which will take place...

  • Patient Authorization Specialist

    4 weeks ago

    Middleton, Wisconsin, United States UW Health Full time

    Position OverviewWork Schedule:This is a full-time position with a commitment of 1.0 FTE. Work hours are typically Monday through Friday, from 8:30 a.m. to 5:00 p.m., with the possibility of variations based on departmental needs. The role will be conducted remotely following successful training completion, with initial training taking place in a designated...

  • Authorization Specialist

    7 hours ago

    Middleton, Wisconsin, United States UW Health Full time

    Job Title: Authorization RepresentativeUW Health is seeking an experienced Authorization Representative to join our team. As an Authorization Representative, you will play a critical role in ensuring that patients receive the necessary healthcare services by obtaining prior authorization from payers.Key Responsibilities:Obtain prior authorization from payers...

  • Authorization Representative

    2 weeks ago

    Middleton, United States UW Health Full time

    Work Schedule: This is a full time, 1.0 FTE position. Shifts will be scheduled Monday - Friday, 8:30 a.m - 5:00 p.m. Hours may vary based on the operational needs of the department. This position will be remote upon successful completion of training. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking an Authorization...

  • Authorization Representative

    7 days ago

    Middleton, United States UW Health Full time

    Job DescriptionWork Schedule: This is a full time, 1.0 FTE position. Shifts will be scheduled Monday - Friday, 8:30 a.m - 5:00 p.m. Hours may vary based on the operational needs of the department. This position will be remote upon successful completion of training. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking an...

  • Clinical Nurse Specialist

    4 weeks ago

    Middleton, Idaho, United States All Ways Caring HomeCare Full time

    CLINICAL NURSE SPECIALISTJob LocationsUS-ID-MIDDLETONRequisition IDLine of Business:All Ways Caring HomeCareCompensationUSD $41.00/Hr.Our OrganizationAll Ways Caring HomeCare is dedicated to providing exceptional, compassionate care that enhances the quality of life for individuals in need. Our nursing team is committed to delivering empathetic support and...

  • Clinician/Clinical Rehabilitation Specialist

    4 months ago

    Middleton, United States Seven Hills Foundation Full time

    Overview Under supervision of the Director of Clinical Services, the Acquired Brain Injury (ABI) Clinician/Clinical Rehabilitation Specialist contributes as a member of a multi-disciplinary team supporting the community-integrated rehabilitation of adults with brain injuries. Primary functions include 1) conducting clinical assessments at intake, admission,...

  • Clinical Nurse Specialist

    3 weeks ago

    Middleton, Wisconsin, United States Wisconsin Fertility Institute Full time

    Job OverviewWe are seeking a dedicated full-time Clinical Nurse Specialist to provide exceptional patient care at a leading fertility institute. The Clinical Nurse Specialist will play a crucial role in assessing, diagnosing, and treating patients, while also offering education and support to both patients and their families.Key ResponsibilitiesDeliver...

  • Clinical Rehabilitation Specialist

    3 days ago

    Middleton, United States Seven Hills Foundation Full time

    Job SummaryWe are seeking a highly skilled and compassionate Clinical Rehabilitation Specialist to join our team at Seven Hills Foundation. As a key member of our multi-disciplinary team, you will play a vital role in supporting the community-integrated rehabilitation of adults with brain injuries.Key ResponsibilitiesConduct comprehensive clinical...

  • Clinical Documentation Specialist Nurse

    2 weeks ago

    Middleton, Wisconsin, United States UW Health Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at UW Health. As a Clinical Documentation Specialist Nurse, you will play a critical role in ensuring accurate and complete outpatient documentation, including HCC capture.Key ResponsibilitiesAdvise clinicians on complete and accurate outpatient documentation, including HCC...

  • Clinical Pharmacist

    2 weeks ago

    Middleton, Wisconsin, United States UW Health Full time

    Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team at UW Health. As a Clinical Pharmacist - Drug Policy Program Specialist, you will play a critical role in addressing drug shortage management, drug budget management, formulary management, and developing clinical practice guidelines.Key ResponsibilitiesDrug Shortage Management:...

  • Assembly Specialist

    3 weeks ago

    Middleton, Wisconsin, United States Rockwell Automation Full time

    Job Summary:We are seeking a skilled Assembly Specialist to join our team at Rockwell Automation. As an Assembly Specialist, you will be responsible for performing a wide variety of electronic and electro-mechanical assembly operations.Key Responsibilities:Perform hand soldering, wiring, and component installation on assembly units.Follow standard sequences...

  • Pharmacy Technician Specialist

    1 week ago

    Middleton, Wisconsin, United States UW Health Full time

    UW Health Pharmacy Services Building - a non-clinical location in Middleton that houses nearly 100 Pharmacy professionals. These employees perform various services and duties, including pharmacy administration, Pharmacy Technician Training Program, pharmacy primary care services, medication prior authorization, sterile and non-sterile compounding,...

  • Mental Health Specialist

    5 days ago

    Middleton, United States Ellie Mental Health - 055 Full time

    Ellie Mental Health - 055Seeking a Compassionate Mental Health SpecialistWe are committed to providing exceptional mental health services to our clients, and we are seeking a dedicated and compassionate Mental Health Specialist to join our team. As a Mental Health Specialist, you will be responsible for providing individual counseling services to clients...

  • Operations Specialist

    1 week ago

    Middleton, Wisconsin, United States Pfizer Full time

    {"title": "Job Description", "content": "Job SummaryPfizer is seeking a highly skilled Operations Specialist to join our team. As an Operations Specialist, you will play a critical role in ensuring the quality and compliance of our products.Key ResponsibilitiesContribute to the completion of complex projects, manage own time to meet agreed targets, and...

  • Retail Sales Specialist

    4 weeks ago

    Middleton, Wisconsin, United States Lands' End Full time

    As a Retail Sales Specialist, you will be an integral part of a skilled team that represents Lands' End to our customers by delivering outstanding service in a professional, courteous, and helpful manner. This role enhances the shopping experience for our clientele and drives profitable sales through product knowledge and advanced selling techniques. Retail...

  • Software Quality Assurance Specialist

    4 weeks ago

    Middleton, Wisconsin, United States Talent Groups Full time

    Software Quality Assurance Specialist (CSV) PositionContractual OpportunityHybrid Work ModelCompensation: Competitive Hourly RateRole Overview: The Software Quality Assurance Specialist plays a crucial role in supporting software systems and laboratory equipment. This position collaborates with various departmental teams and stakeholders to effectively...

  • Clinical Nurse Coordinator

    3 weeks ago

    Middleton, Massachusetts, United States Middleton Family Medicine Urgent Care LLC Full time

    Job SummaryMiddleton Family Medicine Urgent Care LLC is seeking a skilled Endocrinology Nurse Specialist to join our team. As a key member of our healthcare team, you will play a vital role in providing high-quality patient care and contributing to the success of our practice.Key ResponsibilitiesTelephone-Based Management: Provide expert telephone-based...

  • Clinical Pharmacist

    4 days ago

    Middleton, Wisconsin, United States UW Health Full time

    Clinical Pharmacist Job Description **About the Role** We are seeking a highly skilled Clinical Pharmacist to join our team at UW Health. As a Clinical Pharmacist - Drug Policy Program, you will play a critical role in addressing drug shortage management, drug budget management, and formulary management. **Responsibilities** * Lead weekly drug shortage...

Clinical Authorization Specialist

4 months ago

Middleton, United States University of Wisconsin Hospitals and Clinics Authority Full time
Work Schedule :

100% FTE. Scheduled shifts are 8:30 am - 5:00 pm, Monday - Friday. Hours may vary based on the operational needs of the department. This is a hybrid remote position.

Be part of something remarkable

Join the #1 hospital in Wisconsin

We are seeking a Clinical Authorization Specialist:

  • Confirm the need for authorizations by taking the appropriate actions to ensure authorizations are obtained; this includes acting as a liaison between insurance companies, healthcare providers and patients in coordinating the prior authorization of surgeries performed at performed at University Hospital, East Madison Hospital, Madison Surgery Center and UnityPoint Health - Meriter.
  • Medical policy review to ensure scheduled procedures will meet medical necessity guidelines set forth by insurance payers.
  • Coordinate with, educate and advise providers participating in a patient's care regarding complex or high-risk admissions, or any episode of service requiring additional attention.

Education :

Minimum - High School diploma or equivalent and completion of a Medical Assistant program, coding program or licensure as an LPN.

Preferred - Graduate of School of Nursing.

Our Commitment to Diversity, Equity, and Inclusion

UW Health is committed to being a diverse, equitable, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans.

UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.

View Full Job Description

UW Hospital and Clinics benefits