Care Authorization Specialist: Impactful Coordination

Care Partners; Irvine (CA); On-site; USD 33,000 - 40,000; Full time

Job summary

Care Partners At Home in California is seeking an Authorization Coordinator to manage the full lifecycle of service authorizations, collaborate with families and insurance representatives, and ensure hours are applied correctly. You will work with the Intake and Operations teams to maintain CRM records, meet state regulations, and provide timely updates.

A passion for helping others and a detail-oriented mindset are essential.

Qualifications

• Experience in authorization coordination or a related role within the CalAIM field.
• Exceptional attention to detail and organizational skills.
• Strong interpersonal and communication skills, with a compassionate and professional demeanor.
• Proficiency in computer systems, including Microsoft Office, CRM platforms, and internet-based applications.
• A college degree is preferred but not required.
• Ability to pass a federal background screen.
• Valid driver’s license and proof of current auto insurance.

Responsibilities

• Authorization Management: Oversee the full lifecycle of service authorizations, from initial requests to renewals.
• Ensure that utilization is tracked and managed accurately to maximize approved hours.
• Verify that all service hours are applied appropriately and in compliance with guidelines.
• Documentation and Compliance: Maintain accurate records of authorizations and renewals in the company’s CRM system.
• Ensure all processes comply with state regulations and Cal AIM requirements.
• Communication and Coordination: Serve as the primary point of contact for authorization-related inquiries from families and Cal AIM representatives.
• Provide clear, timely updates to families and caregivers regarding authorization statuses.
• Relationship Building: Build and maintain strong relationships with clients, families, and Cal AIM representatives.
• Act as a trusted resource for families navigating the authorization process for disability services.
• Team Collaboration: Work closely with the Intake and Operations teams to ensure authorization accuracy and smooth transitions to care services.
• Provide feedback and recommendations to improve the authorization process and overall efficiency.

Skills

Attention to detail

Organizational skills

Interpersonal communication

Customer service

Education

College degree preferred but not required

Tools

Microsoft Office

CRM platforms

Job description

Care Partners At Home in California is seeking an Authorization Coordinator to manage the full lifecycle of service authorizations, collaborate with families and insurance representatives, and ensure hours are applied correctly. You will work with the Intake and Operations teams to maintain CRM records, meet state regulations, and provide timely updates.

A passion for helping others and a detail-oriented mindset are essential.