Eligibility and Authorization Coordinator - Benefits

• Compensation: $24/hr - $25/hr (Negotiable)
• Type: Full-Time
• Location: On-site
• Schedule: Monday - Friday; 8:00 am-5 pm
• Medical, Dental, Vision, 401k with employer matching, Voluntary Life, Flex-Spending Account Options Savings
• Generous PTO Plan (15 Days) and encouragement to USE IT!
• 6 holidays  
• 5 sick days  
• Grow & Shine: Work alongside healthcare professionals who mentor and support your career growth. 
• Open Doors, Open Minds: Transparent leadership that listens and values your voice. 
• Feel the Love: Here, you’re not just an employee—you’re family. 
• Work-Life Bliss: Team outings, company events, and a commitment to putting you first. 
• An Office That Feels Like Home: Modern, welcoming, and dog-friendly (as long as Fido’s well-behaved!). 

About Us: 

Care Partners is a rapidly growing, multi-faceted healthcare organization serving Southern California. We are uniquely positioned as one of the only providers integrating Enhanced Care Management with Non-Medical Home Care, delivering a comprehensive and highly sought-after in-home care model across Orange County, Los Angeles, San Diego and the Inland Empire. Our services connect much needed resources to high-risk Medi-Cal patients in an effort to improve everyday life for our clients as well as improve efficiencies within our local health systems.

We are expanding our services to support children and dependent adults with developmental disabilities and are proud to partner with multiple Regional Centers throughout California. This is an exciting opportunity to join a mission-driven team and contribute to a growing service line that makes a meaningful impact in the communities we serve.

The Eligibility and Authorization Coordinator serves a critical role in ensuring the accuracy, compliance, and efficiency of service eligibility and authorization processes. This individual is responsible for managing the full lifecycle of authorizations, including referral coordination, calls to referral source with updates, verifying eligibility requirements, tracking service utilization, ensuring timely renewals, and assisting to facilitate support for our offsite teams.

The ideal candidate is detail-oriented, highly organized, and passionate about supporting our Enhanced Care Management team (ECM). This role requires strong collaboration with internal & external teams, clients, to ensure seamless service delivery.

Eligibility and Authorization Coordinator - Requirements:

EDUCATION AND EXPERIENCE

• Experience in authorization coordination, eligibility verification, case management, or a related role (preferably within healthcare services).
• Strong attention to detail and exceptional organizational skills.
• Excellent interpersonal and communication skills with a compassionate, professional demeanor.
• Proficiency in Microsoft Office, EHR systems, and web-based applications.
• Bachelor’s degree preferred but not required.
• Ability to pass a federal background check.
• Valid driver’s license and proof of current auto insurance.
• Preferably Spanish or Vietnamese Speaker

Essential Functions:

• Manage the full lifecycle of authorizations, including eligibility verification, tracking utilization, and ensuring alignment with referrals and regulatory guidelines
• Maintain accurate documentation in EHR systems and ensure compliance with state, payer, and DHCS requirements, including audits
• Serve as the primary point of contact for authorization inquiries, providing clear communication and coordination with clients, families, and stakeholders
• Collaborate cross-functionally with internal teams while building strong relationships and identifying process improvements to support efficient workflows

All your information will be kept confidential according to EEO guidelines.