Medicaid Service Coordinator
About The Position
AllPro Staffnet LLC is seeking an experienced, organized Medicaid Service Coordinator to support and grow its Virginia Medicaid home care operations. The role coordinates Medicaid-funded personal care services and requires direct, hands-on Virginia Medicaid experience, particularly with agency-directed personal care, service authorizations, and managed care coordination. The coordinator works with members, families, caregivers, referral partners, Medicaid care coordinators, and internal teams to ensure dependable care, meet program requirements, and help expand access to home care in approved service areas. The position combines client and caregiver coordination, Virginia Medicaid program coordination, operational and compliance follow-up, and community relationship development. The coordinator manages schedules and staffing coverage, supports referrals and service initiation, monitors authorizations and service use, maintains accurate records, helps resolve EVV and documentation issues, and contributes to caregiver recruitment and program growth. The role works with national Medicaid leadership and supporting teams.
Requirements
- At least one year of direct, hands-on Virginia Medicaid experience involving Medicaid-funded home care, personal care, waiver services, or related home and community-based service coordination.
- Experience with service coordination, caregiver scheduling, staffing, or client service management in a Medicaid-funded home care environment.
- Familiarity with service authorizations, documentation, and Medicaid program requirements.
- Strong organizational, communication, problem-solving, and follow-through skills.
- Ability to work independently and manage competing priorities.
- Comfort making frequent calls and working directly with members, families, caregivers, and referral partners.
- Proficiency with computers, electronic documentation, and scheduling systems.
Nice To Haves
- Two or more years of direct Medicaid home care or waiver coordination experience, including the required Virginia experience.
- Experience coordinating Virginia Medicaid agency-directed personal care services.
- Familiarity with DMAS and Virginia Medicaid managed care authorization and service coordination processes.
- Experience working with Virginia Medicaid care coordinators and referral sources.
- Familiarity with EVV, including Netsmart/Tellus or comparable systems.
- Experience with AxisCare or similar home care management software.
- Caregiver recruitment, onboarding, retention, or Medicaid program growth experience.
Responsibilities
- Coordinate Medicaid-funded personal care services within the agency’s approved programs and service areas.
- Manage caregiver schedules, staffing assignments, and service coverage; respond to staffing challenges, missed visits, and service interruptions.
- Assist with caregiver recruitment, interviews, onboarding, and retention.
- Coordinate new member referrals, admissions, and timely service initiation following required approvals.
- Work with HR and the RN to confirm caregiver clearance, coordinate member-specific training, and verify readiness before the first scheduled visit.
- Maintain communication with members, families, caregivers, care coordination teams, health plan representatives, and referral partners.
- Coordinate agency services in accordance with applicable Virginia Medicaid, DMAS, managed care organization requirements, and company policies.
- Review service authorizations, approved hours, and applicable service plans; monitor service utilization and follow up on authorization renewals, discrepancies, and possible interruptions.
- Maintain accurate documentation and follow through on referrals and ongoing service needs.
- Coordinate with the RN and internal teams on care plans, supervision needs, and changes in member needs.
- Monitor EVV, visit documentation, and scheduling accuracy; identify and help resolve visit exceptions and documentation discrepancies.
- Support incident reporting, quality assurance, and operational follow-up.
- Track unstaffed hours, caregiver availability, and outstanding service needs.
- Use home care management software to maintain records and coordinate with HR, clinical staff, billing, and leadership.
- Build relationships with Medicaid care coordinators, referral sources, and community partners; conduct outreach and follow up on referral opportunities.
- Support member referrals, caregiver recruitment, and growth within approved service areas; identify opportunities to strengthen service delivery and expand access to home care.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
