Medicaid Service Coordinator

Allpro Staffnet•Newport news, VA

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 helps ensure dependable, compassionate care within the agency’s approved programs and service areas. It requires direct, hands-on Virginia Medicaid experience, with particular value placed on experience with agency-directed personal care, service authorizations, and managed care coordination. The coordinator oversees client and caregiver coordination, Virginia Medicaid program processes, operational documentation and compliance, and community relationships. The position works with members, families, caregivers, referral partners, Medicaid care coordinators, health plans, HR, the RN, clinical staff, billing, leadership, and national Medicaid leadership. Compensation is $55,000–$65,000 annually, depending on relevant experience and qualifications.

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.
Assist with caregiver recruitment, interviews, onboarding, and retention.
Coordinate new member referrals, admissions, and timely service initiation after required approvals.
Work with HR and the RN to confirm caregiver clearance, coordinate member-specific training, and verify readiness before the first scheduled visit.
Communicate with members, families, caregivers, and care coordination teams.
Respond to staffing challenges, missed visits, and service interruptions.
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.
Communicate with Medicaid care coordinators, health plan representatives, and referral partners.
Monitor service utilization and follow up on authorization renewals, discrepancies, and potential service interruptions.
Maintain accurate documentation and follow through on referrals and ongoing service needs.
Coordinate with the RN and appropriate internal teams on care plans, supervision needs, and changes in member needs.
Monitor electronic visit verification (EVV), visit documentation, and scheduling accuracy.
Identify and help resolve visit exceptions, documentation discrepancies, and service-related concerns.
Handle incident reporting, quality assurance, and operational follow-up.
Track unstaffed hours, caregiver availability, and outstanding service needs.
Use home care management software to maintain accurate records and coordinate with HR, clinical staff, billing, and leadership.
Build positive relationships with Medicaid care coordinators, referral sources, and community partners.
Conduct outreach and consistently follow up on referral opportunities.
Support member referrals, caregiver recruitment, and growth within the agency’s approved service areas.
Identify opportunities to strengthen service delivery and expand access to dependable home care.