Medicaid Service Coordinator

Allpro Staffnet • Oakland, ME

3d

About The Position

AllPro Staffnet LLC is hiring an experienced, organized Medicaid Service Coordinator to support and grow its MaineCare home care operations. The role coordinates Medicaid-funded personal care and personal support services, caregiver staffing, member referrals and admissions, program requirements, documentation, and operational follow-up. It also supports quality assurance, compliance, community relationships, and growth in access to home care throughout Maine. Direct experience with MaineCare Section 19 and Section 96 services is especially valuable.

Requirements

• At least 1 year of direct, hands-on experience with Medicaid-funded home care services, Medicaid waiver programs, or Home and Community-Based Services (HCBS).
• 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.
• Proficiency with computers, electronic documentation, and scheduling systems.

Nice To Haves

• 2 or more years of direct Medicaid home care or waiver coordination experience.
• Direct experience with MaineCare Section 19 or Section 96.
• Knowledge of MaineCare personal support or personal care services.
• Experience with Maine Service Coordination Agencies and Medicaid referral sources.
• Familiarity with EVV, including Sandata 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 and personal support services within the agency’s approved programs.
• 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 following required approvals.
• Maintain communication with members, families, caregivers, and service coordination teams.
• Respond promptly to staffing challenges, missed visits, and service interruptions.
• Coordinate agency services in accordance with applicable MaineCare Section 19 and Section 96 requirements.
• Review service authorizations, approved hours, and applicable service plans.
• Communicate with Service Coordination Agencies (SCAs), service coordinators, and referral partners.
• Monitor service utilization and address potential authorization or service interruptions.
• Maintain accurate documentation and follow up on referrals and ongoing service needs.
• Monitor Electronic Visit Verification (EVV), visit documentation, and scheduling accuracy.
• Identify and help resolve documentation discrepancies and service-related concerns.
• Assist with incident reporting, quality assurance, and operational follow-up.
• Track unstaffed hours, caregiver availability, and outstanding service needs.
• Support MaineCare provider requirements and company policies.
• Use home care management software to maintain accurate records and coordinate with supervisory or clinical personnel as needed.
• Build positive relationships with SCAs, MaineCare referral sources, and community partners.
• Support member referrals, caregiver recruitment, and service-area growth.
• Identify opportunities to strengthen service delivery and expand access to home care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed