Medicaid Service Coordinator

Job Description

Job Description

Description:

Join Our Team and Make a Difference!

AllPro Staffnet LLC is seeking an experienced, motivated, and highly organized Medicaid Service Coordinator to support and grow our Virginia Medicaid home care operations.

We are looking for someone with direct, hands-on Virginia Medicaid experience who understands program requirements and takes pride in coordinating dependable, compassionate care. Experience with Virginia Medicaid agency-directed personal care, service authorizations, and managed care coordination is especially valuable.

This is an opportunity for a proactive, resourceful professional who enjoys solving problems, building relationships, and taking ownership of daily operations while helping expand access to home care in the communities we serve.

What You’ll DoClient & Caregiver Coordination

· 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 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, and care coordination teams.

· Respond promptly to staffing challenges, missed visits, and service interruptions.

Virginia Medicaid Program Coordination

· Coordinate agency services in accordance with applicable Virginia Medicaid, Department of Medical Assistance Services (DMAS), and managed care organization requirements.

· 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.

Operations & Compliance

· Monitor electronic visit verification (EVV), visit documentation, and scheduling accuracy.

· Identify and help resolve visit exceptions, documentation discrepancies, and service-related concerns.

· Incident reporting, quality assurance, and operational follow-up.

· Track unstaffed hours, caregiver availability, and outstanding service needs.

· Support compliance with applicable Virginia Medicaid provider requirements and company policies.

· Use home care management software to maintain accurate records and coordinate with HR, clinical staff, billing, and leadership.

Program Growth & Community Relationships

· Build positive relationships with Medicaid care coordinators, referral sources, and community partners.

· Conduct outreach and follow up consistently 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.

#INDCORP

Requirements:

Required Qualifications

· 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.

Highly Preferred Qualifications

· 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.

Who Will Succeed in This Role?

Someone who takes ownership, anticipates staffing challenges, communicates clearly, follows through on commitments, maintains accurate documentation, and builds strong relationships with members, caregivers, and referral partners. The right person is comfortable picking up the phone, working through problems, and following an issue through to resolution.

Compensation

$55,000–$65,000 annually, depending on the length and depth of directly relevant experience and demonstrated qualifications. Candidates with substantial Virginia Medicaid personal care coordination experience and proven home care operational expertise may qualify toward the upper end of the range.

Why Join AllPro?

At AllPro Staffnet LLC, we help older adults maintain their independence and quality of life through reliable, compassionate home care. You will work with national Medicaid leadership and supporting teams while playing an important role in the growth of our Virginia program and the communities we serve.

If you have direct Virginia Medicaid experience and are ready to take ownership of a rewarding position, we encourage you to apply!

Submit your résumé and complete the screening questions. Please clearly describe the Virginia Medicaid programs or services you supported and your direct responsibilities.

AllPro Staffnet LLC is an Equal Opportunity Employer. We consider qualified applicants without regard to any status protected by applicable law.