Medicaid Service Coordinator

Description

All Pro Staffnet LLC is seeking an experienced, motivated, and highly organized Medicaid Service Coordinator to support and grow our Maine Care home care operations.

We are looking for someone with direct, hands‑on Medicaid‑funded home care experience who understands program requirements and takes pride in coordinating dependable, compassionate care. Experience with Maine Care Section 19 and Section 96 services 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 throughout Maine.

• 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 Maine Care 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 Maine Care 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, Maine Care 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.

#INDCORP

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.

• 2 or more years of direct Medicaid home care or waiver coordination experience.
• Direct experience with Maine Care Section 19 or Section 96.
• Knowledge of Maine Care 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 Axis Care or similar home care management software.
• Caregiver recruitment, onboarding,…