Proven leader in quality and compliance, adept at streamlining processes for enhanced Efficiency. Skilled in regulatory knowledge and project management. Excels in fostering interdisciplinary collaboration and ensuring adherence.
Overview
5
5
years of professional experience
Work History
INCOME MAINTENANCE UNIVERSAL CASEWORKER II-DSS Programs
Randolph County Department of Social Services
Asheboro, NC
01.2025 - Current
Responsible for taking applications, determining eligibility and maintaining cases for Food and Nutrition Services, Adult Medicaid, Temporary Assistance for Needy Families, or Family and Children's Medicaid. This includes interviewing the client, verifying information, determining eligibility, maintaining the record and making changes to the record. The caseworker must determine how the changes impact on the eligibility of the case. Other duties may be assigned to the caseworker when deemed necessary by the supervisor.
The caseworker in this position must be human services oriented and possess the ability to interact well with supervisors, co-workers and customers and be able to work in a team environment. The case worker must respond to disasters as needed in accordance with Randolph County DSS policy, in the event of a natural or man-made disaster or upon the declaration of a state of emergency by the Randolph County Emergency Management Office.
This position must use the online program manuals and DSS Administrative Letters as appropriate. The caseworker is expected to make the final decision in determining eligibility by applying written policy but be able to recognize situations that should be referred to the Supervisor for clarification.
QUALITY AND COMPLIANCE SPECIALIST
PACE of the Triad
Greensboro, NC
01.2022 - 01.2025
Ensuring the program met Federal, State, and local regulations through data analysis, audits, and reporting key responsibilities including, developing and implementing quality improvement plans, managing compliance for programs like Medicare/Medicaid, overseeing audits, and supporting vendor contracts and participant grievances. Demonstrated strong analytical skills, knowledge of healthcare regulations, and proficiency in data management and reporting.
RELEASE OF INFORMATION SPECIALIST
Wake Forest Baptist Health High Point Medical Center
High point, NC
10.2021 - 01.2022
Processed and managed requests for medical records, ensuring compliance with legal and privacy regulations like HIPAA. Key duties included reviewing and verifying requests, accurately retrieving and handling patient information, and maintaining confidentiality. This role required strong organizational and communication skills and familiarity with electronic health records (EHR) and medical terminology.
CLINICAL LEAD/MEDICAL ASSISTANT
AeroCare Home Medical
Asheboro, NC
12.2020 - 10.2021
Lead Medical Assistant responsible for both administrative and clinical duties, along with supervisory responsibilities like staff training, scheduling, and performance feedback. Lead resource for other medical assistants, ensure patient flow, assist with patient care, and serve as a liaison between the staff and management. Key responsibilities include managing daily operations, delegating tasks, training new hires, and performing quality control checks.
Education
High School Diploma -
West Montgomery High School
Mount Gilead, NC
Pharmacy Cert - Pharmacy
Randolph Community College
Asheboro, NC
Skills
Eligibility Determination
Application and Case Management
Client Interaction
Regulatory knowledge
Compliance Monitoring
Clerical writing
Data Compilation
Audit Coordination
Auditing
Quality Management Processes
Training and education
Audit oversight
Project Management
Data Evaluation
Quality Control
Appeals processing
Timeline
INCOME MAINTENANCE UNIVERSAL CASEWORKER II-DSS Programs
Randolph County Department of Social Services
01.2025 - Current
QUALITY AND COMPLIANCE SPECIALIST
PACE of the Triad
01.2022 - 01.2025
RELEASE OF INFORMATION SPECIALIST
Wake Forest Baptist Health High Point Medical Center
Income Maintenance Caseworker II at Durham County Department Of Social ServicesIncome Maintenance Caseworker II at Durham County Department Of Social Services
Income Maintenance Caseworker II at Surry County Department of Social ServicesIncome Maintenance Caseworker II at Surry County Department of Social Services
Income Maintenance Caseworker II at WILSON COUNTY DEPARTMENT OF SOCIAL SERVICESIncome Maintenance Caseworker II at WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES