Monica Smiley

Assessed member needs to enhance care plans aligned with personal goals and preferences.

Developed comprehensive service plans to address unique member health requirements and aspirations.

Identified and addressed barriers faced by members, providing effective solutions and resources.

Facilitated access to services, ensuring members received necessary support for optimal health outcomes.

Educated families on benefits included with Sunshine Health plans, highlighting expanded service offerings.

Collaborated with healthcare teams to ensure holistic approaches in member care and support.

Conducted regular follow-ups to monitor member progress and adjust care plans as needed.

Advocated for members’ rights and access to resources within the healthcare system.

• Conducted investigations into abuse and neglect of vulnerable adults.
• Collaborated with law enforcement and agencies like Elder Affairs and APD.
• Gathered information through interviews with adults, relatives, and associated parties.
• Identified necessary services and assessed intervention levels for vulnerable adults.
• Evaluated mental capacity and safety of vulnerable adults and caregivers.

• Gathered critical information through interviews with children and families.
• Conducted assessments ensuring children's safety from abuse at home.
• Identified unique needs of children, coordinating essential services and resources.
• Maintained accurate documentation through detailed case reports and forms.
• Formulated and executed safety plans for children facing abuse or neglect.

• Ensured child safety by investigating abuse and neglect cases thoroughly.
• Gathered essential information from interviews with children and families.
• Evaluated child safety by assessing threats and caregiver capacities effectively.
• Coordinated emergency placements for children unable to stay safely at home.
• Collaborated with law enforcement and legal teams for case management.
• Linked families to community resources and agency services for support.

• Streamlined public assistance eligibility determinations, enhancing service delivery efficiency.
• Boosted team performance through effective motivation, training, and evaluations.
• Managed employee assignments while recommending necessary personnel actions for improvement.
• Ensured compliance and efficiency by applying expertise in eligibility processes.
• Facilitated ADA-compliant communication with customers with disabilities for enhanced service.
• Evaluated client eligibility for economic assistance, ensuring adherence to regulations.
• Created customized service plans to promote self-sufficiency and economic stability.
• Guided clients on budgeting and financial literacy for effective financial management.
• Mentored junior staff on case management, fostering a collaborative team culture.
• Analyzed program outcomes to identify trends and recommend service improvements.

• Ensured accurate benefits issuance by reviewing customer cases meticulously.
• Developed Quality Management tracking system, addressing staff errors promptly and accurately.
• Analyzed Quality Control data and monitoring sources to identify improvement areas.
• Mentored staff by providing feedback and training on error trend management.
• Reviewed case records to ensure compliance with Federal and State regulations.
• Trained employees on improvement plans for enhanced efficiency and effectiveness.

• Ensured accurate eligibility determination for public assistance applicants.
• Processed applicant and recipient cases timely, adhering to regulations and policies.
• Utilized Medicaid Eligibility System to monitor case statuses and workload planning.
• Streamlined case processing by implementing effective procedures and monitoring deadlines.
• Maintained compliance with current policies while managing applicant eligibility efficiently.