Monique Ruelas
Santa Ana,CA
Overview
11
11
years of professional experience
Work History
Event Planner
01.2015 - Current
- Plan and manage events for 100–350 guests with an exceptional customer experience.
- Coordinate full bar services, staffing, inventory, and event execution.
- Organize events, organize agenda, locate appropriate vendors, plan travel, schedule accommodations, ensuring a smooth and flawless execution.
- Budget review of vendors' invoices.
- Overseeing critical timelines and due dates for projects.
- Assist with the setup and teardown of the assigned venue.
- Ensure adequate staff availability.
- Review caterers' accounts for accuracy.
Social Services Supervisor
County of Orange
- Current
- Supervised teams in Medi-Cal eligibility, public assistance intake, and community outreach initiatives.
- Managed annual redeterminations, documentation reviews, and application support processes.
- Represented County in State Hearings; prepared evidence and interpreted MPP, ACWDL, ACL regulations.
- Investigated civil rights and ADA complaints; collaborated with HR and state agencies for resolutions.
- Developed staff training programs, County of Orange Statement of Position (SOP), and tools to enhance eligibility accuracy and compliance.
- Resolved In-Home-Supportive-Services (IHSS) timesheet issues while ensuring continuity of participant services.
- Audited vendors to verify contract compliance, service quality, and budget alignment.
- Reviewed County aid code discrepancies, ensuring adherence to DHCS standards.
Eligibility Coordinator
Welbe Health Program of All-Inclusive Care for the Elderly (PACE)
11.2021 - 04.2024
- Supervised teams managing Medi-Cal eligibility, public assistance intake, and community outreach.
- Managed annual redeterminations, documentation reviews, and application support.
- Represented the County in State Hearings; prepared evidence and interpreted MPP/ACWDL policy.
- Investigated civil rights and ADA complaints; collaborated with HR and state agencies.
- Developed staff training, SOPs, and tools to improve eligibility accuracy and compliance.
- Resolved IHSS timesheet issues and coordinated continuity of participant services.
- Audited vendors to ensure contract compliance, service quality, and budget alignment.
- Assisted with SSI, CalFresh, and complex SOC/Spousal Impoverishment cases.
- Reviewed and corrected aid code discrepancies per DHCS standards.
- Provided bilingual (Spanish) support and culturally appropriate resources.
- Reason for Leaving: The position transitioned from remote to in-office, and I was unable to relocate.
Skills
- Customer Advocacy & Support
- Public Program Eligibility (Medicare/Medicaid)
- Appeals & Grievance Resolution
- State Compliance (ACL, ACIN, MPP)
- Policy Interpretation & Staff Training
- Federal Compliance (CMS, POMS)
- Case Auditing & Risk Analysis
- Strong Interpersonal & Communication Skills
- Calendar & Scheduling Management
- Maintains confidentiality
- Administrative Support
- Meeting Preparation & Follow-up
- Project Coordination
- Medicaid/Medical Application Submissions
- Medical Yearly Recertifications
- California Department of Social Services (DPSS)
- Effective communication
- Deep program knowledge
- Spanish Speaking
- Technology experience in Salesforce and Athena
Timeline
Eligibility Coordinator
Welbe Health Program of All-Inclusive Care for the Elderly (PACE)
11.2021 - 04.2024
Event Planner
01.2015 - Current
Social Services Supervisor
County of Orange
- Current