Summary
Overview
Work History
Education
Skills
Certification
References
Work Availability
Interests
Work Preference
Timeline
Generic

Nadia Smith

Little Falls,NJ

Summary

Over 16 years in both Social/Human Service Agencies and Hospital settings. Investigative work on medical records, billing, and socio-economic data, to determine benefit eligibility. Assessments of information provided from the client at time of interview resulting in Adjudication.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Quality Control Reviewer

Essex County Division of Welfare
Newark, NJ
03.2021 - Current
  • Perform quality assurance checks to ensure benefit delivery services adhere to proper State public assistance policies, standards, and regulations
  • Provide clarification and assistance to staff on regulatory interpretation and application of social service laws and programs for error prevention and optimal compliance
  • Collection and evaluation of case and program data for utilization in reporting workflow trends, recommendations in process improvement
  • Federal and State regulatory program monitoring, analysis, and compliance
  • Review and oversight of multiple social service benefit delivery systems to ensure timeliness, effectiveness, and efficiency
  • Recommended modifications or improvements to existing products based on evaluation results.
  • Collaborated with other departments within the organization to resolve quality-related issues quickly and efficiently.
  • Identified production concerns and worked with supervisors to understand and remedy situations.
  • Produced official reports of findings to meet regulatory standards and assist senior leadership with improving operations.

Family Service Worker

Essex County Division of Welfare
Newark, NJ
08.2011 - 03.2021
  • Determine eligibility for Medicaid, welfare, housing, utility, burial, and food stamp benefits, in accordance with Federal and State regulations
  • Prepare daily statistical reports
  • Conduct interviews to gather socio-economic data, and assist in obtaining required documents
  • Cross examining of applications/documents for accuracy and authenticity
  • Verifying information through Social Security Administration, Dept
  • Of Corrections, Medicaid, Dept of Labor and Bureau of Vital Statistics databases, medical professionals, landlords, employers, and other state/county service agencies
  • Assess domestic violence victims and assisting with obtaining benefits, while maintaining a high level of confidentiality regarding their place of residence, employment, and welfare case
  • Assess mental health problems; refer clients to Behavioral Health or Substance Abuse programs
  • Prior to 2016: Appeared at Fair Hearings with Administrative Law Division Judges; and testified in landlord-tenant court on behalf of the county welfare agency
  • Investigate narcotics convictions from NJ Judiciary, receipt of benefits from Social Security Administration, and unreported income/assets
  • Process SNAP, WFNJ, EA and housing applications; place clients in shelters, transitional housing programs, or apartments
  • Inspect housing placements and furniture purchases
  • Prepare written final determinations of eligibility/ineligibility of benefits applied for in accordance with state/federal regulations
  • Acting as a liaison between CWA and outside agencies involved in assisting clients with obtaining benefits
  • Investigative work on medical records, billing, and socio-economic data, to determine benefit eligibility
  • Assessments of information provided from the client at time of interview resulting in Adjudication
  • Collaborated with state agencies and benefits coordinators to develop individualized plans for each case.
  • Used job-related software to compose or prepare correspondence, case notes and technical reports
  • Maintained confidentiality through stringent handling of charts and data.
  • Monitored program activities and participation to assess utilization and close service gaps.
  • Discussed eligibility requirements for different services to help families gather required information and documentation.
  • Maintained effective working relationships with law enforcement, court officials and medical professionals to give families comprehensive and effective support.
  • Completed intake assessments on families to determine service needs.
  • Supported needs of at-risk families with housing, food and other critical assistance.
  • Monitored client progress during treatment plans by conducting periodic reviews of goals achieved or unmet objectives.
  • Provided crisis intervention services when needed including emergency shelter placement or referrals to appropriate agencies.

Nursing Services Clerk

North Jersey Developmental Center
Totowa, NJ
05.2009 - 08.2011
  • Assembled patient charts at institution serving Developmentally Disabled patients
  • Pulled charts for medical/nursing rounds
  • Routed charts when patients transferred/discharged
  • Dispatched calls/messages to nursing/unit staff
  • Compiled patient records, schedules, reports and surveys
  • Familiarity with medical terminology required
  • Updated client census
  • Timekeeping for all Clerical and Nursing Staff
  • Handled confidential information and completed tasks with minimal supervision
  • Organized and maintained filing systems for confidential documents.
  • Maintained inventory levels of office supplies and equipment as needed.
  • Answered phones in a courteous manner while providing excellent customer service.
  • Compiled client information into organized databases for easy access.
  • Performed data entry tasks to update client records.
  • Provided administrative support such as scheduling appointments or meetings.
  • Organized physical files on an ongoing basis to ensure efficient retrieval times.
  • Supported office clerical functions using word processing and other software, email and office machines.
  • Answered telephones, directed calls, and took messages.
  • Monitored office supply stock levels and placed timely orders for replenishment.
  • Prepared meeting agendas, attended meetings and recorded and transcribed minutes.
  • Coordinated travel arrangements for office personnel.

Adjustment Clerk

Valley National Bank
Wayne, NJ
01.2007 - 05.2008
  • Investigated accounts that were over or short funds; researched accounts, checks processed, and teller transaction journals
  • Adjusted business, consumer, and branch monetary differences
  • Issued cash clearing requisitions for adjustments to branches, for those unable to be processed at bank headquarters
  • Responded to inquiries from customer service and branch managers
  • Resolved discrepancies from credited/debited customer, branch, Accounts Receivable and Accounts Payable accounts
  • Rectified check encoding errors
  • Prepared requested weekly reports of deposits not posted

Education

B.A. - Women’s Studies

Rutgers University
New Brunswick

Skills

  • Process Improvement Review
  • Analysis/Assessment
  • Reporting
  • Organizational Data Collection
  • Evaluation
  • Audit Review
  • Interpretation
  • Operational Recommendations
  • Specialized Program Review
  • Assistance
  • Service Facilitation
  • Adjudicating
  • Accounts receivable
  • Accounts payable
  • Medical Terminology
  • NJ systems: UAP
  • NJ systems: MES
  • NJ systems: GAAS
  • NJ systems: DIMS/ICN
  • NJ systems: FAMIS
  • NJ systems: IACQuire
  • NJ systems: One trac
  • Microsoft 365
  • Excel
  • Outlook
  • Word
  • PowerPoint
  • Teams
  • Zoom
  • OneDrive
  • Customer service
  • Data entry
  • Ability to work in stressful situations
  • Compliance
  • Interview techniques
  • Document analysis
  • Confidentiality
  • Background Checks
  • Policy analysis
  • Document Review
  • Oral communication

Certification

Seminar on Domestic Violence and Mental Illness, 10/18, NJ Dept. of Human Services, Trenton, NJ

References

Available upon request.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Interests

Community service/volunteering

Travel

Performing arts

Concerts

Sporting events

Work Preference

Work Type

Full TimePart Time

Work Location

RemoteOn-SiteHybrid

Important To Me

Career advancementWork-life balanceFlexible work hoursWork from home optionPersonal development programs4-day work week

Timeline

Quality Control Reviewer

Essex County Division of Welfare
03.2021 - Current

Family Service Worker

Essex County Division of Welfare
08.2011 - 03.2021

Nursing Services Clerk

North Jersey Developmental Center
05.2009 - 08.2011

Adjustment Clerk

Valley National Bank
01.2007 - 05.2008

B.A. - Women’s Studies

Rutgers University
Nadia Smith