KAMEELAH SPENCE

***** ** **** *****

Newberry, FL 32699

305-***-****

acaa9y@r.postjobfree.com

SUMMARY: Senior Human Services Professional, with demonstrated strengths in assessing

organizational and client needs, setting strategic direction, and implementing initiatives for departmental

goals. Expertise include: Provider Relations, Medicaid and Health Care Regulatory Interpretation,

Problem Solving, Conflict Resolution, Team Building, Instructing-Workshop Facilitation.

EDUCATION:

Nova Southeastern University Fort Lauderdale, FL

Masters of Science Degree: Health Law July 31, 2013

Concentration: Risk Management

Bennett College Greensboro, NC

Bachelor of Arts Degree: Mass Communications May 13, 2000

HEALTH CARE EXPERIENCE:

Agency for Health Care Administration – Health Quality Assurance Alachua, FL

Health Facility Evaluator II 05/2013 - Present

Coordinate and conduct surveys of health care and residential facilities. Review facility files prior to the

visit, coordinate with team members concerning objectives of the visit prior to the visit; coordinate with

team members concerning objectives of the visit when applicable, make detail observations of the facility

during the visit and documenting findings. Ensure to completion and resolution all duties and

responsibilities related to facility surveys from initial to final action including approval of corrective

actions taken by health care facilities to rectify deficiencies cited.

Department of Children and Families Ocala, FL

Adult Protective Investigator 12/2012 – 05/2013

Counseled clients and patients, individually and in group sessions, assisted in overcoming dependencies,

adjusting to life, and making changes. Counseled family members and assisted in understanding, dealing

with, and supporting client or patient. Interviewed clients, reviewed records, and conferred with other

professionals to evaluate mental or physical condition of client or patient.

Agency for Persons with Disabilities Gainesville, FL

Operations and Management Consultant I 09/2012-12/2012

Supervised a staff of 7 employees, coordinate and oversee the operation of the TIPS Sensations,

Performing Arts, Arts and Crafts and Recreation Programs with both individual residents and entire

homes in accordance with a healthy lifestyle for Tacachale residents. Appraised direct report performance

evaluations; institute disciplinary action as necessary and in accordance with Department policy and

procedure. Monitored programs and ensured quality active treatment and resident progress.

Spence 2

Department of Elder Affairs Miami, FL

CARES Assessor Supervisor 05/2012 – 08/2012

Supervised, assigned and monitored the activities of the Senior CARES Assessor and administrative

support staff. Monitored case files of assessors, senior assessors and RN staff following established

procedures and timelines. Utilized monitoring results to develop and provide training to improve

compliance; including training on the functions, goals, assessment procedures, and policies as indicated in

the Department's goals and mission. Reviewed current work flows, obtained input from staff, improves

the overall quality and quantity of work performed. Prepared and developed plans for case assignment

and workload distribution for the 11A CARES field office.

Agency for Health Care Administration – Medicaid Quality Assurance Miami, FL

Senior Human Services Program Specialist 04/2006-04/2012

Provided information, education and consultation regarding the Medicaid state plan program. Served as a

liaison between the Bureau of Medicaid services and providers in Miami-Dade and Monroe counties

providing services as: Assisted living facilities, durable medical equipment suppliers, hearing specialist,

hospice services, optometry/visual practitioners, physician services, podiatry practitioners and therapy

services. Represented the agency in Medicaid fair hearings for Home Health, DME and therapy services.

Scheduled face-to-face meetings with providers to resolve billing discrepancies and policy interpretation.

Provided technical assistance in processing electronic claims using the HP webportal. Coordinated and

conducted formal training activities and presentations for the DME (Durable Medical Equipment)

program for the Area 11 staff and providers. Assisted dually eligible beneficiaries understand their

coverage under the Part D drug prescription program. Monitored the Project AIDS Care Waiver program.

Agency for Health Care Administration – Health Quality Assurance Miami, FL

Health Facility Evaluator II 03/2004-04/2006

Coordinated and conducted surveys of health care and residential facilities. Reviewed facility files prior

to the visit, coordinated with team members concerning objectives of the visit prior to the visit;

coordinated with team members concerning objectives of the visit when applicable, made detailed

observations of the facility during the visit and documenting findings. Ensured to completion and

resolution all duties and responsibilities related to facility surveys from initial to final action including

approval of corrective actions taken by health care facilities to rectify deficiencies cited.

(Name during employment: Kameelah Brown)

State Attorney’s Office – Child Support Enforcement Miami, FL

Case Analyst 04/2001 – 03/2004

Conducted interviews and initiated case actions for referral to establish paternity for existing Temporary

Assistance to Needy Families (TANF), Food stamps, Medicaid, Foster Care and Non-Assistance Families

cases. Obtained appropriate administrative orders and court orders, and subsequently securing and

enforcing child support payments through legal and administrative remedies.

REFERENCES AVAILABLE UPON REQUEST

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