Elizabeth Winn
Ione
Summary
Accomplished Human Services and Quality Assurance professional with over five years of experience in public assistance administration and regulatory compliance. Expertise in Medi-Cal, CalFresh, CalWORKs, Enhanced Care Management, Community Supports, and CalAIM. Skilled in leading teams, enhancing program performance, interpreting complex regulations, and ensuring compliance while serving diverse populations.
Overview
2
2
years of post-secondary education
5
5
years of professional experience
Work History
Quality Assurance Specialist
Pacific Health Group
05.2026 - Current
- Lead quality assurance and compliance activities for Enhanced Care Management (ECM) and Community Supports (CS) under California’s CalAIM initiative.
- Provide quality oversight for 10 Lead Care Managers serving 600+ members.
- Conduct documentation audits to ensure compliance with DHCS, managed care plans, and organizational standards.
- Analyze quality trends and implement corrective action plans.
- Coach and educate staff on documentation standards, compliance requirements, and best practices.
- Partner with leadership to improve workflows and operational performance.
- Monitor program metrics and recommend quality improvement initiatives.
Social Worker
Amador County Department of Social Services
Sutter Creek
09.2025 - 03.2026
- Conducted investigations involving allegations of child abuse and neglect.
- Completed safety and risk assessments while developing individualized case plans.
- Prepared court reports, affidavits, and legal documentation.
- Collaborated with multidisciplinary partners to ensure child safety and family stability.
- Managed complex caseloads while maintaining confidentiality and regulatory compliance.
Human Services Specialist
Sacramento County Department of Human Assistance
Sacramento
09.2021 - 09.2025
- Determined eligibility for Medi-Cal, CalFresh, and CalWORKs by interpreting complex federal and state regulations.
- Selected for a specialized COVID-19 intake project responsible for processing high volumes of public assistance applications.
- Participated in specialized implementation efforts during the transition from CalWIN to CalSAWS.
- Managed complex caseloads while consistently meeting productivity and quality standards.
- Connected clients with community resources and supportive services.
- Trained and mentored new Human Services Specialists.
Education
Bachelor of Arts - Ethnic Studies
California State University, Sacramento
Sacramento, CA 08.2017 - 05.2019
Skills
- Quality Assurance
- Regulatory Compliance
- Program Auditing
- Case Management
- Medi-Cal
- CalFresh
- CalWORKs
- CalAIM
- Enhanced Care Management
- Community Supports
- Public Assistance Programs
- Data Analysis
- External audits
- Microsoft Office
- Leadership
- Staff Development
- Customer Service
- Attention to detail
- Effective communication
- Problem solving
- Customer Service
Accomplishments
- Leadership Award and Recognition
- Quality Assurance Certificate of Accuracy ( Multiple Certificate Recipient)
- Customer Service Recognition Award
Professional Highlights
- Over five years of progressive human services experience
- Supervisory leadership through Acting Supervisor assignments
- Oversight of quality assurance activities supporting 600+ CalAIM members
- Expertise in Medi-Cal, CalFresh, CalWORKs, ECM, Community Supports, and DHCS regulations
- Strong background in compliance, auditing, staff coaching, and quality improvement
Timeline
Quality Assurance Specialist
Pacific Health Group
05.2026 - Current
Social Worker
Amador County Department of Social Services
09.2025 - 03.2026
Human Services Specialist
Sacramento County Department of Human Assistance
09.2021 - 09.2025
Bachelor of Arts - Ethnic Studies
California State University, Sacramento
08.2017 - 05.2019