Lenore Maniaci, MPH
Health Access Program Director, Dukes County Health and Human Services Director
Lenore became Dukes County’s first appointed Health and Human Services Director in 2024. She brings over 25 years’ experience implementing access programs across family planning, health center, hospital, mobile and school-based clinic, and pharmacy settings as a quality improvement consultant and long-time contract manager for two MA State Departments. As the incoming Health Care Access Program Director, she has prioritized hiring bi-lingual, bi-cultural staff; and developing shared systems for collaboration amongst island health care systems. As a Shared Services Coordinator for the Inter-Islands Public Health Excellence Collaborative, she advocates for regional implementation of equitable, holistic, sustainable, programs, policies and partnerships across island Boards of Health. Having completed her public health practicum in Rio de Janeiro, Brasil, she is grateful to lead such a vibrant, compassionate team dedicated to providing the comprehensive, confidential, culturally-responsive health care access our clients need and deserve.
Email: director.hhs@dukescounty.org
Phone: (508) 684-8820
Sarah Kuh
Health Access Specialist
Sarah recently returned to the Health Care Access program as a Health Access Specialist in 2024, having formerly served as its longstanding director. She was instrumental not only in founding it the Vineyard Health Care Access Program in 1999, but in growing it into the thriving program it is today, servicing over 2,500 island residents annually. She similarly nurtured the development of other key public health initiatives that also began as pilot programs of the Dukes County Health Council, including the Island Medical Interpreting Service, Island Health Care, and Vineyard Smiles. We are grateful to have a public health leader of her caliber returning to serve our Spanish, Portuguese and English-speaking clients directly, given her wealth of public health experience working in varied community health and advocacy programs in Massachusetts and California.
Email: skuh@dukescounty.org
Phone: (508) 696-0020 x105
Maria Mouzinho
Health Access Specialist/SHINE
Maria started working at the Access Program in 2002 and has been here ever since! As a longstanding, bi-lingual, bi-cultural Health Access Specialist, she has become renowned for compassionately and confidentially supporting the health care access needs of the Brazilian-Portuguese community. Maria is a certified Navigator, and the only bilingual SHINE (Serving the Health Insurance Needs of Elders) counselor on the Island to provide assistance with Medicare related enrollments for Brazilian elders. We are grateful for her enduring commitment to serving clients of all ages, as she has now supported island families for generations.
Email: mmouzinho@dukescounty.org
Phone: (508) 696-0020 x103
Karol Sena
Health Access Specialist
Karol joined the Access Program and became a certified Navigator in 2024. She is a bilingual (Portuguese-speaking) M.V.R.H.S. graduate who has dedicated herself to public service and is well respected throughout the island community. Her experience as a medical assistant and translator, supporting diverse clients to determine their eligibility for and enroll in MassHealth and Health Connector plans, will be an asset to the island-wide residents under 65 that she will serve as a Health Access Specialist.
Email: karol.sena@dukescounty.org
Phone: (508) 696-0020 x102
Brianna DeOliveira
Administrative Assistant
Brianna is a highly motivated administrative professional who joined the Health Care Access team in 2024. She is a bilingual (Portuguese-speaking) M.V.R.H.S. graduate who has supported many island companies as well as started some of her own! The intelligence, compassion, enthusiasm, and insight she brings to client services and quality improvement motivates us to improve service delivery to meet the ever-emerging needs of our beloved clients and community.
Email: hca@dukescounty.org
Phone: (508) 696-0020 x101
Nikole Rolston
Health Access Specialist
Nikole has worked at the Access Program since 2020 and became a Certified Navigator in 2024. She has experience providing education and information for the Massachusetts affordable insurance system, and provides application and enrollment services for MassHealth and Health Connector plans as a Health Access Specialist.
Email: admin@dukescounty.org
Phone: (508) 696-0020 x101
Rocy Turner
Assistant Director
Health Access Specialist/SHINE
Rocy joined Health Care Access in 2019, and she became the program’s Assistant Director in 2024. She is certified as a Navigator through the Massachusetts Health Connector, and assists community members with Massachusetts affordable insurance plans. Rocy is the Access Program’s Lead Navigator and oversees staff compliance with program requirements. She is also a certified SHINE counselor and provides counseling and information related to Medicare benefits. She assists with applications, enrollments, plan selection and solving problems for those under 65, new to Medicare and over 65. Rocy is a highly skilled and experienced professional.
Email: rturner@dukescounty.org
Phone: (508) 696-0020 x104
Doreen Anderson
Health Access Specialist/SHINE
Doreen joined us in 2024 as a valued addition to our staff. Her service focus is on seniors and people who have Medicare and/or MassHealth. She is recognized and respected in the community, and we appreciate the experience and compassion she brings to her role and to our program.
Email: danderson@dukescounty.org
Phone: (508) 696-0020 x 106
Vineyard Health Care Access
