Mr Smith is up for Staff Member of the Year against Joanne Casey of Cootamundra, Kelly-Anne Marchioni from district and Paige Frater from Temora.
Winners will be announced at a gala presentation evening on Friday, June 16.
There were 84 nominations received across nine team award categories and four individual award categories, which have now been narrowed down to just a few finalists in each category.
Murrumbidgee Local Health District Chief Executive Jill Ludford said the response was pleasing.
"We've seen such a diversity and high quality in the nominations this year, the judging panels really have had a tough time determining the top three in each category," she said.
“The Excellence Awards celebrate the achievements of individuals and teams for their pursuit of excellence and commitment to improving the lives of others.”
Awards will focus on achievements that reflect the MLHD vision and priority areas.
The focus is on wellness and seizing every opportunity to work in partnership with consumers to build and maintain wellness.
The objective is to enable MLHD to be the best place to work, lead, practise, volunteer, teach, learn and grow.