Candice Moore
lamar,IN
Summary
Compassionate Healthcare Leader experienced in clinical and financial operations. Achieved positive patient outcomes through evidence-based practices and effective team management. Focused on fostering collaborative environments and enhancing service delivery.
Overview
1
1
Certification
16
16
years of professional experience
Work History
Director of Clinical Reimbursement/MDS Coordinator
Care Strategies
Loogootee, IN
06.2025 - Current
- Currently manage two buildings in the Loogootee area (Poplar Care Strategies & Sycamore Care Strategies) and interim for one of our Muncie Buildings (Cardinal Care Strategies)
- Two separate Annual State Surveys with no MDS or care plan deficiencies in either building
- Medicare TPE audit (Jan-March 2026) with excellent outcome
- CNA/Staff training to ensure they are capturing the care they provide our residents each day as this helps in the overall aspect of meeting our financial goals.
- Manage multidisciplinary team with focus on collaboration and patient-centered care.
- Coordinate training programs to ensure staff competency and compliance with regulations.
- Reduced operational costs with efficient resource management strategies.
- Facilitated smooth month-end close processes by addressing discrepancies promptly and staying in close communication with our corporate biller.
- Collaborated with cross-functional teams to analyze performance metrics and identify areas for process improvement.
- Developed and implemented comprehensive training programs for staff, promoting best practices in care strategies.
- Coordinated assessments and care planning for residents to ensure compliance with regulatory standards.
- Collaborated with interdisciplinary teams to optimize resident care and enhance service delivery.
- Mentored staff on MDS processes, fostering a culture of continuous learning and professional development.
- Oversaw compliance audits, identifying areas for improvement and ensuring adherence to state and federal guidelines.
- Conducted thorough patient assessments, identifying potential risks and devising targeted intervention strategies.
- Ensured accurate reimbursement claims by diligently tracking changes in patient conditions and updating MDS accordingly.
- Enhanced patient care by developing and implementing comprehensive MDS plans tailored to individual needs.
- Demonstrated exceptional time management skills by consistently meeting deadlines for completion of MDS assessments and care plan submissions.
- Mentored new staff members on MDS procedures, contributing to a well-informed and highly skilled workforce.
Clinical Director/MDS Coordinator/Medical Records
University Nursing and Rehab; now Aperion Care Lincoln
Evansville, IN
10.2020 - 06.2025
- My job duties covered a whole array of things in the long term care setting (End of Month Billing and Financials, auditing and submitting mandatory assessments to the online state portal, continual management of supply inventory and ordering within budget, etc.)
- Supported nursing staff during resident consultations and medication pass when the Director of Nursing was unavailable.
- We are a small facility so it is very important to me to drive our case mix index (CMI) (payor determination for LTC facilities)as high as we are able to to help us succeed and provide the care needed for our residents
- Ensured accuracy of medical records and coding procedures to secure proper reimbursement, evaluated quality of care for residents, and developed comprehensive care plans with long-term and short-term goals based on initial assessments.
- Conducted meetings with multidisciplinary treatment team, caretakers, and families to align on resident goals and action plans.
- As a Clinical Director it is my duty to display professionalism to all residents, staff and family members
- I am also often out on the floor teaching and helping our CNAs to capture the care they provide our residents each day as this helps in the overall aspect of meeting our financial goals.
- Coordinated training programs to ensure staff competency and compliance with regulations.
- Reduced operational costs with efficient resource management strategies.
- Facilitated smooth month-end close processes by efficiently reconciling accounts and addressing discrepancies promptly.
- My job duties currently cover a whole array of things in the long term care setting (End of Month Billing and Financials, auditing and submitting mandatory assessments to the online state portal, continual management of supply inventory and ordering within budget, etc.)
MDS Coordinator
Solarbron Terrace
Evansville, IN
04.2019 - 10.2020
- My job duties included preparing and electronically transmitting timely reports to the national Medicare and Medicaid database
- Ensured accuracy of medical records and coding procedures to secure proper reimbursement, evaluate quality of care for long-term care residents, and develop care plans with long-term and short-term goals based on assessments of new residents
- Conducted meetings with multidisciplinary treatment team, caretakers, and families to discuss goals and action plans
- It is my goal and it very important to me to drive our case mix index (CMI) as high as we are able to help us succeed and provide the care needed for our residents
- I am also often out on the floor teaching and helping our CNA's to capture the care they provide our residents each day
Director of Utilization and Ancillary Services
Transcendent Healthcare of Boonville
Boonville, IN
07.2012 - 04.2019
- My job duties include preparing and electronically transmitting timely reports to the national Medicare and Medicaid database
- Ensuring the accuracy of medical records and coding procedures is essential for our facility to receive proper reimbursement, assess and evaluate the quality of emotional, mental, and physical care being given to our long-term care residents, perform the initial interview and assess new residents; from this assessment and evaluation, I develop a care plan that has long-term and short-term goals for resident improvement
- Conducted meetings with multidisciplinary treatment team, caretakers, and families to align on resident goals and action plans
- Focused on maximizing case mix index (CMI) to enhance financial stability and ensure quality care for residents
- Prepared and projected weekly Medicare rate for Executive Director to inform financial planning and reimbursement strategies
- I am also often out on the floor teaching and helping our CNA's to capture the care they provide our residents each day
- Facilitated smooth month-end close processes by efficiently reconciling accounts and addressing discrepancies promptly.
- Enhanced forecasting accuracy through the development of sophisticated financial models and tools developed by our CEO.
Assistant Director of Nursing
Transcendent Healthcare of Boonville
Boonville, IN
01.2014 - 09.2014
- My job included assessing and measuring wounds and collaborated with wound nurse and doctors during rounds, providing recommendations to enhance resident care, assisting with scheduling of CNAs and nurses, supported nursing staff on the floor as needed, fulfilling various roles to maintain quality patient care
- Led nursing staff to ensure compliance with state and federal regulations.
- Developed and implemented patient care protocols to enhance quality of service.
- Mentored junior nursing staff, fostering professional development and improving team performance.
LPN Charge Nurse for the Skilled Unit
Transcendent Healthcare of Boonville
Boonville, IN
08.2012 - 01.2014
- My job included but was not limited to administered medications on schedule to ensure patient adherence to treatment plans, measured and assessed wounds, collaborated with doctors to adjust dressing types based on healing progress, ensure all charting is beinging completed for nurses and CNAs on all shifts and be a part of the team that takes care of our residents
LPN for pediatric patients in the home setting
Pediatric Nursing Specialist
Evansville, Indiana
01.2012 - 08.2012
- My job duties include but are not limited to administering medications, administering feed via g-tube, caring for tracheostomies (changing, suctioning etc.) and most important showing these children the love and compassion that they need
- Administered medications and treatments according to pediatric care protocols.
- Monitored vital signs and reported changes in patient conditions to healthcare team.
- Educated families on care plans, medication management, and health maintenance strategies.
LPN for the Assisted Living at St. Charles Health Campus
St. Charles Health Campus
Jasper, Indiana
11.2010 - 01.2012
- My job includes providing quality care for the thirty residents we had on the Assisted Living side of St
- Charles Health Campus
- Ensured timely medication delivery to maintain resident health., caring for any injuries or wounds the residents may have, being a compassionate and caring friend to the residents who live there and working with a team of nurses to provide our residents with the best care possible and to keep them happy and healthy
Education
Licensed Practical Nurse - Nursing Courses
Vincennes University Jasper Campus
Jasper, Indiana01-2010
High School - Honors Courses
Heritage Hills High School
Lincoln City, Indiana01-2009
Skills
- Medicare reimbursement
- Healthcare compliance
- Quality assurance
- Clinical leadership
- Policy implementation
- Risk management
- Budget management
- Staff supervision
- Patient management
Certification
- RAC-CT AAPACN 2018
- Infection Control Nurse 2023
Training
- Completion of the Healthcare Providers CPR and AED Program for infant, child, and adult through the American Heart Association.
- Completion of the Tuberculosis Education Program including the ability to administer, read, and record the Mantoux tuberculin test.
Timeline
Director of Clinical Reimbursement/MDS Coordinator
Care Strategies
06.2025 - Current
Clinical Director/MDS Coordinator/Medical Records
University Nursing and Rehab; now Aperion Care Lincoln
10.2020 - 06.2025
MDS Coordinator
Solarbron Terrace
04.2019 - 10.2020
Assistant Director of Nursing
Transcendent Healthcare of Boonville
01.2014 - 09.2014
LPN Charge Nurse for the Skilled Unit
Transcendent Healthcare of Boonville
08.2012 - 01.2014
Director of Utilization and Ancillary Services
Transcendent Healthcare of Boonville
07.2012 - 04.2019
LPN for pediatric patients in the home setting
Pediatric Nursing Specialist
01.2012 - 08.2012
LPN for the Assisted Living at St. Charles Health Campus
St. Charles Health Campus
11.2010 - 01.2012
High School - Honors Courses
Heritage Hills High School
Licensed Practical Nurse - Nursing Courses
Vincennes University Jasper Campus