Healthcare Director
Resume:
Dr. Toni N. Moore, DHA, LPN
Dumfries, VA *****
**.**********@*****.***
linkedin.com/in/toninmoore
Healthcare Management Professional
Quality Improvement / Program Development
Accomplished healthcare leader with over 15 years of experience driving continuous improvement and growth within hospice, home health, and mental healthcare agencies. An analytical, results-oriented professional committed to fostering positive change by developing service-focused programs, tools, and support systems. A skilled communicator with a proven ability to create collaborative and inclusive environments through hands-on leadership, team building, and training.
Full-Cycle Project Management
Strategic Planning / Implementation
Contract Administration / Negotiation
Budgeting / Resource Allocation
Staff Supervision, Training, & Mentoring
Performance Metrics / Improvement
Client, Vendor, and Employee Relations
Healthcare Regulations / Compliance
Professional Experience
Vitas Hospice – Fairfax, Virginia
General Manager – February 2024 – Present
The Hospice General Manager (GM) is responsible for the overall leadership, administration, and strategic direction of the hospice program to ensure the delivery of high-quality, compassionate care to patients and their families. The GM ensures compliance with all federal, state, and local regulations and organizational policies. This position oversees operational efficiency, financial performance, staff development, and promoting a culture aligned with the hospice’s mission and values.
● Compliance and Regulatory Oversight: Manage local corporate operations to ensure full compliance with state licensure, federal certifications, and accreditations. Maintain readiness for inspections, surveys, and reviews by adhering to Medicare Conditions of Participation and other applicable regulations.
● Personnel and Records Management: Oversee the maintenance of accurate personnel records to meet Medicare survey requirements and ensure adherence to regulatory standards. Stay informed of healthcare industry developments to address operational impacts proactively.
● Coordination and Communication: Collaborate with corporate staff, medical directors, and regulatory resources to ensure successful preparation for on-site surveys by regulatory agencies. Act as the liaison for guidance and support to maintain operational excellence.
Dr. Toni N. Moore, DHA Page 2
AMFM Mental Healthcare
Executive Director – September 2023 – February 2024 (East Coast Campuses Closed) Provided strategic leadership and operational oversight for a behavioral healthcare organization, ensuring high-quality, patient-centered care. Directed all aspects of operations, including clinical services, staffing, compliance, and financial performance. Developed and implemented policies and procedures to meet regulatory standards and improve service efficiency. Cultivated a collaborative team environment, fostering professional growth and accountability. Built strong relationships with stakeholders, referral sources, and community partners to support organizational growth and sustainability. Successfully managed budgets, quality improvement initiatives, and program development to enhance patient outcomes and managerial excellence.
● Program Operations and Leadership: Oversaw multisite mental health programs, serving as the primary point of contact for all program staff. Managed day-to-day operations, enforced policies and procedures, and ensured seamless client supervision and control. Provided clinical supervision and ensured comprehensive staff training at residences and related sites.
● Compliance and Human Resources Management: Directed compliance activities to meet payor and regulatory standards. Handled payroll and time management functions while managing essential Human Resources operations, including recruitment, onboarding, and staff development.
● Program Development: Designed and implemented engaging, therapeutically robust clinical programming tailored to client needs and delivered formal and informal clinical supervision to program clinicians, ensuring high-quality care and adherence to best practices.
● Organizational Strengthening: Led AMFM Healthcare's core Behavioral Health Treatment Clinical Programs, ensuring operational excellence and regulatory compliance. Strengthened organizational infrastructure through strategic supervision of personnel and enforcement of accreditation and policy standards. Care Hospice – Falls Church, VA
Program Director – March 2021 – August 2023
The Hospice Executive Director provides visionary leadership and strategic direction for the hospice organization, ensuring the delivery of high-quality, patient-centered care to individuals with life-limiting illnesses and their families. This senior leadership role encompasses operational oversight, compliance, financial performance, staff management, and community engagement. The Executive Director ensures that the organization fulfills its mission while adhering to all regulatory requirements and maintaining fiscal health.
● Leadership and Operational Oversight: Directed a multi-site, community-based hospice program, ensuring high-quality care delivery in alignment with the agency's mission, vision, and philosophy. Oversaw all hospice services, maintaining compliance with federal, state, and professional standards.
● Staffing and Retention: Recruited, employed, and retained qualified personnel to ensure appropriate staffing levels, achieving strong retention results. Conducted performance evaluations in adherence to organizational policies and fostered professional development among team members.
Dr. Toni N. Moore, DHA Page 3
● Regulatory Compliance: Ensured compliance with all Medicare/Medicaid/VA Medicaid
(CMS) regulations and monitored and audited interactions with regulatory agencies to maintain operational integrity.
● Quality Assurance and Performance Improvement (QAPI): Designed, implemented, and monitored QAPI initiatives to evaluate and enhance service delivery and patient care outcomes.
● Policy Development and Implementation: Developed, enforced, and ensured adherence to governing body directives and organizational policies. Directed performance improvement activities to align with strategic objectives.
● Grant Writing: Secured funding to support indigent clients through successful grant writing initiatives.
● Strategic Planning and Project Leadership: Collaborated with senior leadership to develop strategic plans focused on growth and profitability. Facilitated projects and workgroups that supported business development and organizational initiatives.
● Research and Analysis: Conducted research, analyzed findings and presented actionable recommendations to key stakeholders. Utilized statistical software to perform environmental assessments, growth projections, and organizational positioning analyses.
● Consultation and Facilitation: Served as a consultant for healthcare projects, providing qualitative and quantitative insights. Connected strategic planning with business operations, leveraging expertise in process management, business analysis, and operational systems.
● Performance Reviews and Deliverables: Led the development of recurring deliverables, including the annual medical staff development plan and growth projections. Conducted periodic reviews to assess achievements against strategic plans. Vitas Hospice – Fairfax, Virginia
Manager of Admissions – October 2020 – 2021
● Team Leadership and Oversight: Supervised the activities of the Admissions Nurses, providing coaching, mentoring, and training to ensure they effectively educated and assessed potential patients during the referral and admissions process.
● Operational Management: Coordinated staff schedules for the admissions department, managed customer service efforts, ensured referral-to-admission goals were consistently met, and recruited and retained qualified team members to maintain operational efficiency.
● Regulatory Compliance: Adhered to Medicare/Medicaid/VA Medicaid (CMS) regulations and monitored and audited interactions to ensure compliance with all applicable standards.
● Performance and Staff Development: Assigned duties based on staff education, training, and competencies. Directed orientation and education programs for new and existing staff. Conducted performance evaluations in line with organizational policies to support professional growth.
● Process Improvement: Directed and monitored organizational Performance Improvement activities, identifying and implementing opportunities to enhance admissions processes and outcomes.
● Strategic and Analytical Skills: Developed business use cases, requirements, and process maps, utilizing data flows to optimize operations. Effectively manage multiple priorities and projects in a fast-paced, deadline-driven environment.
● Fiscal Management: Oversaw admissions operations within established fiscal parameters, ensuring efficient use of resources while maintaining high care and service delivery standards. Dr. Toni N. Moore, DHA Page 4
Magellan Complete Care – Richmond, Virginia
Utilization Review Manager (LTSS) – Remote Contractor June 2019 – June 2020
● Clinical Collaboration and Service Authorization: Partnered with medical directors and clinical team members to gather and synthesize clinical information for service authorizations and reviewed healthcare services to ensure compliance with contract requirements, coverage policies, and evidence-based medical necessity criteria.
● Auditing and Compliance: Conducted internal audits to confirm adherence to healthcare regulations, quality standards, and organizational policies and followed NCQA standards and quality improvement processes to maintain transparency and ensure quality outcomes.
● Utilization Data Management: Collected, tracked, and analyzed utilization data to support informed decision-making and continuous program improvement—proposed alternatives when requested services did not meet medical necessity criteria or were outside the contracted network.
● Care Coordination and Discharge Planning: Developed and monitored discharge plans in collaboration with the Care Coordination Team to ensure seamless transitions across care levels. Managed ambulatory follow-up activities to support effective care delivery.
● Program and Network Development: Participated in network development, identifying and recruiting quality providers. Ensured appropriate agreements and collaboration with client healthcare entities and providers to support a robust service network. MOORE HOME CARE, LLC – Fairfax Station, VA
Administrator / Director January 2013 – July 2019
● Leadership and Operations Management: Directed all aspects of program development, human resources, and quality control to empower staff in delivering exceptional healthcare services. Analyzed business activities, implemented operational improvements, and negotiated cost-effective agreements to achieve cost savings.
● Regulatory Compliance and Auditing: Conducted internal audits to ensure adherence to government regulations, licensing requirements, and quality standards. Achieved full regulatory compliance by introducing standardized processes, investigatory protocols, and corrective action plans reportable to the state.
● Collaboration and Continuity of Care: Strengthened continuity of care by establishing robust partnerships and contracts with local healthcare providers, community agencies, and vendors.
● Quality Assurance and Performance Improvement (QAPI): Designed, implemented, and managed a comprehensive QAPI program using a data-driven approach to enhance patient safety and care outcomes. Monitored and analyzed key quality indicators, including adverse patient events and other performance metrics, to identify improvement opportunities.
● Workforce Development: Led strategic workforce planning initiatives to build and maintain a skilled and dedicated team, including recruitment and retention programs.
● Program Management: Oversaw the Virginia Medicaid waiver program and in-home support services, ensuring operational excellence and compliance with state guidelines. Dr. Toni N. Moore, DHA Page 5
CURO HEALTHCARE SERVICES / NEW CENTURY HOSPICE – Fredericksburg, VA Director of Operations (2016–2017, Contract - Sold to Humana)
● Leadership and Operations Management: Directed daily operations of a community-based hospice program, including budget administration, resource allocation, and staff supervision. Established and monitored performance metrics to enhance service quality and operational efficiency.
● Strategic Quality Improvement: Managed the development, implementation, and evaluation of state-mandated quality improvement action plans, ensuring compliance with clinical and quality improvement activities.
● Regulatory Compliance: Adhered to Medicare, Medicaid, VA Medicaid (CMS), and state regulatory requirements, conducting audits and ensuring documentation compliance with organizational policies.
● Financial Oversight: Implemented effective budgeting and accounting systems, prepared P&L reports, and generated financial analyses for corporate stakeholders.
● Team Development: Built and led a high-performance team, including cross-functional personnel, volunteers, and nurses, through targeted training, coaching, and mentorship.
● HEDIS/CAHPS Management: Directed the development and execution of HEDIS and CAHPS action plans, achieving targeted improvement goals in member and provider satisfaction.
● Risk and Quality Management: Conducted annual updates to the state Plan Risk Management Program Description and managed quality management budgets. Developed strategies for analyzing and improving member and provider satisfaction surveys.
● Business Development: Contributed to new business initiatives, including RFP responses, program development, and marketplace/exchange contract changes in the government and employer group sectors.
Medical Service of America / Medi Home Health and Hospice – Manassas, VA Administrator in Training (A.I.T.) / Community Nurse Educator (2013–2014) Developed leadership skills through hands-on home health and hospice operations training, including compliance, financial management, and quality assurance. Acted as a community liaison and educator, delivering presentations to healthcare providers and community organizations to promote services. Built and maintained relationships with referral sources while enhancing community awareness of hospice and home health care. Supported operational initiatives to improve care delivery, foster patient satisfaction, and ensure regulatory compliance.
● Leadership in Education and Development: Designed and delivered customized educational programs for healthcare providers across the state, serving as a vital resource for internal staff development, and facilitated in-service training events to ensure compliance with state and federal laws tailored to meet the diverse learning needs of staff at all levels.
● Strategic Program Growth: Spearheaded program expansion by cultivating new partnerships across the territory. Analyzed business requirements and implemented tailored action plans to drive patient recruitment and achieve organizational goals.
● Quality Assurance and Improvement: Initiated and monitored Quality Assurance and Performance Improvement (QAPI) program controls to uphold program excellence. Dr. Toni N. Moore, DHA Page 6
Collaborated with risk management teams to implement safety processes and maintain adherence to the National Patient Safety Goals (NPSGs).
● Operational and Strategic Planning: Established metrics and reporting protocols to identify priority cases and inform strategic decision-making. Contributed to the strategic development, planning, and execution of regional and hospital quality plans.
● Industry Best Practices: Stayed informed on clinical care best practices, evaluating and integrating them into facility operations to enhance patient outcomes and program effectiveness.
● Support and Coaching: Provided orientation and ongoing coaching to Directors of Quality Improvement (DCQIs), ensuring alignment with performance goals and compliance standards.
● Data-Driven Improvement: Utilized clinical measurements to identify trends, assess care quality, and focus quality improvement efforts across hospice operations. Education
● Doctor of Healthcare Administration in Healthcare Leadership & Analytics (2024) University of Virginia Lynchburg – Virginia
● Master of Business Administration in Healthcare Management American Intercontinental University – Hoffman Estates, IL
● Bachelor of Business Administration in Healthcare Management American Intercontinental University – Hoffman Estates, IL Licensure and Certifications
● Licensed Practical Nurse (LPN) (Active License)
● Certified Project Management Professional (PMP) Completed Course
● Trained in Six Sigma Total Quality Applications
Technical Proficiencies
● EMR Software Systems:
Avatar (government-based)
Home Care Home Base
McKesson
Care Advanced (BCBS)
Epic
Netsmart
● Microsoft Office Suite:
Word
Excel
PowerPoint
Contact this candidate