William Goff
Harrisburg
Summary
With a robust background at AmeriHealth Caritas, I excel in care coordination and acute patient assessment, blending critical care expertise with exceptional teamwork abilities. My proactive approach has significantly enhanced patient health outcomes, leveraging both hard and soft skills to achieve excellence in nursing and patient care management.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Nurse Care Manager
AmeriHealth Caritas
Harrisburg
08.2017 - Current
- The Care Manager (RN) assists members appropriate for care coordination and case management services in achieving their optimal level of health
- The Care Manager (RN) is responsible for engaging the member and providers to assess, plan and establish individual member goals
- Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources
- The position will function as a single point of contact and be an advocate for members in the care coordination program
- Assess members to determine care coordination and case management needs for all referred members
- Completes comprehensive assessment of environmental, psycho-social and support needs
- Identifies problems/barriers for care coordination and appropriate care management interventions
- Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health
Register Nurse
Hershey Medical Center
Hershey
01.2015 - 08.2017
- Responsible for providing nursing care adapted to individual patient needs based on the nursing process, which includes assessment, planning, implementation, and evaluation.
- Coordinate and provide nursing care for patients undergoing procedures in the Interventional Lab.
- Assist the physician with diagnostic and therapeutic procedures, either inpatient or outpatient.
- Operate the interventional lab physiological monitoring equipment and data analysis system.
- Operate radiographic equipment.
- Provided guidance to radiologists on proper radiation safety protocols when performing imaging studies.
- Maintained accurate patient records including medical histories, test results, diagnoses and treatments prescribed.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Monitored patient vital signs, administered medications and treatments, and provided patient education.
- Assisted physicians in performing interventional radiology procedures such as biopsies, drainages and embolizations.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
RN, Emergency Department
Pinnacle Health
Harrisburg
06.2010 - 04.2015
- Responsibilities include assessing, planning, implementing, evaluating, and coordinating the total care of patients.
- Through collaboration with all members of the patient care team, I diagnose and treat the human response of the patient and family to illness and disease processes, continuously monitoring, analyzing, and improving the performance of clinical activities.
- Monitored patient vital signs and symptoms, responding rapidly to changes in condition and initiating appropriate interventions.
- Documented all patient interactions, assessments, and interventions in electronic health records accurately.
- Managed patient triage, prioritizing care based on the severity of the condition and available resources.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Participated in multidisciplinary team meetings to discuss patient progress and any changes needed in treatment plans.
Sr. Medical Policy Analyst
Highmark Inc
12.2013 - 01.2015
- Responsible for the research, analysis, development, maintenance, coordination and documentation of medical policy for Highmark's entire Commercial and Medicare Advantage lines of business and all products
- Accountable for coordinating and ensuring that the appropriate system changes are implemented in concert with policy development and revisions
- Responsible for reviewing and analyzing all new, revised and deleted procedure codes published quarterly by the Centers for Medicare and Medicaid Services, the Blue Cross and Blue Shield Association, and the American Medical Association
Nurse Extern
Hershey Medical Center
Hershey
08.2008 - 06.2010
- As a nurse extern, I was an essential member of the Patient Care Team, providing direct and non-direct patient care.
- I was responsible for the patient's daily activities, which included bathing, feeding, grooming, EKGs, blood glucose monitoring, and any other aspects that may be needed to assist the patient.
Accountant 1
Pennsylvania State Treasury Department
04.2007 - 08.2008
- The primary responsibility of this position was to manage the 529 Tuition Assistance Program in the Office of the Comptroller
- Additional responsibilities included validating payment requests from account holders with respect to the federal 529 tax code
- These payments reached up to five million dollars a day and affected more than 3,000 account holders
- I also prepared part of the Comprehensive Accounting and Financial Report, which is published by the Office of Management and Budget
- The part for which I was responsible dealt with the Treasury Security Lending Program
- This program totaled more than 29 billion dollars in cash and non-cash assets and is the second largest in the nation
Wage Clerical
PHEAA
07.2006 - 04.2007
- As a member of the Consolidation Department, I was responsible for processing Lender Verification Certificates, which included identifying the best deal for the student, sending the certificates to record management, and mailing them to the lender for payoff
- Other duties included answering and directing telephone calls, sorting and distributing mail, greeting customers/clients, sorting and distributing incoming faxes, and processing outgoing mail at the post office
- Computer programs utilized include Microsoft Word, Power Point, Outlook, Excel and Internet Explorer
- Operation of office equipment included a fax machine, copier, and scanner
Package Unloader/Incompatible Freight Sorter
FedEx
08.2005 - 07.2006
- Duties included unloading boxes from trucks
- I was eventually selected to handle incompatible freight that needed special care, which included sorting and placing the incompatible freight onto various belt systems according to destination, contents and weight
Freight Programmer
GPS/Norfolk Southern
04.2002 - 07.2003
- Responsibilities included a variety of duties related to the transportation of freight trains including verifying that the correct freight was being shipped to the appropriate destination, processing incoming trains and releasing outgoing trains on schedule, and programming the cargo on the cars of each train
- I also corrected billing errors related to shipping charges
- Computer programs utilized included Microsoft Word, Power Point, Outlook, Excel and Internet Explorer
- Operation of office equipment included a fax machine, copier, and scanner
Education
Bachelor of Science - Nursing
Millersville University
Millersville, PA07-2025
Associate of Science - Nursing
Harrisburg Area Community College
Harrisburg, PA05-2010
Skills
- Critical care experience
- Time management
- Teamwork
- Nursing process
- Medication administration
- Patient assessment
- Care coordination
- Acute care
- Nursing
Certification
- Certified Care Management 2024
- RN license 2010
Timeline
Nurse Care Manager
AmeriHealth Caritas
08.2017 - Current
Register Nurse
Hershey Medical Center
01.2015 - 08.2017
Sr. Medical Policy Analyst
Highmark Inc
12.2013 - 01.2015
RN, Emergency Department
Pinnacle Health
06.2010 - 04.2015
Nurse Extern
Hershey Medical Center
08.2008 - 06.2010
Accountant 1
Pennsylvania State Treasury Department
04.2007 - 08.2008
Wage Clerical
PHEAA
07.2006 - 04.2007
Package Unloader/Incompatible Freight Sorter
FedEx
08.2005 - 07.2006
Freight Programmer
GPS/Norfolk Southern
04.2002 - 07.2003
Bachelor of Science - Nursing
Millersville University
Associate of Science - Nursing
Harrisburg Area Community College
Similar Profiles
Celestina AdewuyiCelestina Adewuyi
Provider Services Representative at AmeriHealth CaritasProvider Services Representative at AmeriHealth Caritas
CHELSEA SAVAGECHELSEA SAVAGE
Claims Examiner at AmeriHealth CaritasClaims Examiner at AmeriHealth Caritas
ALESIA LAWRENCE-BROWNALESIA LAWRENCE-BROWN
Provider Claims Representative at Amerihealth CaritasProvider Claims Representative at Amerihealth Caritas