P. Justin Goforth, RN BSN

**** ******* ***** *****, ********, FL 34243 703-***-**** adzy61@r.postjobfree.com

Registered Nurse — District of Columbia #RN62507

**** — present

Registered Nurse — Florida #RN9641993 and NLC Multistate Compact license

2023 — present

Professional Profile

Dedicated, passionate nursing leader with more than 25 years of diverse and accomplished healthcare experience. Extensive skills and knowledge in health and wellness coaching, Medicaid, medical case management; clinical education and training; healthcare management; electronic medical record design and implementation; HIV/STI/sexual health counseling, prevention and treatment/care, advocacy, and policy development; chronic disease management; and acute and rehabilitative care of children and families with complex medical needs. Outstanding record of patient centered customer service skills, values, and innovation. Exemplary assessment, intervention, care planning and evaluation skills, applied at the patient and health systems levels. Proven ability to lead multidisciplinary teams to better engage and retain individuals in-care, as well as communities facing multiple barriers to care and managing multiple comorbidities. Provided clinical senior management leadership, bringing a historically important grant-focused clinic in Washington, DC to a large, full-service Federally Qualified Health Center (FQHC) with Patient Centered Medical Home (PCMH) status. Provided leadership for a large Medicaid Case Management Department in pursuing National Center for Quality Assurance (NCQA) accreditation, receiving the highest score possible. Received many personal and large grant-funding awards for achievements related to increasing the quality and access to health care for vulnerable and underserved communities.

Professional Experience

Lead Nurse Care Coach and Clinical Informatics Consultant — Memento/CareFirst BCBS – Falls Church, VA July 2021 – September 2022

Memento is a tech-enabled support platform for people who provide care to their loved ones. Powered by community, Memento offers coaching, tools and education to unblock common caregiving barriers to help people have the time and space to prioritize their own health, happiness and productivity.

Lead Clinical Informatics Consultant in developing caregiver coaching app.

Developed Caregiver Coaching program for new start-up caregiving app.

Managed caseload of approximately 25 - 30 working caregivers, caring for loved ones with cancer, dementia, profound disabilities, autism, behavioral health issues and others. Provided caregiving related education, self-care health and wellness coaching, resources for both caregiver and caregivee.

Extensively trained in and developed programmatic training in motivational interviewing and chronic disease management.

Care coordination and case management support provided as needed.

Nurse Care Coach — Ontrak/Catasys Inc. – Falls Church, VA August 2020 – April 2021

Enrolled and managed a case load of 30 – 70 members for an intensive, one-year, person-centered health coaching program.

Extensively trained in and utilized Motivational Interviewing techniques, Instant Influence, and change talk therapy.

Assessed, developed long-term goals and then short-term SMART goals to improve the health and well-being of our members, truly meeting them where they were, exclusively utilizing their goals and ideas of what their vision of health and well-being was in their life.

Provided 30 – 60 minute or more coaching sessions every 1-3 weeks with each member.

Each member was living with at least one chronic medical condition and one UNTREATED behavioral health condition, including at least one of the following: depressive and anxiety disorders, substance abuse/addiction.

Based on members assessment, vision, and goals, established a team via referrals to address nutrition, behavioral health counseling and psychiatry.

Provided consultation to Ontrak management for development and implementation of new documentation and communication platform.

Provided consultation to assist better communication and seamless transition of members from Outreach to Care Community staff.

Nursing Care Director — MetroHealth DC – Washington, DC April 2019 – November 2019

Oversaw the patient care services team for a large primary care practice, serving approximately 2500 patients.

Designed and implemented Plan-Do-Study-Act (PDSA) quality improvement cycles, earning a successful NCQA Diabetes Recognition certification.

Implemented best-practice interventions for minimizing patient no-shows, reducing the clinic’s no-show rate from 32% to 21% within two months of initiation.

Provided telephone triage and refill requests to census of 2500 patients, including providing treatments as per written physician protocols and orders.

Supervised front office, call center, medical assistants, lab/phlebotomy services and staff, medical case management functions and care coordination.

Educated and monitored all newly diagnosed HIV patients, ensuring adherence to treatments and engagement in care.

Conceptualized innovative, novel response to a Ryan White Early Intervention request for proposal, achieving a 3.5 million-dollar, five-year grant for MetroHealth.

Redesigned, trained and implemented new policy and protocol for Emergency Preparedness Plan, including preparation for personal protective equipment training for infectious disease epidemic response.

Established meaningful and effective relationships with Medicaid MCO organizations to better engage high-risk patients in care and preventive services, with significantly improved HEDIS measures.

Director of Coordination Plus — Health Services for Children with Special Needs (HSCSN, a Medicaid MCO) – Washington, DC September 2017 – October 2018

Led the design, build, execution, and analysis of an innovative care coordination model for children with complex medical needs. Changing the standard model of Medicaid managed care telephonic case management to embedding nurse and social worker case managers directly into primary care practices.

The pilot program showed exceptional success in reducing ER and inpatient stay utilization by 30% and 30-day inpatient re-admission by 70%.

Analyzed well-patient visit metrics, showing an improvement in all available measures, such as dental visits, lead screening and engagement with primary care.

Successful engagement with case management exceeded departmental norms by at least 20%, exceeding 90% engagement in the pilot study cohort.

Providers and caregivers reported significantly improved satisfaction with Medicaid case management.

Delivered outstanding subject matter expertise to a large Medicaid Managed Care Organization Case Management Department serving 5500 children with complex medical needs, moving them from a lengthy and serious corrective action plan with the District of Columbia Office of Healthcare Finance to a place of good standing.

Provided leadership in obtaining NCQA accreditation for case management, obtaining the highest score possible.

Composed multiple departmental procedures, policies, and program descriptions, including the complex case management program description, disease-specific program descriptions and operational guidelines.

Led the clinical assessment of the organization’s population health analysis.

Designed departmental clinical training curriculum and trained staff in specific diseases, PrEP and HIV treatment and prevention, NCQA standards of care and appropriate use of the electronic medical record (EMR).

In coordination with the Director of Clinical Informatics, led the reconfiguration of the EMR to meet regulatory requirements and evidence-based best practice needs.

Led the clinical design of the risk stratification/acuity scale model to meet the needs of the special population served, including ER and inpatient stay utilization, as well as social determinants of health.

Whitman-Walker Health – Washington, DC 2006 – 2016 (Multiple positions)

Director of Community Relations and Advocacy May 2012 – January 2016

Principal external position at a large, multi-site Federally Qualified Health Center. Responsible for community engagement from clinical/direct care level to funding and donor relationships.

Provided curriculum development, training, technical assistance, and education for tens of thousands of consumers and providers through webinars, one-on-one counseling, small group facilitation, large classrooms/auditoriums and more.

Utilized extensive experience and knowledge of Washington, DC’s underserved communities, health resources, services, and needs to build and strengthen partnerships with patients, providers, community-based organizations, managed care organizations and other payors, media, and government agencies.

Served on multiple community advisory boards and committees for the CDC, DC Department of Health, the White House, health-related corporations, and others related to HIV prevention, PrEP, treatment and care, LGBTQ healthcare and the provision of Ryan White funded care, bringing the experience and expertise of Whitman-Walker Health to a national and global level.

Received POZ Magazine’s POZ 100 Award 2013: Celebrating Unsung Heroes and Washington, DC’s HIV/AIDS Heroes Award

Metropolitan Washington Regional Ryan White Planning Council — Member/Community Co-Chair/Acting Chair

September 2012 -October 2016

Leadership, oversight, prioritization, and allocation of approximately 32 million dollars of federal money for the provision of HIV/AIDS care for those who are uninsured or underinsured in the Eligible Metro Area (EMA) of Washington, DC, Suburban MD, Northern VA and two counties in WV.

Chaired a council of 40 individuals, including providers and community members.

Coordinated directives with the Washington, DC Department of Health.

Whitman-Walker Health – Washington, DC

Director: Medical Case Management, Community Health, Gay Men’s Health/Wellness Clinic January 2008 -May 2012

Provided leadership and management to 30 – 40 staff and hundreds of volunteers in multiple departments during a time of growth, reorganization, and transformation for Whitman-Walker Health. Designed and implemented evidence-based, client-centered clinical programs with proven success. Received Whitman-Walker’s most prestigious award, “Courage in HIV/AIDS Service”.

Redesigned and implemented a medical case management, health coaching model utilizing a multidisciplinary, team-based approach, focused on treatment adherence, engagement and retention in-care and chronic illness self-management. Provided direct medical case management and group education to patients. Received national and global recognition for providing clinical leadership in the design and execution of a rapid entry to care intervention called “Red Carpet Rapid Entry Program”, adopted by the DC Department of Health, dramatically improving the engagement in-care statistics for individuals in DC newly diagnosed with HIV, meeting President Obama’s National HIV/AIDS Strategy goal for engagement in-care. Received President Obama’s “Advancing Innovation in Public Health Award”.

Integrated the Gay Men’s Health and Wellness Clinic process and medical records into Whitman-Walker’s electronic medical record system. Implemented a culturally sensitive and appropriate screening/assessment methodology, increasing patient satisfaction scores and overall efficiency, resulting in a 100% increase in patients seen annually over a two-year period.

Provided clinical leadership for all community health-related programs and engagement activities. Managed community health team of 15+ staff and 200+ volunteers that administered 12,000+ HIV tests annually, provided health education throughout the community and implemented breast health initiatives engaging hundreds of women in-care.

Whitman-Walker Health – Washington, DC

Director of Patient Care Services/Nursing June 2006 – January 2008

Managed all nursing and nursing support staff across multiple sites, departments, and program areas, including primary care clinic, addiction services and day treatment programs.

Provided clinical leadership through the adoption and implementation of an electronic medical record system for all clinical program areas.

Created a nursing staff component in the inpatient addiction treatment program, providing health coaching, education, medication management and medical case management.

Initiated and staffed Whitman-Walker’s 24-hour nurse advice/emergency after-hours telehealth line.

Senior Resource Nurse Manager — HSC Pediatric Center – Washington, DC May 2002 – June 2006

Coordinated day-shift care for two inpatient pediatric units, including management of over 50 registered nurses and nursing support staff. Maintained inpatient census of approximately 50 children in acute, intensive, transitional, and rehabilitative care. Received “Community Ambassador” and “Champion for Children” Awards.

Clinical Services Manager — Oceania, Inc. and Picis, Inc. – Washington, DC and Barcelona, Spain May 1998 – May 2002

Clinical lead for the design, customization, implementation, and training of electronic medical record systems for mission critical government projects in the US Military, US State Department and the Central Intelligence Agency, as well as in the highest acuity areas of large hospital systems in Western Europe and North America. Received Vice President Gore’s “Hammer Award for Reinventing Government”.

Publications

Justin Goforth, et al., (2014): “HIV Medical Case Management Guidelines; District of Columbia, 2nd Edition.” March 2014, HIV/AIDS, Hepatitis, STD & Tuberculosis Administration.

Rebekah K. Hersch, Royer F. Cook, Douglas W. Billings, Seth Kaplan, David Murray, Steven Safren, Justin Goforth, and Joy Spencer. (2013) “Test of a Web-based Program to Improve Adherence to HIV Medications.” AIDS Behav. 2013 Nov; 17(9): 10.1007/s10461-013-0535-8.

Jenssen, T.A., Marcellini, D.L., Buhlmann, K.A., Goforth, P.J. (1989) Differential infanticide by adult curly-tailed lizards, Leiocephalus schreibersi. Anim. Behav.381***-****.

Media Engagement

Multiple media engagements and appearances tapping into my subject knowledge expertise, including but not limited to CNN, NBC Nightly News, PBS News Hour, USA Today, Al Jazeera, New York Times, Washington Post, the Advocate, all local news organizations, and many blogs, websites and publications related to health, nursing, HIV, PrEP, LGBTQ advocacy and more. Specific list provided upon request.

Training and Education

Provided numerous trainings and education to academic institutions, medical schools, healthcare organizations, government agencies, faith-based organizations, community-based organizations, capacity building organizations, providers, consumers, primary and secondary school systems. Presented topics related to LGBTQ healthcare and disparities, HIV prevention, care, treatment, and stigma, STI prevention and treatment, case management, healthcare operations and transformation, medical/legal partnerships, transgender healthcare and sensitivity, culturally sensitive sexual health care and more. Specific list provided upon request.

Community Engagement/Leadership

HIPS — Board of Directors, Member

2015 — 2016

Harm reduction, engagement and retention in care, advocacy and health promotion for communities impacted by sex exchange and/or drug use.

HOPE DC — Board of Directors, Member

2012 — 2016

HOPE DC assists those living with HIV to find social support, answers to questions about living with HIV and advice on finding culturally appropriate medical care.

DC Department of Health Case Management Operating Committee — Chair

2009 — 2011

The DC Case Management Operating Committee has representation from all DC-based healthcare organizations who receive funding for HIV medical case management. The committee leads all training, technical assistance, and updates. The committee also puts forward recommendations for the creation of case management guidelines and any training needed by DC based medical case managers.

Capital Area Round Table on Informatics in Nursing — Board of Directors, Member

1999 — 2001

Advocacy for the advancement of automated healthcare information systems.

Education

National Society of Health Coaches – Certification program for clinical health coaching.

Nurse Coach Collective – Nurse based health and wellness coaching curriculum.

Georgetown University School of Nursing — Post Graduate Public Health Nursing – Washington, DC

2023

2022

2006

“Nurses for America”: AmeriCorps intensive summer immersion pilot program. Concentration: Public Health Nursing in Vulnerable/Underserved and Resilient Populations.

George Mason University — BSN with honors, Nursing, – Fairfax, VA

1994

Virginia Polytechnic Institute and State University — BS, Biology – Blacksburg, VA

1989

Licensure/Certificates

Registered Nurse — District of Columbia #RN62507

1994 — present

Registered Nurse — Florida #RN9641993 and NLC Multistate Compact license

2023 — present

Anti-Retroviral Treatment and Access to Services (ARTAS) - CDC — certified

2012 — present

OraQuick HIV Rapid Antibody Test — certified

2011 — present

Healthcare Providers CPR/BLS — certified

2023 — present

COVID-19 Contact Tracing — Course Certificate, Johns Hopkins University

2020

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