MATTHEW FOXWORTHY
Poulsbo,WA
Summary
Patient-oriented nurse with 13 years of diverse medical experience including critical care, staff supervision as charge nurse and department operations. Skilled at multitasking and prioritizing patient needs based on patient centered care priorities. Offering extensive experience as ICU charge nurse, VA care manager with intermittent charge nurse duties and Utilization review and denials.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Utilization Management Nurse
Multi-Care Tacoma General Hospital
07.2021 - Current
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- 0ne of three nurses cross trained in Denials, Medicare, Medicare advantage and Commercial utilization review.
- Assisted in launching a new hospital covered by our department. Developed and initiated new practices and procedures for our department
- Performed admission reviews based on medical necessity. Guided by Medicare and insurance specific requirement and procedures.
- Reviewed authorizations from multiple insurance carriers for various levels of care.
Registered Nurse Care Manager PACT
Department Of Veteran Affairs
02.2019 - 06.2021
- Responsible for primary care panel of 1,100 patient requiring critical thinking, and knowledge of integrated care delivery while using the latest technology and resources to improve patient outcomes
- Work with community care providers as well as community care team at the VA to resolve issues with patient consults and requested services
- Analyze and review medical data and charts to determine appropriate action taken when requesting services and consults
- Patient advocate and patient care resource to insure veteran is receiving and have access to care and all services available to that veteran
Registered Nurse - ICU
Madigan Army Medical Center
3 2017 - 02.2019
- Performed as charge nurse, rapid response nurse, and infection control team member
- Effectively supervised LPNs, NAs and non-clinical staff. Verified assessments and documentation for Joint Commission stands of care and goals
- Pharmacological and non-pharmacological management and treatment of various disorders and diseases
- Effective counseling in health maintenance and disease management
- Closely monitored acute conditions
- Ensured HIPAA compliance
- Delegated tasks within scope of practice
Registered Nurse - Travel Nurse
Cirrus Medical Staffing
01.2017 - 04.2017
- Travel Nurse in ICU at St. Josephs medical Center Tacoma, WA.
- Successful orientation in 2 Days to the Trauma ICU Before working independently .
- Epic charting experience.
- Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
- Floated to PCU, CVICU, Neuro ICU
- Followed infection control procedures.
- Care of critically ill patients with with multiple comorbidities.
Registered Nurse
University of Rochester- Strong Memorial Hospital
10.2015 - 01.2017
- Level I Trauma Center and American Burn Association verified Burn Center.
- Successfully completed ICU orientation through AACN accredited program.
- Experience with MICU, SICU, NEURO ICU, CVICU patients via patient borders.
- Proficient with ECMO, Arterial lines, CVP lines, Bolt monitors, Bair Hugger's, Artic Sun, Craniotomies, and strict spinal precautions.
- Proficient in cardiac rhythm analysis and identification of life-threatening arrhythmia's.
- Excellent communication and team member.
- Implemented Evidence Based Practice per Unit protocols, and assisted in Evidence based practice trials.
Healthcare Specialist/Combat Medic
Madigan Army Medical Center
04.2009 - 03.2012
- Assisted residents with bathing, dressing, feeding, lifting and transferring.
- Assisted doctors with surgeries and non-invasive procedures.
- Monitored fluid intake and output levels.
- Assisted patients with daily functions.
- Followed infection control procedures.
- Ensured HIPAA compliance.
- Closely monitored acute conditions.
Education
Bachelor of Science - Nursing
Daemen College
Amherst, NY05.2016
Associate of Science - Nursing
Erie Community College
Buffalo, NY05.2015
Skills
- Utilization Management, Denials and behavioral health experience Reviewing Authorizations and denials
- Comprehensive clinical knowledge in assessment, planning, and implementation of care and evaluation of care
- Healthcare Operations and administration experience, serving as ICU charge nurse
- Experienced utilizing a variety of specialized medical equipment including defibrillators, cardiac monitoring devices, EKG units, and infusion pumps
- Triage and collaborate with healthcare teams to analyze patients care management needs, and establishing nursing care plans
- Experienced with extensive clinical analysis utilizing nursing judgment and current evidence based practice guidelines
- Assess, analyze, monitor and triage based on patient condition in inpatient and outpatient settings planning for discharge needs
- Teaching and Leadership experience with military treatment facilities and patient care clinics
- Administrative and floor nursing experience giving support and guidance
Certification
- New York state, licensed Registered Nurse (Jun, 2015- Nov, 2020)
- Washington State, License Registered Nurse (Dec 2016-Present)
- Trauma Nurse Core Course (August 2017-2021)
- Basic Life Support American Heart Association (2006 - Present)
- Advanced Cardiac Life Support (Sept, 2015- Dec, 2020)
- Pre-hospital Trauma Life Support (2011-2014)
- National Registry Emergency Medical Technician-B (2006-2013)
References
References are available on request.
Timeline
Utilization Management Nurse
Multi-Care Tacoma General Hospital
07.2021 - Current
Registered Nurse Care Manager PACT
Department Of Veteran Affairs
02.2019 - 06.2021
Registered Nurse - Travel Nurse
Cirrus Medical Staffing
01.2017 - 04.2017
Registered Nurse
University of Rochester- Strong Memorial Hospital
10.2015 - 01.2017
Healthcare Specialist/Combat Medic
Madigan Army Medical Center
04.2009 - 03.2012
Registered Nurse - ICU
Madigan Army Medical Center
3 2017 - 02.2019
Bachelor of Science - Nursing
Daemen College
Associate of Science - Nursing
Erie Community College
- New York state, licensed Registered Nurse (Jun, 2015- Nov, 2020)
- Washington State, License Registered Nurse (Dec 2016-Present)
- Trauma Nurse Core Course (August 2017-2021)
- Basic Life Support American Heart Association (2006 - Present)
- Advanced Cardiac Life Support (Sept, 2015- Dec, 2020)
- Pre-hospital Trauma Life Support (2011-2014)
- National Registry Emergency Medical Technician-B (2006-2013)
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