Crystal R. Johnson, MS, APRN, FNP-C
SUMMARY OF QUALIFICATION
Motivated and experienced professional with healthcare management background in various high impact leadership roles, including managed care industries, specialty areas as well as acute care setting.
Strategic, results-driven leader with proven ability to thrive in high paced matrix environments creating new programs, spearhead change, and conceptualized and execute innovative, sustainable.
An aptitude for addressing cultural diversity.
Compassionate leader with excellent interpersonal and communication skills, dedicated to cultural diversity while fostering a working environment that encourages collaboration and optimizes team performance.
Leverage clinical acumen to provide guidance to staff
Evaluate regulatory changes and determine steps needed to implement in programs
Proficiency in Microsoft Word, Outlook, PowerPoint, and Internet Explorer
KEY SKILLS & ACCOMPLISHMENTS
As Clinical Service Manager for Optum Health, a subdivision of United HealthGroup, led a team of Nurse Practitioners in a 5 year demonstration project between United HealthGroup, Centers for Medicare & Medicaid Service, and state of Texas. Handled all budgetary issues, staffing, training, and mentoring of staff. Develop/oversee/deliver operational or technical training.
As a House Supervisor at River Oaks Hospital, a 350 bed hospital with active ER and 5 surgical suits; supervised and provided leadership to all staff providing daily care and assistance to clients.
Ensure team members address gaps in performance against internal procedures and protocols
Monitor compliance to hospital policies, rules, and regulations; document, communicate, and plan of correction for all noncompliance issues.
As an Inpatient Care Manager at Universal American, a managed care company dealing with Medicare Advantage, Direct responsibility for compliance with the Sarbanes-Oxley Act in matters of financial and operational controls and disclosure requirements as mandated by the Act.
Outlined and justified requirement for staffing, systems expenditures, and organizational changes
PROGRAM DEVELOPMENT/PROGRAM MANAGER EXPERIENCE
Director of Medicare/Medicaid/Dual Special Needs Plan product line
Initiated and Manage a high profile demonstration project; MMP, as a Clinical Service manager for a Medicare/Medicaid contract.
Track and coach for high performance staff on gap closures
Instrumental in the establishment of policy and procedure for a community visitation program for a large Medicaid population.
Received award for exceeding Matrix expectation and adherence to compliance measures with all aspects of requirements of Medicaid contract.
Communicate with stakeholders about financial benchmarks on quarterly basis
Work closely with COO to realign financial budget for program implementation
Adapt departmental plans and priorities to address business and operational challenges
Set team direction, resolve problems, and provide guidance to members of own team.
Client Relationship Management Experience
As a clinician at Optum Health, interacted with 100’s of clients through assessments, interviews, acute and chronic intervention and treatment plans.
Regularly collaborated with various community organizations to secure best possible client care and benefits.
As a clinical team leader, have weekly interdisciplinary team meetings to discuss member disposition goals and coordinate that with community programs.
Optimized client interaction, cultivated meaningful relationship built on instant rapport, and followed through on all client issues, which increased client satisfaction and enabled our market to extend the contract to all other SNF’s in the area; earned a reputation with clients for providing customer service excellence.
Implemented, analyzed, and presented data for a client satisfaction survey process; resulted in maintaining contract with a large physician group and retention of revenue.
Demonstrated professionalism and integrity as a frontline corporate representative.
PROFESSIONAL EMPLOYMENT HISTORY
UnitedHealth Care, Sugar Land, TX, Director of MMP-DSNP 8/2019- Present
Optum Health, Houston, TX, Clinical Service Manager/ Family Nurse Practitioner 7/2013-8/2019
KBBR, Houston, TX, Director of Clinical Operation 3/2011-6/2013
Dr. M. Haque, Houston, TX, Community Family Nurse Practitioner 7/2011-8/2012
Universal American, Houston, TX, Inpt. Care Manager 12/2009-7/2010
St. Luke’s Episcopal, Hospital, Houston, TX, RN ICU Heart Transplant 7/2008-12/2009
River Oaks Hospital, Houston, TX, Staff RN/ Relief House Supervisor 10/2007-6/2008
United Health Care, Houston, TX, pre-certification RN 10/2006-6/2007
More employment history if requested
MS, Texas Woman’s University, August 2010
BS, Texas Woman’s University, May 2005
ADN, Alvin Community College, May 2003
AA, Houston Community College, December 2000
Certificate of Technology in License Vocational Nurse, San Jacinto Community College, December 1996
Houston Area Nurse Practitioners 2/2017- Present
Geriatric Nurse Practitioners 7/2013-7/ 2018
American Academy of Nurse Practitioners 7/2019- Present
Assessment and Development of Treatment Plans - Competency/Communication group 2018
iNspire Program Mentor Program
Psychiatric Champions Initiatives 2018