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Nurse Practitioner Manager

Location:
Katy, TX
Posted:
January 07, 2021

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Resume:

Crystal R. Johnson, MS, APRN, FNP-C

**** ****** ****** Richmond, Texas 77407* 832-***-****

Email: adi8qj@r.postjobfree.com

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

Training/Development Experience

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

EDUCATION

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

PROFESSIONAL AFFILIATIONS

Houston Area Nurse Practitioners 2/2017- Present

Geriatric Nurse Practitioners 7/2013-7/ 2018

American Academy of Nurse Practitioners 7/2019- Present

SPECIAL PROJECTS/Certificates

Assessment and Development of Treatment Plans - Competency/Communication group 2018

iNspire Program Mentor Program

Mentee 2016-2017

Psychiatric Champions Initiatives 2018



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