Summary
Overview
Work History
Education
Skills
Professional Objective
License
Certification
Volunteer Work History
References
Timeline
Generic

Tina Crawford

Summary

Experienced Nurse with strong analytical skills and desire to drive quality improvement initiatives. Broad based work experience in numerous aspects of the manged care industry since 2002 which allows me to understand and anticipate the impact of quality measures to address customer and business needs.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Senior Clinical Quality Analyst

Optum
03.2022 - Current
  • Coordinated, managed and implemented auditing projects.
  • Conducted comprehensive audits, ensuring adherence to quality standards and regulations.
  • Analyze auditing data trends and spearheaded root cause investigation efforts for major non-conformances.
  • Collaborated with cross-functional teams/senior leadership by providing clear communication of detailed analysis findings through visual report live presentations.
  • Collaborated with cross-functional teams/senior leadership to identify areas of risk and implement improvement opportunities (clinical guideline templates, QRG and policy updates).
  • Increased efficiency by streamlining data analysis processes and implementing automation tools (guideline audit automation project)
  • Managed multiple projects simultaneously while adhering to strict deadlines and quality standards.
  • Provided training and mentorship to team members on quality assurance methodologies.
  • Managing the IRR assessment project
  • - partnering with an external vendor for ASAM IRR testing and data platforms
  • -collaborated with various dept. SME's in developing specific IRR tests
  • -worked closely with training and ECS project management to increase communication and education with IRR process to increase test completion rate
  • Assisted with a Quality QIA project for LAI

Clinical Quality Analyst

Optum
07.2019 - 03.2022
  • Evaluated competency of clinical staff, documenting performance, and recommending improvements.
  • Developed and maintained database systems (excel spreadsheet) to track and analyze operational data
  • Coordinated, managed and implemented auditing projects.
  • Conducted comprehensive audits, ensuring adherence to quality standards and regulations.
  • Analyzed data and findings to prepare reports detailing improvement opportunities
  • Collaborated with cross-functional teams to identify areas of risk and implement improvement opportunities.
  • Collaborated with management to develop actionable strategies/quality improvement initiatives.

RN Care Advocate

Optum
03.2002 - 07.2019

-Responsible for working with providers/facilities in completing assessments to determine appropriate levels of care, negotiate alternative levels of care when needed as well as identify ways to add value to clients individual treatment plans

-Clear, concise and impeccable documentation

-Compliant with regulatory standards.

-Mentored new nursing staff, and contributed to a supportive work environment

-Identified improvement opportunities to assist with process efficiencies

Assistant Nurse Manager

Alternative Behavioral Treatment Center
2000 - 2002

-Responsible for managing the medical and mental health issues of up to 40 adolescent sexual offenders in a psychiatric group home setting.

-Identified cause of weight gain in clients, developed education of dietary staff, unit staff and clients on ways they can limit their caloric intake during meals resulting in less weight gain in the clients

-Developed checklists to ensure that the state mandates were being followed for health follow up appointments resulting in no missed requirements

Charge Nurse

Victory Hospital
1998 - 2000

-Interim Acting Director of Nursing on several occasions

Charge Nurse

Milwaukee Psychiatric Hospital-ARC unit
1997 - 1998

-Responsible for safety and care of up to 80 youth and shift supervision of up to 10 staff

-Identified and developed a plan to continue education on the unit when they were not able to attend school which resulted in decreased acting out behaviors to attempt to skip school

Nursing Supervisor of 100 bed Psychiatric Hospital

Columbia/HCA Woodland Hospital
1993 - 1997

Education

Green Belt Course

Villanova University
Villanova, PA
2022

Associate of Applied Science - Nursing

Elgin Community College
Elgin, IL
1991

Skills

  • Self motivated
  • Analytical Thinking
  • Strong written and verbal communication
  • Strong presentation skills
  • Strong computer skills
  • Team Collaboration and Leadership
  • Positive attitude/Team building
  • Willingness to learn and take on new responsibilities
  • Educator
  • Organizational Skills
  • Attention to Detail
  • Project Management
  • Regulatory Compliance
  • Problem-Solving
  • Multitasking

Professional Objective

Senior Clinical Quality Improvement Specialist position in a growth oriented organization that will allow me to utilize my analytical skills in driving quality improvement initiatives.

License

IL Registered Nurse since 1992


Certification

IHI Certification, 2021

Volunteer Work History

-Feed My Starving Children

*packages meals for children around the world

-Northern Illinois Food Bank

*sorts and packages food to be distributed in Northern Illinois

-Samaritan's Purse

*packages shoeboxes filled with gifts to be delivered to children around the world

-Religious education teacher for children ranging from 8-12 years old

*planning and organizing each lesson while ensuring that all the requirements are met

- Religious education work group

*identifying barriers and developing program solutions to make the program more family based teaching, implementing these changes thru involvement as leaders within the new program

- Soccer team manager

*liaison between the directors and the parents and coordinates activities and schedules

- Girl Scout Troop leader

*have led young girls to learning leadership skills and building self confidence

- Swim Team meet concession stand assistant coordinator

*developed and executed a plan to add a hot breakfast item to the menu which sold out every timeyielding up to $160 in additional profits

References

Available upon request

Timeline

Senior Clinical Quality Analyst

Optum
03.2022 - Current

Clinical Quality Analyst

Optum
07.2019 - 03.2022

RN Care Advocate

Optum
03.2002 - 07.2019

Assistant Nurse Manager

Alternative Behavioral Treatment Center
2000 - 2002

Charge Nurse

Victory Hospital
1998 - 2000

Charge Nurse

Milwaukee Psychiatric Hospital-ARC unit
1997 - 1998

Nursing Supervisor of 100 bed Psychiatric Hospital

Columbia/HCA Woodland Hospital
1993 - 1997

Green Belt Course

Villanova University

Associate of Applied Science - Nursing

Elgin Community College
Tina Crawford