1. Rozelyn D. Fields-Jackson, BS, CHW
Nashville, TN , Cell: (615) 686-0489 ~ Email:roz2ndwind@yahoo.com
Highly motivated and results-driven Healthcare Management Professional with a successful record in Healthcare
Quality Improvement. Over eight years of increasing responsibility with demonstrated ability to drive positive
change and effectively manage communication with internal and external staff and customers. Currently seeking a
challenging and rewarding career opportunity that will enable me to leverage my education, leadership experience
and comprehensive knowledge of Healthcare Quality Improvement to assist an organization’s efficiency and
productivity. Preferably within a visionary healthcare organization.
Professional Workshop and Experience
 Project Management – ensure large and small scale projects are completed timely and within budget.
 Operations Management – Supported the implementation of day to day activities for significant functional
areas, reviewed the operations systems, policies and procedures in order to make recommendations
regarding improvement to increase efficiency or measure efficacy.
 6 years’ experience conducting research into health plan operational issues.
 Experienced leading effective and accurate teams that exceed company goals and needs.
 HealthCare Quality (Initiative) Program Coordination – Working in a functional and a matrix environment
to ensure and/or create reports that measure quality benchmarks in a healthcare setting.
 Experienced overseeing the work of others in an administrative, healthcare setting at multiple sites.
 Auditing (Healthcare Program Coordination) and Compliance (NCQA, JACHO)
 Highly skilled at managing Care (Medicaid, TennCare, CHIP, STAR, Indian and Rural Health)
 Population Health Management/Chronic Care Case management (Administrative)
 Experience at developing and conducting Staff Training, On-boarding and annual orientation
 Knowledgeable at in Managing Care (Medicaid, TennCare, CHIP, STAR, Frew, Grier, Indian/Rural Health)
 Proven effective at developing work flows and business processes in various settings
 Extensive experience with government programs or in government business contracts
Competencies and Skills
 Project Management
 Strategic Planning and Implementation
 Organizational Compliance
 Employee Relations
 Team Leadership & Supervision
 Staff Recruitment and Development
 Customer Service & Satisfaction
 Healthcare Operations Management
 Scheduling and Counseling
 Budget Development
 Expense Reduction
 HIPPA and OSHA Compliance
Education and Credentials
Bachelor of Science in Healthcare Administration and Planning
Tennessee State University-Nashville, TN
Graduate Certificate Healthcare Administration (MPA program)
Tennessee State University, Nashville, TN
Certification
Certified Community Health Worker (Texas, 2015)
Cultural Competency (Tennessee, 2008, D.C. Consortium)
HIV Testing and High-risk Lifestyle modification coaching (Nashville Cares, 2007)

2. Experiences & Accomplishments
KePRO, Inc. (Keystone Peer Review Organization) Nashville, TN
Quality Improvement Specialist March 2014 – August 2015
Kepo is a third party QIO company that provides contract oversight for approximately 400 + clients, quality
auditing, training, and compliance to the State of TN’s Tenncare administration.
 Developed work flows, training materials, business processes, as well as internal policies and procedures.
 Adherence to government program, managed care procedures, business contracts, Medicaid standards by
researching health plan and business operational issues.
 Documented project and systemissues to develop a root cause solution and implement change.
 Reviewed contracts and maintained documentation requirements.
 Conducted data analysis in order to evaluate and implemented change by creating training materials, resulted
in enhancing vendor and member communications.
 Assisted with procurement process by verifying administrative support during the creation of Request for
Proposals and providing feedback for Request for Information.
Ascend Management Innovations, LLC, Franklin, TN
Quality Improvement Coordinator- February 2013 to March 2014
QIO is a healthcare company which provides comprehensive healthcare management support services to both
public and private sectors of the healthcare industry. Provider of customized, single source solutions for unique
healthcare needs to include medical and psychiatric utilization review, specialized assessments, evaluations,
provider quality reviews, and data management solutions for contracts serving 9 states.
 Provided support to help quality improvement with activities in order to manage the change process.
 Oversaw peer-to-peer review process, recording data to track trends for the efforts of creating training and
recommended corrective action plans in accordance with company standards.
 Monitored, tracked and reported the company’s strategic goals, objectives, QIP goals and action plans to
provide status updates to quality leadership team, Division managers, and internal staff.
 Participate in developing policies and staff trainings on quality processes, procedures, and various projects.
 Conduct data analysis in order to review, evaluate, and implement change.
 Developed training materials resulted in increasing vendor and member communications by 50%.
 Developed and manage department budget, conducted reviews physician billing and audit activities.
 Resulted in reducing doctor billing errors and improved efficiency of payment turnaround times by 65%.
 Collected data and compiled it into various reports to relay information related to the strategic position,
recover/action plans and meeting strategic plan objectives.
University Community Health Services, Inc. – Nashville, TN
MNPS Population Health Program Assistant- December 2012 – February 2013
A nonprofit charitable organization that provided affordable quality service, comprehensive care through a variety
of network of FQHCs in the Metro Nashville area as part of the Vanderbilt School of Nursing. Focusing on client
self-directed care in vulnerable populations within a finically sustainable delivery model while supporting health
professional education and clinical/health service research.
 Assisted Program Manager with administrative support to increase program enrollment and reduced
participant noncompliance which Resulted in increased 200% in participant enrollment and 53% reduction
in noncompliance and status shifts fromhigh risk to moderate risk within the first year.
 Resulting in an estimated $45,000 cost of care reduction the first year.
 Provided strategic recovery development, corrective action planning to ensure compliance.
 Developed and disseminated training materials, tools, various surveys and reports using Word, PowerPoint,
Excel and Access to convey programinformatics to participants, outside vendors, and stakeholder to convey
significance of program and educate participants. Resulted by 37% increase in participant customer
satisfaction with in the first 6 months.

3. United Neighborhood Health Services, Inc- Nashville, TN
Quality Improvement Liaison-2009-2012
A network of community lead private, non-profit primary care clinics and health programs based in Nashville with
eight neighborhood clinics,1 public housing clinic,5 school clinics, homeless clinic,2 mobile clinics and one multi -
county clinic in Hartsville Tennessee that is dedicated to improving the health of the community by eliminating
barriers to care and serving as a healthcare home without regard to the ability to pay.
 Improved Vaccine for Children (VFC) program from suspension due to tertiary noncompliance to regain full
active complaint status in 16 months in 5 comprehensive clinics. Result: Increased revenue value adding
program by an estimated $130,000 annually with VFC programs in 8 different clinic locations.
 Increased HIV testing by 83% and retained 38% testing recidivism within 6 months. Resulting in maintained
a $250,000 federal grant with 11 clinic locations.
 Participated actively in achieving Joint Commission accreditation status for 2 cycles (6 years) reducing
considerations by 25% and implementing immediate strategic action recovery plan clinic system .
 Conducted trainings in risk management, quality improvement, contract support, Joint Commission and
government compliance to a diverse cross section of the company.
 Designated as administrative legislative liaison for both internal and external fronts.
 Facilitated and hosted HIVtesting, child vaccination, mobile clinic and Well Child visit events.
 Worked closely with external entities to host health fairs for the homeless and underserved populations.
TN Dept. Health – Div. of Min Health and Disparity Elim, Nashville, TN
Administrative Secretary-2003-2009
The Division of Minority Health and Disparity Elimination is the area contact for the national Office of Minority
Health, U.S. Department of Health and Human Services, Public Health Service and associates with the Region IV
Office, Southeast Region.The Division of Minority Health and Disparity Elimination serve as a central point for the
Department on minority health issues.
 Participated in the logistical coordination and event planning for the Summit on Minority Communities (700
participants) which served as the grassroots platformfor development of the bi annual Population.
 Assisted in the development of the Minority Health statewide strategic plan that identified the top 10
minority health concerns and strategies for disparity eliminations to improve the overall health status.
 Assisted with the facilitation of grass roots meetings and various, conferences, and symposiums throughout
the state of Tennessee compiling this data for legislative consideration.
 Legislative liaison serving the purpose monitoring the progression of house bills and voting track records.
 Provided research for the reduction of teen pregnancy and decreased infant mortality which was later used to
support comprehensive programming to address teen pregnancy prevention.
 Results: The identification of the top 19 minority health concerns that have since then been fiscally
addressed and specifically targeted for disparity elimination.
Publications
TDHealth: Office of Minority Health:TN Strategic Framework “Eliminating Health Disparities.”
TDHealth: DDEOMH: “Populations of Color” Report 2006, 2008
UNHS: AIDS/HIV…LMNOP? The taboo of HIV testing in Black culture. (Staff Training)
UNHS: Diabetes education training – “It’s just a Little Sugar – Dispelling the Myth of Inevitable bad health in the
Black Community.” (Member Training)
Affiliated Associations
Active Member of Quality Improvement Committees
Disciplinary Action Board, New Hire onboarding/Orientation and Workplace or job development training.
Active Member of Patient education of chronic health concerns