●  Open to Remote Opportunities

Jamie
Rodgers

Healthcare compliance and risk management leader with 15+ years connecting clinical expertise to operational execution — credentialing oversight for 2,000+ clinicians, compliance turnarounds, and behavioral health systems leadership.

MBAHM · Healthcare Management Registered Nurse · Tennessee Knoxville, TN · Remote
Jamie Rodgers, MBAHM, RN

Results That Matter

0→87%
Compliance audit performance turnaround in 3 months
2,000+
Clinicians supported in credentialing risk review across national systems
47+
Triage calls per shift evaluating medical necessity and level of care
15+
Years of healthcare operations & clinical experience

Clinical Roots.
Operational Edge.

I began my career as a psychiatric nurse, working directly with patients in high-acuity behavioral health environments. Early on, I saw that many of the challenges patients and providers faced were not clinical — they were operational.

That realization led me to healthcare operations, where I spent years supporting enterprise provider systems, improving compliance, and managing risk at scale across 2,000+ clinicians in multi-state systems at TeamHealth.

I later stepped into leadership during the startup launch of a new inpatient behavioral health facility — building clinical workflows and compliance processes from the ground up under significant resource and time constraints.

Today I'm seeking remote corporate roles in utilization management, compliance, credentialing, or healthcare operations — where my MBA and RN background drives measurable results without requiring bedside work.

Credentials & Licensure

MBA, Healthcare ManagementWestern Governors University
BSN, NursingTennessee Wesleyan University
BS, Business AdministrationUniversity of Tennessee, Knoxville
Registered Nurse — Tennessee (Active)License #165537 · Expires 1/31/2028
AI-Assisted Workflow AutomationApplied in digital health platform operations
ACHE & ANA MemberAmerican College of Healthcare Executives · American Nurses Association

What I Do

Compliance & Regulatory Risk

Audit readiness, regulatory oversight, corrective action planning, and workflow redesign to close compliance gaps in complex, regulated healthcare environments.

Credentialing & Provider Operations

Enterprise credentialing risk review, provider eligibility evaluation, licensure and sanctions review, and onboarding integrity across multi-state healthcare systems.

Utilization Management

Medical necessity evaluation, level of care determination, and evidence-based clinical protocols — grounded in real behavioral health and high-volume telephonic triage experience.

Behavioral Health Operations

Inpatient behavioral health leadership, high-acuity geriatric unit management, clinical startup operations, and digital health platform development for behavioral health families.

Healthcare Operations Leadership

Workflow design, process execution, and cross-functional coordination across complex, multi-site healthcare environments with measurable performance outcomes.

AI-Assisted Operations

Practical experience building AI-assisted workflows for content delivery, operational automation, and family engagement through Bad Apple Corps LLC digital health platform.

Career Highlights

Founder 2022 – Present
Bad Apple Corps LLC, Knoxville, TN
  • Founded and operates a digital health platform providing educational resources and support tools for families navigating behavioral health conditions including bipolar disorder
  • Designed operational workflows using AI-assisted tools to manage content delivery, family engagement, and day-to-day platform operations
Nurse Manager 2022
Knoxville Center for Behavioral Medicine, Knoxville, TN
  • Led clinical operations and workforce management during startup launch of a new inpatient behavioral health facility, establishing workflows and stabilizing operations during ramp-up
  • Managed daily operations of a high-acuity geriatric behavioral health unit, overseeing patient flow, staffing, and regulatory compliance
  • Applied clinical criteria to evaluate patient acuity, level of care appropriateness, and care progression in a high-acuity behavioral health environment
Legal Risk Management Specialist 2014 – 2022
TeamHealth, Knoxville, TN
  • Conducted enterprise credentialing risk reviews supporting regulatory compliance for 2,000+ clinicians across multi-state healthcare systems
  • Evaluated provider eligibility, licensure, sanctions, and documentation integrity to support compliant onboarding processes
  • Identified regulatory exposure and collaborated with cross-functional teams to implement corrective actions and reduce organizational risk
  • Supported credentialing and recredentialing workflows aligned with healthcare regulatory standards and internal governance requirements
Triage Registered Nurse 2012 – 2014
TeamHealth Medical Call Center, Knoxville, TN
  • Conducted high-volume telephonic triage at 47+ calls per shift, applying evidence-based protocols to evaluate medical necessity and determine appropriate level of care
  • Consistently met and exceeded quality, accuracy, and efficiency benchmarks in a high-volume remote clinical environment
Medical Program Coordinator 2009 – 2010
Evergreen Presbyterian Ministries, Knoxville, TN
  • Turned around compliance audit performance from 0% to 87% within three months by identifying process gaps, restructuring workflows, and strengthening program oversight
  • Managed care coordination and medical services for a 58-patient population, supervising LPN staff and maintaining compliant, consistent service delivery
Psychiatric Registered Nurse 2006 – 2008
Peninsula Behavioral Health Hospital, Louisville, TN
  • Provided inpatient psychiatric nursing care across high-acuity behavioral health units, applying clinical judgment to patient assessment, safety planning, and level of care monitoring
  • Participated in interdisciplinary treatment planning and care coordination

Organizations I Work With

I bring the most value to healthcare organizations that need strong operational execution, compliance improvement, and clinical insight under one leader.

Health Plans & Payers

Optum, Humana, Elevance, Centene, CVS/Aetna — needing UM nurses and compliance leaders

Credentialing Platforms

symplr, Medallion, CAQH — software companies managing provider operations at scale

Behavioral Health Systems

Inpatient, outpatient, and population behavioral health programs needing clinical ops leadership

Provider Organizations

Multi-site physician groups and health systems managing compliance and credentialing risk

Digital Health Companies

Included Health, Accolade, Omada — remote-first companies scaling clinical operations

What I'm Looking For

Remote corporate roles in utilization management, healthcare compliance, credentialing operations, or program management — at payers, digital health companies, or large health systems. Target: $95,000–$120,000. Available immediately from Knoxville, Tennessee.

Let's Talk

Let's Connect

Whether you have a role in mind, want to discuss how I can add value, or simply want to connect — I'd love to hear from you.

jamierodgers.com

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