Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Michelle Jordan

Merrillville

Summary

A compassionate and detail-oriented healthcare professional with over 12 years of experience in patient support, troubleshooting, and system use. Now seeking to leverage problem-solving skills, technical knowledge, and customer service experience to support clients as a Customer Service Tools Support Specialist. Highly skilled in troubleshooting, effective communication, and providing solutions in a fast-paced environment

Overview

7
7
years of professional experience
1
1
Certification

Work History

Prior Authorization Nurse

CVS Health
01.2024 - Current

Manage multiple tasks including computer and multi-line phone requests, participate in interdepartmental projects, and maintain clinical information in health management systems. Helped troubleshoot patient-facing systems (EMRs, patient portals). Assisted colleagues with navigating healthcare software. Provided technical assistance to patients over the phone. Streamlined the prior authorization process, reducing wait times and improving overall efficiency. Assisted in maintaining compliance with changing regulations and policies by staying up-to-date on industry trends and best practices. Promoted a culture of continuous improvement within the Prior Authorization department by regularly reviewing processes and making recommendations for optimization.

Director of Nursing

The Oaks at Flower Mound
09.2022 - 03.2023

Developed and implemented nursing policies to ensure patient safety/Provided clinical guidance and direction to nursing staff to ensure quality care was provided in a timely manner/Oversaw the daily operations of the nursing department including staffing, scheduling, budgeting, and resource allocation/Project Management. Managed patient inquiries related to scheduling, billing, and system use, demonstrating high attention to detail and problem-solving abilities. Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns. Oversaw and approved recruitment, hiring and orientation of new nursing staff. Ensured regulatory compliance by staying current on industry standards and updating policies accordingly. Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.

LPN MD/LPN MDS/Supervisory Administrative Specialist

Town Center Village Retirement Community
09.2017 - 05.2022

Supervise staff and 107 residents' medication administration, admitting residents, auditing charts, creating care plans, ICD-10 codes, utilization review, medical terminology, and assessing appropriateness of care to residents based on facility policies and guidelines.

Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities. Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards. Managed patient inquiries related to scheduling, billing, and system use, demonstrating high attention to detail and problem-solving abilities.

Education

Master of Science - Data Science

University of Phoenix
Tempe, AZ
11-2026

Bachelor's degree - Business And Information Technology

University of Phoenix
01-2025

Practical nursing diploma - Nursing

Everest college
Merrillville, IN
01.2012

Skills

  • Microsoft Teams Collaboration Skills/ Strategic Development/Healthcare Data Management/Utilization management/Nurse management/Team Leadership Experience/Case Management/Documentation Analysis/Workday, SaaS, Java, Python/Risk Analysis Expertise/Epic, Zendesk Proficiency/Cross-Functional Product Leadership/ICD-10 Compliance Knowledge/Health Insurance Verification Skills/HIPPA/Employee Development/Clinical Utilization Review/Clinical Onboarding/Agile Methodologies/Productivity Advancement/Data-Driven Decision Making/ Customer support/Problem-solving/Troubleshooting/Technical support/Software proficiency

Certification

  • LPN/LVN Compact State Nurse License Texas #1093855
  • BLS, CPR/AED Certification

Timeline

Prior Authorization Nurse

CVS Health
01.2024 - Current

Director of Nursing

The Oaks at Flower Mound
09.2022 - 03.2023

LPN MD/LPN MDS/Supervisory Administrative Specialist

Town Center Village Retirement Community
09.2017 - 05.2022

Bachelor's degree - Business And Information Technology

University of Phoenix

Practical nursing diploma - Nursing

Everest college

Master of Science - Data Science

University of Phoenix
Michelle Jordan