Veronica Hughes-Bell

**** *. ***** **. **** ****

North Las Vegas, NV 89032

Cell: 702-***-****

ad1f0b@r.postjobfree.com

PROFESSIONAL EXPERIENCE

College of Southern Nevada 4/2016 - Present

Instructor

Duties include teaching American Heart Association Emergency Cardiovascular Care courses to staff and other participants in accordance with the most current guidelines and core curricula set forth by the American Heart Association; courses include but are not limited to: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and/or ECG for ACLS.

Centene Corporation, Las Vegas, NV 4/2017 - 9/2017

Prior Authorization Nurse

Performed telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations. Completed medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings. Collaborated with various staff within provider networks and case management team electronically or telephonically to coordinate member care. Educated providers on utilization and medical management processes. Provided clinical knowledge and act as a clinical resource to non-clinical team staff. Entered and maintain pertinent clinical information in various medical management systems.

UnitedHealth Care (Southwest Medical Center), Las Vegas, NV 6/ 2011- 7/2014

Senior RN Case Manager

Duties included utilization review, medication evaluation, providing transportation, social services and referrals for all insurance products including Medicare and Medicaid recipients. Evaluation of in-patient stays with special attention given to lengths of stay and more cost effective ways to excellent health care management.

APS Healthcare, Las Vegas, NV 1/2010 – 6/ 2011

Health Coach

Health Coach RN advocate and Healthcare Provider for the Silverstate Wellness Program with the Nevada Medicaid Department. Responsible to assist Medicaid recipients with health care, transportation, and all medical needs and services as indicated.

Nellis Air Force Base, Mike O’ Callaghan Federal Hospital, Las Vegas, NV 11/2003 – 1/ 2010

Clinical Nurse, General Surgery Clinic

Staff team leader collaborating care with physicians and other appropriate health care professionals to administer holistic medical care for the geriatric population; client advocate, intravenous administration, glucose monitoring, insulin and appropriate medication administration. Responsible for co-ordination and management of patient service and professional staff identification. Resolution of patient care concerns regarding in-patient and out-patient home health services and issues.

CERTIFICATIONS

College of Southern Nevada Las Vegas, NV

BLS Certification

EDUCATION

Malcolm X City College Chicago, IL

Associate of Arts: Nursing

St. Xavier University Chicago, IL

Concentration: BSN, MSN, LPN Licenses

Chicago Board of Education nana817 on

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