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Anne AlcalaAA
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Anne Alcala

@annealcala

I am an experienced nurse and certified case manager focused on care coordination.

United States
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What I'm looking for

I seek a leadership role leveraging nursing, case management, and quality improvement to drive accreditation readiness, elevate HEDIS/CAHPS performance, and build collaborative workflows in a patient-centered culture.

I am a Registered Nurse licensed in Texas with a Bachelor of Science in Nursing (Summa Cum Laude, 4.0 GPA) and recent Certified Case Manager (CCM) credential. I bring clinical depth and a sustained record of quality-focused leadership since 2007.

At Elevance Health I served as an Accreditation Consultant and Nurse Case Manager, developing reports with root cause analyses for HEDIS, CAHPS, and utilization measures, and facilitating quality committees with medical and clinical leadership. At MD Anderson I managed clinical programs, performed internal audits for Joint Commission and Magnet readiness, audited records for accurate billing, and served as an Epic Super User and Informatics Resource Nurse.

My background includes Medical ICU practice, precepting new hires and students, and building workflows and clinical programs that align regulatory requirements with improved patient outcomes. I am motivated by collaborative, data-driven improvements that enhance care coordination and organizational accreditation readiness.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

Houston Christian University logoHU

Houston Christian University

Bachelor of Science in Nursing, Nursing

2003 - 2007

Grade: Summa Cum Laude; 4.0 cumulative GPA

Completed a Bachelor of Science in Nursing at Houston Christian University (formerly Houston Baptist University) from August 2003 to May 2007, graduating Summa Cum Laude with a 4.0 cumulative GPA.

Tech stack

Software and tools used professionally

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Anne Alcala - Accreditation Consultant - Elevance Health | Himalayas