Anne Alcala
@annealcala
I am an experienced nurse and certified case manager focused on care coordination.
What I'm looking for
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
Accreditation Consultant
Elevance Health
Jul 2017 - Dec 2023 (6 years 5 months)
Collaborated with Medicaid health plan leadership to prepare for NCQA accreditation, developed reports with root cause analyses for HEDIS, CAHPS, and inpatient utilization, and facilitated quality committee meetings to drive performance improvement.
Nurse Case Manager I
Elevance Health
Jul 2017 - Dec 2023 (6 years 5 months)
Coordinated physical and behavioral health care using motivational interviewing and interdisciplinary collaboration, audited documentation for state regulatory compliance, and developed workflows based on regulatory requirements.
Clinical Program Manager
MD Anderson Cancer Center
Feb 2012 - May 2017 (5 years 3 months)
Managed center operations and developed clinical programs and policies with executive leadership, performed internal quality audits for Joint Commission and Magnet recognition, and audited medical records to ensure accurate billing.
Clinical Outpatient Nurse
MD Anderson Cancer Center
Feb 2012 - May 2017 (5 years 3 months)
Served as the first RN of a developing clinic supporting multiple providers and therapists, delivering outpatient care and establishing clinic workflows and documentation standards.
Inpatient Nurse
Houston Methodist
Jul 2007 - Feb 2012 (4 years 7 months)
Provided Medical ICU care, acted as a preceptor to new hires and student nurses, and delivered critical care in a high-acuity hospital setting.
Education
Degrees, certifications, and relevant coursework
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
Availability
Location
Authorized to work in
Job categories
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