Alejandra Espinoza

Nursing Manager

HCA HOUSTON HEALTHCARE

Aug 2025 - Mar 2026 (8 months)

- Lead and ensure high-quality nursing care for ill patients within the acute care setting, adhering to hospital standards and patient safety protocols.
-Provides direction to Registered Nurses and non-professional nursing personnel in providing direct patient care and in providing supervision of the acute care medical/surgical/telemetry setting.
-Supports the medical care of patients under the direction of the Medical Staff pursuant to the objectives of HCA Houston Healthcare Hospital.
-Manage day-to-day operations across acute care units. Oversee staffing schedules, adjust for patient acuity, and optimize RN resource utilization for safe, efficient care
-Applies knowledge of the principles of growth and development ove

Sr. Clinical Coding Nurse Consultant

WellMed Medical Management

Mar 2022 - Aug 2025 (3 years 6 months)

- Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics
- Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups
- Subject Matter Expert (SME) for all Risk Adjustment related activities within the Houston Market, working within a matrix relationship which includes DataRAP operations and Regional / Market operations
- Assist in developing of training and analytical materials for Risk Adjustment
- Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the m

RN Case Manager

HCA Houston Healthcare Kingwood

Sep 2021 - Current (5 years 1 month)

Experienced and patient-focused RN Case Manager with a strong background in coordinating comprehensive care plans within a high-volume, Level II, 456-bed hospital. Expert in guiding patients, families, and caregivers through the rehabilitation process by providing clear orientation on care expectations, discharge criteria, insurance coverage, and patient rights. Skilled in facilitating interdisciplinary collaboration, leading family conferences, and promoting patient engagement in treatment planning. Proven ability to assess psychosocial and discharge needs, document Discharge Planning Evaluations (DPEs), and connect patients with appropriate community resources. Dedicated to delivering unparalleled patient service through seamless transiti

Critical Care Registered Nurse

RNnetwork

Jul 2021 - Sep 2021 (3 months)

Completed a 3-month contract assignment in the Cardiac ICU at Houston Methodist TMC – Walter Tower 10 during the height of the COVID-19 pandemic. Delivered critical care to complex cardiac and COVID-positive patients requiring advanced interventions, including mechanical ventilation, hemodynamic monitoring, and vasoactive drips. Collaborated closely with multidisciplinary teams in a high-acuity, rapidly evolving environment. Demonstrated resilience, adaptability, and clinical excellence under crisis conditions in one of the nation's leading academic medical centers.

Registered Nurse

Prolink

Apr 2021 - Jul 2021 (4 months)

Completed a 3-month contract assignment in the Cardiac ICU at Houston Methodist TMC – during the height of the COVID-19 pandemic. Delivered critical care to complex cardiac and COVID-positive patients requiring advanced interventions, including mechanical ventilation, hemodynamic monitoring, and vasoactive drips. Collaborated closely with multidisciplinary teams in a high-acuity, rapidly evolving environment. Demonstrated resilience, adaptability, and clinical excellence under crisis conditions in one of the nation's leading academic medical centers.

Registered Nurse

Cascade Technology Systems

Mar 2020 - Mar 2021 (1 year 1 month)

Served as a Contract Registered Nurse at Houston Methodist Hospital – Texas Medical Center during the COVID-19 pandemic, providing critical care in the Intensive Care Unit (ICU). Delivered expert nursing care to critically ill patients with complex medical and respiratory conditions, including COVID-19 cases requiring advanced respiratory support and hemodynamic monitoring. Demonstrated resilience, adaptability, and clinical expertise while collaborating closely with multidisciplinary teams in a high-pressure, rapidly evolving healthcare environment.

Cardiovascular Intensive Care Nurse

Memorial Hermann Health System

Jun 2019 - Dec 2020 (1 year 7 months)

Dedicated and highly skilled Cardiovascular Intensive Care Unit (CVICU) Registered Nurse with proven Charge Nurse experience, delivering expert care to critically ill cardiac and post-operative cardiovascular patients. Demonstrates advanced clinical judgment in managing complex hemodynamic cases, including post-CABG, valve replacements, and mechanical circulatory support (e.g., IABP, CRRT, Impella). As Charge Nurse, effectively led unit operations, coordinated staff assignments, managed patient flow, and served as a clinical resource to interdisciplinary teams. Committed to fostering a culture of safety, collaboration, and excellence in patient outcomes within a high-acuity ICU setting.

Critical Care Registered Nurse

NurseDash

Mar 2019 - Current (7 years 7 months)

Compassionate and highly adaptable Registered Nurse with extensive experience in critical care and emergency nursing, specializing in rapid-response patient care across multiple Freestanding Emergency Rooms (FSERs) in the Houston area. Proven ability to deliver safe, high-quality, and timely care in high-acuity settings while supporting fluctuating patient volumes and staffing needs. Skilled in triage, trauma care, IV therapy, and advanced cardiac life support, with a strong commitment to patient advocacy, clinical excellence, and collaboration within interdisciplinary teams.

Reliable and flexible agency nurse dedicated to improving outcomes and maintaining continuity of care in fast-paced, autonomous environments.

Critical Care Registered Nurse

HealthTrust Workforce Solutions

Aug 2018 - Dec 2021 (3 years 5 months)

Versatile and highly skilled Critical Care Registered Nurse providing PRN supplemental support across multiple HCA-affiliated facilities. Experienced in delivering high-acuity patient care in diverse critical care settings, including CVICU, CCU, MICU, SICU, Emergency Department, and Freestanding EDs. Demonstrates adaptability, clinical expertise, and a commitment to patient safety while seamlessly integrating into various teams to support fluctuating staffing needs and maintain continuity of care.

Critical Care Registered Nurse

HCA HEALTHCARE

Aug 2016 - Apr 2021 (4 years 9 months)

Experienced Registered Nurse working in a Level II Trauma Center with a specialty in critical care. Cross-trained in both Medical ICU (MICU) and Emergency Room (ER) settings, providing high-acuity care to diverse patient populations. Demonstrates strong clinical judgment, adaptability, and a calm presence in fast-paced, high-stress environments. Skilled in advanced monitoring, emergency interventions, and interdisciplinary collaboration to support optimal patient outcomes in both intensive and emergent care settings.

P

Registered Medical Assistant

Prime Medic

Mar 2013 - Jan 2017 (3 years 11 months)

Supported multiple physicians in a busy primary and urgent care clinic while attending nursing school, performing both clinical and administrative duties as a Registered Medical Assistant. Responsibilities included rooming patients, obtaining vital signs, performing EKGs, administering injections, preparing patients for exams, assisting with minor procedures, and documenting in the electronic health record (EHR).

Developed strong clinical skills, professionalism, and adaptability in a high-volume, patient-centered environment.

N

Intensive Care Nurse

Nurse Dash

• Delivered high-acuity care across multiple facilities
• Maintained compliant documentation
• Adapted to diverse clinical environments

Case Management Nurse

HCA Houston Healthcare Kingwood

• Manage patient caseloads and coordinate care across settings
• Develop individualized care plans aligned with NCQA standards
• Reduce readmissions through effective transition planning
• Educate patients and families on disease management

W

Clinical Nurse Specialist

WellMed

• Identified care gaps and supported population health initiatives
• Collaborated with providers to improve outcomes and documentation
• Supported value-based care and risk adjustment strategies

Alejandra Espinoza

About

Detail

Timeline

Résumé

Alejandra Espinoza

About

Detail

Behavioral traits