Alejandra Orquiz
Cedar Hills Hospital
Portland
1
Certification
7
years of professional experience
Dynamic leader with a proven ability to leverage strategic insights and a comprehensive understanding of operational culture to propel organizational success. Expertise in analytical thinking and visionary planning facilitates the development and execution of effective growth strategies. Strong history of fostering innovation and guiding high-performing teams to consistently achieve outstanding clinical outcomes. Committed to driving excellence and enhancing performance through collaborative leadership and a results-oriented approach.
Work History
Interim CEO
1 Month- Directed strategic initiatives to enhance patient care and operational efficiency across all hospital departments.
- Led organizational change management efforts, driving cultural transformation to prioritize patient-centered care.
- Implemented data-driven decision-making processes to improve financial performance and resource allocation.
- Mentored senior leadership team, fostering professional development and promoting a culture of accountability and innovation.
- Fostered collaborative relationships with stakeholders, including healthcare providers and community organizations, to advance hospital goals.
- Oversaw compliance with healthcare regulations, ensuring adherence to quality standards and best practices in service delivery.
Associate Administrator
1 Year 4 Months- Coordinated cross-functional teams, ensuring timely achievement of project milestones and objectives.
- Established quality control measures, ensuring high service standards throughout operations.
- Acted as a strategic advisor and functional expert on critical strategic and operational matters.
- Led the the organizational development changes, enabling the organization to better respond and adapt to industry and market changes.
- Established quality control measures to maintain high service standards throughout operations.
- Conducted compliance audits to ensure adherence to regulatory standards and internal policies.
- Developed training materials for staff on compliance procedures and best practices.
Director of Performance Improvement
1 Year 4 Months- Led cross-functional teams to identify and implement performance improvement initiatives.
- Analyzed operational workflows to streamline processes and enhance efficiency.
- Developed training programs for staff to promote best practices in patient care.
- Facilitated data-driven decision-making through advanced analytics and reporting tools.
- Collaborated with leadership to align performance metrics with organizational goals.
- Ensured compliance with regulatory standards across various departments.
Director of Utilization Management
4 Years 8 Months- Led utilization management staff to ensure adherence to policies and procedures, enhancing operational integrity.
- Collaborated with healthcare providers to assess and optimize patient treatment plans and resource allocation.
- Supervised utilization management staff to ensure compliance with policies and procedures.
- Implemented quality assurance measures to enhance service delivery across the department.
- Collaborated with healthcare providers to review patient treatment plans and resources.
- Monitored performance metrics for utilization management outcomes, identifying areas for improvement in length of stay, episode duration, denied days, and readmission rates.
Director of Intake and Front Desk
7 Months- Managed patient intake processes to ensure smooth admissions at Cedar Hills Hospital.
- Analyzed intake data to pinpoint workflow operation enhancements.
- Oversaw scheduling for patient appointments, optimizing resource allocation effectively.
- Coordinated communication among internal staff, external partners, and clients to ensure timely updates on intake requests.
- Oversaw scheduling for patient appointments to maximize resource allocation.
Lead Utilization Review Manager
11 Months- Instituted systems and policies that improved communication workflow and staff performance.
- Engaged daily in advocacy practices by advising patient treatment teams and insurance providers.
- Collaborated with the clinical director to ensure fair substance abuse treatment in a trauma-informed setting.
- Advocated for patient needs during daily team meetings by advising patient treatment teams and insurance providers.
- Facilitated clinical care advocacy to effectively track client progress.
Senior Utilization Review Manager
2 Years 6 Months- Managed 3 levels of care with up to 95 patient cases and obtained pre-certifications and additional coverage based on medical necessity criteria.
- Instituted systems, processes, and policies that enhanced communication, streamlined workflow, and elevated employee performance and satisfaction.
- Collaborated with 5 therapists, 2 psychiatrists, 1 nurse practitioner, and up to 10 nurses and worked closely to ensure quality documentation and medical necessity.
- Collaborated with 5 therapists, 2 psychiatrists, 1 nurse practitioner, and up to 10 nurses to ensure quality documentation and adherence to medical necessity criteria.
- Instituted new systems, processes, and policies to improve communication, workflow, and employee performance & satisfaction.
- Advocated for clients' clinical care, facilitating appropriate progress through personalized support.
Education
Doctor of Social Work
Master of Social Work
Bachelor of Social Work
Skills
Regulatory compliance
Quality management
Resource management
Change management
Strategic visioning
Strategic planning
Reporting documentation
Organizational agility
Certification
Licensed Master Social Worker (LMSW) in Texas
Timeline
Interim CEO
Cedar Hills Hospital
07.2026 - CurrentRead More
Director of Performance Improvement
Cedar Hills Hospital
03.2025 - 07.2026Read More
Associate Administrator
Cedar Hills Hospital
03.2025 - 07.2026Read More
Director of Intake and Front Desk
Cedar Hills Hospital
06.2024 - 01.2025Read More
Director of Utilization Management
Cedar Hills Hospital
11.2021 - 07.2026Read More
Lead Utilization Review Manager
Georgetown Behavioral Health Institute
12.2020 - 11.2021Read More
Senior Utilization Review Manager
Promises Behavioral Health
05.2019 - 11.2021Read More
New Mexico State University
Bachelor of Social Work
Read More
Texas State University
Master of Social Work
Read More
Tulane University
Doctor of Social Work
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