Phanice Orora

Doctor of Healthcare Administration with 7+ years of experience in regulatory compliance, utilization review, and organizational policy leadership across behavioral health and long-term care settings. Proven expertise in developing and implementing compliance programs, conducting audits, and fostering ethical, transparent operations. Skilled in payer relations, risk mitigation, and interpreting federal and state regulations.

Recognized for driving quality improvement, ensuring policy adherence, and leading cross-functional teams with integrity and accountability.

Utilization Review Specialist - Vantage Point Behavioral Health Hospital - Fayetteville, AR

(2022-10)

• Lead concurrent and retrospective reviews, ensuring payer compliance and adherence to regulatory standards.
• Interpret and apply policies from Medicare, Medicaid, and commercial payers to maintain program compliance.
• Collaborate with physicians, case managers, and external reviewers to coordinate appropriate and ethical patient care.
• Identify compliance vulnerabilities and recommend corrective action strategies to leadership.
• Promote policy alignment across departments, mirroring corporate compliance structures.

Admissions Coordinator - Vantage Point Behavioral Health Hospital - Fayetteville, AR

(2021-07 - 2022-10)

• Directed patient intake, eligibility assessment, and documentation verification in compliance with federal privacy laws.
• Led quality checks to ensure compliance accuracy and timeliness of admission reporting.
• Partnered with internal teams to streamline processes and reduce admission review discrepancies.

Regional Detox Specialist - EagleCrest Recovery - Bentonville, AR

(2021-06 - 2021-12)

• Oversaw detox admissions and documentation in alignment with Joint Commission and state regulatory standards.
• Ensured staff adherence to compliance protocols, risk reporting, and medication management guidelines.
• Collaborated with medical directors to maintain integrity and transparency in treatment documentation.

Supervisor - ResCare Residential Services - Denton, TX

(2017-01 - 2020-08)

• Supervised residential staff ensuring compliance with regulatory and ethical care standards.
• Conducted internal audits, compliance training, and documentation reviews with zero deficiencies on state surveys.
• Led incident reporting and root-cause analysis to prevent regulatory non-compliance.

Doctor of Healthcare Administration - Healthcare Administration - Virginia University of Lynchburg (2023)

Master of Healthcare Administration - Healthcare Administration - West Coast University (2021)

Bachelor of Applied Arts and Sciences - Applied Arts and Sciences - University of North Texas (2020)