Courtney Whidden-Rivera, MS, CHES

Director of Quality at Umpqua Health
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Contact Information
Location
Portland, Oregon, United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Director of Quality
      • Jan 2023 - Present
    • United States
    • Insurance
    • 1 - 100 Employee
      • Apr 2022 - Jan 2023

      • Oversee four team members and the management of multiple independent projects required to support strategic business development including the improvement of Medicaid and Medicare quality metrics.• Serve as a CCO quality metric expert and work closely with clinic, hospital, behavioral health, dental, and community organizations to educate staff on the incentive measures and work with them to improve performance. • Implement quality improvement initiatives to improve medical, dental, and behavioral health outcomes. • Accountable for completing deliverables outlined by OHA and CMS including incentive measure deliverables, PIPs, HIT Roadmap, TQS, MEPP, and the Health Equity Plan.• Implement Health Information Technology initiatives including managing vendor relationships with the Arcadia Analytics HIE and the Unite Us CIE.• Lead the development of the quality based VBP models for Moda’s Medicaid and Medicare lines of business in Eastern Oregon. Show less

      • Oct 2019 - Apr 2022

      • Oversee five team members and the management of multiple independent projects required to support strategic business development including the improvement of Medicaid and Medicare quality metrics.• Accountable as a project manager for the completion of project tasks, process improvement, problem resolution and meeting/exceeding deliverables outlined by the Oregon Health Authority and CMS.• Plan and assign quality activities and tasks with a variety of outside entities and a diverse work force, including leadership, operational staff, regulatory, business analysts, technical teams, marketing, and finance. • Effectively communicate and present project status, goals, and milestones to all levels of internal and external stakeholders including executives and clinical staff.• Implement Health Information Technology initiatives including managing the relationship with Arcadia Analytics and providing support to Moda’s onboarded clinic practices.• Manage projects to reduce the amount of potentially avoidable costs associated with specific care episodes such as Diabetes, Hypertension, and SUD to receive Performance Based Rewards. Show less

      • Sep 2017 - Oct 2019

      • Implement and maintain health promotion activities to improve the quality and safety of clinical care programs/services provided to Medicaid members in Eastern Oregon. • Work as the liaison and subject matter expert on incentive metrics with the clinic staff at provider practices including providing support on EHR reporting.• Document and report quality initiatives and data in an understandable format to appropriate internal and external stakeholders including the CAP, CACs, Board of Directors, Quality Improvement Committee, Incentive Measure Workgroup, and clinic meetings. • Synthesize and analyze complex data and information to identify trends as well as pinpoint issues and areas for improvement. This includes data from chart audits, EHR reports, OHA dashboards, internal claims system, and Arcadia Analytics. Show less

    • United States
    • Wellness and Fitness Services
    • 1 - 100 Employee
    • Nutritionist
      • Apr 2017 - Jul 2017

      • Facilitated nutrition consultations with clients and developed individualized nutrition plans • Reviewed food logs and gave feedback to clients participating in a six week weight loss program • Developed handouts and recipe books on new and innovative nutrition topics • Learned how to collaborate with other health professionals in a fitness setting to reach the needs of clients • Facilitated nutrition consultations with clients and developed individualized nutrition plans • Reviewed food logs and gave feedback to clients participating in a six week weight loss program • Developed handouts and recipe books on new and innovative nutrition topics • Learned how to collaborate with other health professionals in a fitness setting to reach the needs of clients

    • United States
    • Hospitals and Health Care
    • Chronic Care Management Program Coordinator
      • Jan 2015 - Dec 2016

      • Developed and maintained preventative health registries to recall patients for preventative services such as immunizations and well child exams. • Managed chronic disease registries of our patient population to launch the implementation of the Medicare Chronic Care Management (CCM) program. • Reviewed CCM registry each month to monitor the amount of time Providers spent on the outside coordinated care of each individual CCM patient, updated as necessary. • Worked collaboratively with Provider and support staff to ensure that specific patient populations received appropriate planned, proactive care. Show less

    • Higher Education
    • 700 & Above Employee
    • Community and Family Health Program Instructor
      • Jun 2014 - Jun 2015

      • Served as a health education resource for low-income populations at food banks, housing sites, farmers markets, and the county fairs in Hood River and Wasco County. • Facilitated weekly food demonstrations and nutrition classes using Popular Education to enhance empowerment and improve the health of individuals and their communities. • Developed resources and materials in both English and Spanish to use during the food demonstration classes to reach a diverse range of audiences. • Implemented the Eat Together Eat Better curriculum to promote healthy family meals. Show less

Education

  • National University of Natural Medicine
    Master of Science (M.S.), Human Nutrition
    2016 - 2017
  • Western Washington University
    Bachelor of Science (B.S.), Community Health
    2010 - 2014

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