Community Health Worker

Job Purpose & Position OverviewThe purpose of this position is to provide culturally responsive outreach, education, care coordination, and support services for community members in need of kidney health support. The Community Health Worker will serve as a bridge between community members, healthcare providers, and community resources to improve health outcomes and reduce health disparities. The Community Health Worker position is funded by the RHT

Specific Job Duties/Responsibilities:

Demonstrate the Public Health Department's core mission, vision and values

Home visit assigned clients as scheduled by the Cakso Wirakara ra, Kidney Protecton team.

Assist with medication needs and translation.

Provide transportation to and from Twelve Clans Unity Hospital and WPHD Programs.

Provide supervised home health care for assigned clients, and will include:

Blood pressure/blood glucose monitoring.

Provide medication education.

Educate on healthy lifestyle habits.

Refer to resources as necessary for any Indigenous Social Determinants of Health

Maintain records and reports as necessary to supervisor.

Follow-up on at-risk community members.

Notify patients of scheduled doctor appointments.

Follow-up from internal staff and referred provider appointments.

Assist with infections disease screenings.

Attend all in-service and classes that are health related when possible.

Attend mandatory training.

Prepare monthly reports and submit them to supervisor.

Complete patient charting in a timely manner.

Responsible for always maintaining GSA vehicles.

SPECIALTY AREA – KIDNEY PROTECTION COMMUNITY HEALTH WORKER

Conduct home visits and community outreach with high-risk individuals, to promote healthy pregnancies, healthy kidneys and decrease kidney disease progression

Assist with outreach, recruitment, enrollment, and retention of participants in the Cakso Wirakara ra, Kidney Protection programs.

Provide culturally grounded education regarding kidney health following the curriculum of the American Kidney Foundation.

Conduct regular wellness check-ins with individuals with kidney disease or at-risk for kidney disease to identify needs and connect families to resources.

Assist participants with scheduling, attending, and following up on appointments, health services, and specialty care appointments.

Provide transportation support for appointments, educational classes, support groups, and approved community activities.

Conduct follow-up visits and phone calls following hospitalizations, emergency department visits, deliveries, postpartum complications, and infant health concerns.

Support medication management activities, including medication reminders, prenatal vitamin education, medication adherence support, and identification of barriers to obtaining prescribed medications.

Assist families with access to resources.

Support kidney health efforts through education, encouragement, and referral to appropriate support services.

Promote healthy lifestyles through culturally grounded and strengths-based approaches.

Support implementation of Indigenous kinship-based care practices by encouraging involvement of extended family members, caregivers, and support networks during pregnancy and early childhood.

Assist with screening activities and referrals.

Identify and address barriers related to Indigenous Social Determinants of Health, including transportation, housing, food security, healthcare access, employment, and social support.

Coordinate referrals to healthcare providers, behavioral health services, social services, early intervention programs, home visiting programs, and community resources.

Assist with group classes, family education sessions, cultural activities, and community outreach events.

Maintain accurate documentation, client records, encounter notes, and monthly reports in accordance with departmental policies.

Participate in multidisciplinary care team meetings, case reviews, quality improvement activities, and program evaluation efforts.

Promote culturally grounded, trauma-informed, family-centered, and strengths-based approaches to care while supporting Indigenous ways of knowing, being, parenting, and healing.

Attend required training courses, certification courses, workshops, supervision sessions, and department meetings.

Required Qualifications/Skills:

High School Diploma or GED is required.

Must possess a valid driver’s license and be able to meet driver eligibility guidelines.

Must be in good physical and mental health and pass a complete physical exam prior to employment (to include PPD).

Must have basic knowledge of MS Office computer software.

Must possess the ability to maintain accurate written, daily, weekly, and monthly reports.

Must perform all duties in a manner that ensures the strictest confidentiality due to access to sensitive information.

Must have and maintain CPR/BLS certification or obtain within 6 months of hiring.Public Health Core Competencies for this Position Public Health Sciences

Describes the scientific foundation of the field of public health. Analysis and Assessment

Apply ethical data principles. Leadership and Systems Thinking

Contributes to continuous improvement of individual, program and organizational performance.

Participating in and/or provides opportunities for professional development opportunities.

Contributes to continuous improvement of individual, program and organizational performance. Communication and Cultural Competency

Communicate the roles of governmental public health and public health stakeholders as well as information to influence behavior and improve public health.

Gather input and facilitate communication among individuals, groups, organizations and local government to improve community health. Financial Planning and Management

Establishes teams for the purpose of achieving program and organizational goals.

Motivates personnel for the purpose of achieving program and organization goals.

Training Requirements:

Must attend all department meetings, training courses, and certification courses as required by position and CHW Coordinator.

Physical Requirements

Normal to heavy work which includes the ability to lift to 75 lbs.

Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, various office equipment, and GSA vehicles.

While performing daily duties, the employee is regularly required to talk and hear.

Cognitive Requirements:

Reading, writing, calculating

Above average social interaction skills

Reasoning/Analysis

Works with minimal to no supervision

Language Requirements:

Must possess the ability to read, write, and speak the English language fluently.

Must be able to continually and effectively employ professional verbal and written communications skills.

Certificates, Licenses & Registrations:

All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.