Job Purpose & Position Overview
The purpose of this position is to provide culturally responsive outreach, education, care coordination, and support services for community members in need of chronic disease and long care 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.
Specific Job Duties/Responsibilities:
- Demonstrate the Public Health Department's core mission, vision and values
- Home visit assigned clients as scheduled by Senior Citizen's Center Director.
- 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 to supervisor.
- Complete patient charting in a timely manner.
- Responsible for maintaining GSA vehicles at all times.
SPECIALTY AREA - SENIOR CITIZEN'S CENTER COMMUNITY HEALTH WORKER
- Conduct home visits and community outreach with elders and older adults to support healthy aging, independence, and overall wellness.
- Assist elders with accessing healthcare services, medications, transportation, food assistance, housing resources, and other supportive services.
- Support medication management activities, including medication reminders, medication education, identifying barriers to medication adherence, and reporting concerns to the appropriate healthcare providers.
- Conduct wellness check-ins with elders and their caregivers to monitor health status, social needs, safety concerns, and access to services.
- Assist elders with scheduling, attending, and following up on primary care, specialty care, behavioral health, dental, vision, and other healthcare appointments.
- Provide transportation support to medical appointments, Senior Center activities, community events, cultural activities, and other approved services.
- Conduct follow-up visits and phone calls following hospitalizations, emergency department visits, rehabilitation stays, nursing facility admissions, and specialty care appointments.
- Assist with chronic disease self-management support for elders living with diabetes, hypertension, cardiovascular disease, arthritis, respiratory disease, dementia, and other chronic health conditions.
- Promote healthy lifestyle practices, including nutrition, physical activity, fall prevention, medication safety, sleep hygiene, and social engagement.
- Assist with home safety assessments and identify potential risks related to falls, mobility limitations, environmental hazards, and access to basic needs.
- Support elders in maintaining independence by connecting them with community resources, caregiver supports, home services, and benefits programs.
- Provide education regarding aging-related health issues, caregiver resources, elder rights, dementia awareness, advanced care planning, and available community supports.
- Identify and address barriers related to Indigenous Social Determinants of Health, including transportation, food security, housing, healthcare access, financial concerns, and social isolation.
- Support caregiver wellness by providing information, referrals, and connections to respite and support services.
- Assist with Senior Center programming, wellness activities, educational events, cultural activities, exercise programs, congregate meals, and community outreach efforts.
- Promote social connectedness and reduce isolation through regular contact, engagement opportunities, cultural participation, and community involvement.
- Coordinate referrals to healthcare providers, social service agencies, elder services programs, and community resources.
- Maintain accurate documentation, client records, encounter notes, and monthly reports in accordance with departmental policies.
- Participate in multidisciplinary care team meetings, quality improvement activities, and program evaluation efforts.
- Promote culturally grounded, trauma-informed, elder-centered, and strengths-based approaches to care while supporting Indigenous ways of knowing, being, and aging.
- Attend required trainings, 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.
- Participate 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 from 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, trainings, and certification courses as required by position and CHW Coordinator.
Physical Requirements:
- Normal to heavy work which includes the ability to lift up 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
WCHS is an equal opportunity employer.
All applicants must 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 comply with PL 101-630 and PL 101-637 regarding criminal records check. As provided by Federal Law, all qualified Native American and Veteran applicants shall receive preference over Non-Native American applicants. In the absence of qualified Native American applicants, consideration will be given to all other applicants without regard to race, color, religion, gender, gender orientation/identity, national origin, age, marital status, veteran status, genetic information, disability or any other reason prohibited by law in provision of employment opportunities and benefits. WCHS participates in E-Verify.