Job Opening



Bulletin Number: MSD-RASU140700

POSITION Community Health Aide Trainee, III, IV - Intermittent
SALARY GRADE 13, 14
DIVISION Medical Services Division / Rural Anchorage Service Unit, Nilavena, McGrath
CLOSE DATE Open Until Filled


NATURE OF WORK:

Summary of Job Responsibilities:

The Community Health Aide (CHA) provides acute, chronic, emergency and preventive medical health care to village residents under the direction of the medical doctors in Anchorage and according to the CHA/P Manual.  The CHA-T level is a training classification for those who do not yet qualify as Community Health Aide I. The Community Health Aide I, II, III, IV and Practitioner are expected to operate within the guidelines of the CHA/P manual and their level of training and the scope of practice consistent with their level of training. .  CHA II, III, IV, and Practitioner are also expected to act within the limits of their Standing Orders (SO) when applicable. 


KNOWLEDGE, SKILLS, AND ABILITIES:

Outline of Essential Job Responsibilities/Functions to Include but Not Limited to:

Customer Care & Relationships:
  1. Creates, develops, and nurtures culturally appropriate interactions and connections with each other, customer-owners, and the community.
Communications & Teamwork:
  1. Shares and receives information, opinions, concerns, and feedback in a supportive manner.
  2. Works collaboratively by building bridges, and creating rapport with team members within departments and across the organization.
Improvement & Innovation:
  1. Makes meaningful improvement to services, program, and processes and/or organizational effectiveness that creates new value for customer-owners and employees.
Workforce Development Skills & Abilities:
  1. Seeks out additional learning opportunities to continue to develop the technical and professional skills needed now and in the future.
  2. Takes responsibility for all work activities and personal actions by following through on commitments.
  3. This is the entry level position for those who wish to pursue careers in community health.  The incumbent serves as an aide to other community health aides in the facility.  The employee serves both as an office assistant and clinical aide, but this level does not perform direct clinical services for customer-owners.
  4. Ability to read and understand English.
  5. Ability to understand and follow instructions.
  6. Ability to learn and prepare for certification.
  7. Mathematical aptitude.
Additional Responsibilities for Community Health Aide I: Meets all requirements of Community Health Aide Trainee in addition to the following:
Customer Care & Relationships:
1.      Assesses, treats and documents the care of customer-owners seeking health care for acute illness utilizing the Community Health Aide/Practitioner Manual with each customer-owner encounter.
·         Consults with physician or designee as appropriate.
·         Obtains a physician, or designee, order either verbally or through the use of standing orders for each treatment.
·         Maintains current and signed standing orders with the designated physician.
·         Refers and arranges transportation for customer-owners needing further treatment as appropriate.
2.      Assists in the development and implementation of customer-owner education plans regarding cause, treatment, prevention of illness and promotion of health by providing age appropriate instructions to customer-owners in accordance with the CHAM. 
3.      Maintains customer-owner confidentiality at all times in accordance with SCF’s policies and procedures and in accordance with HIPAA laws and regulations.  Abides by other policies, procedures and bylaws.
4.      Must have interest, sensitivity, and knowledge of Alaska Native life-styles.  Demonstrated understanding of and sensitivity to culturally diverse customs and traditions impacting health care of customer-owner and family.
Communications & Teamwork:
  1. Communicate well in English both verbally and in writing.
Improvement & Innovation:
  1. Makes meaningful improvement to services, program, and processes and/or organizational effectiveness that creates new value for customer-owners and employees.
Workforce Development Skills & Abilities:
  1. Maintains regular clinic hours for routine and/or non-emergency care.  Provides emergency care as needed.
  2. Performs and interprets routine, specific laboratory test including, but not limited to, hemoglobin determination, pregnancy test, and dipstick urinalysis.  Collects, processes and ships to appropriate laboratories for analysis, customer-owner specimens including blood, sputum, urine and stool.
  3. Inventories and maintains equipment.
·         Ensures availability of drug stock supply, other supplies, and equipment by completing inventories of various medical items and submitting supply request.
·         Completes quality control testing as indicated in the CHAM.
·         Maintains records of emergency equipment inspections, biomedical repairs and requests for maintenance of unit facilities.
·         Assists with keeping the customer-owner care environment clean, safe and organized.
·         Prepares and submits monthly reports.
·         Submits monthly customer-owner log.
  1. Works in coordination with physician to develop and implement a quality assurance program. 
·         Assists in monitoring quality of care.
·         Assists in completing chart reviews on a regular basis. 
·         Provides and receives consistent feedback on the quality of care being delivered.
·         Maintains clinic files and community health records. 
  1. Knowledge of the requirement of practicing under a physician’s license.
  2. Ability to prepare and demonstrate written reports, mathematical and record keeping skills. 
  3. Demonstrated ability to provide and maintain accurate documentation in the customer-owner health record.
Additional Responsibilities for Community Health Aide II: Meets all requirements of Community Health Aide I in addition to the following:
Workforce Development Skills & Abilities:
1.      Demonstrated ability to learn the computer system, applying the knowledge to accurately schedule customer-owner appointments and test.
2.      Demonstrated ability to set up and maintain a wide variety of medical equipment and monitoring devices.   Must be able to interpret these devices including deviations from normal values.
3.      Knowledge of 1974 Privacy Act is required as use of customer-owner record is an integral part of the position and privacy of individuals must be protected to the fullest.
4.      Ability to perform job with minimal supervision
5.      Ability to maintain quality, safety and infection control standards.
Additional Responsibilities for Community Health Aide III, IV, and Practitioner: Meets all requirements of Community Health Aide II in addition to the following:
Customer Care & Relationships:
  1. Proven interest, sensitivity, and knowledge of Alaska Native life-styles.  Demonstrated understanding of and sensitivity to culturally diverse customs and traditions impacting health care of customer-owner and family.
Communications & Teamwork:
  1. Effective written and oral communication skills.
Workforce Development Skills & Abilities:
  1. Effective knowledge of the requirement of practicing under a physician’s license.
  2. Proven ability to prepare written reports and must have effective mathematical and record keeping skills. 
  3. Demonstrated ability to provide and maintain accurate documentation in the customer-owner health record.
  4. Proficient knowledge of computer systems i.e. word, office, etc. in order to accurately schedule customer-owner appointments, etc.
  5. Demonstrated ability to set up and maintain a wide variety of medical equipment and monitoring devices.   Must be able to interpret these devices including deviations from normal values.
  6. Knowledge of 1974 Privacy Act is required as use of customer-owner record is an integral part of the position and privacy of individuals must be protected to the fullest.
  7. Ability to work independently with minimal supervision.
8.      Ability to maintain quality, safety and infection control standards.


QUALIFICATIONS:

Qualifications:

SCF programs are established for the purpose of serving a primary population comprised of Alaska Natives who are affiliated with the Cook Inlet Region Inc. (CIRI), and Alaska Natives and American Indians within SCF’s geographical service area.  Employees should have a thorough understanding of the cultures and the needs of the CIRI members, and of the general culture and needs of Alaska Natives and American Indians.  Such knowledge is critical in order to ensure the achievement of the mission and vision of SCF: working together with the Native community to provide the best services with Native staff who value the family and family wellness as the heart of the Native community.
Qualifications for Entry Level – Community Health Aide Trainee (CHA-T):
1.   High School diploma or GED.
Additional Qualifications for Community Health Aide I: Meets all requirements of Community Health Aide Trainee in addition to the following:
1.            Successful completion of the TABE test at the 9th Grade level.
2.            Successful completion of Emergency Trauma Technician (ETT) or Emergency Medical Technician. Certification must be maintained throughout employment.
3.            Complete full time work in a village clinic with 20 customer-owners encounters prior to Session II of the Community Health Aide Training..  Involves direct onsite observation, Medical Traffic Evaluation (3 calls), PEF chart review (5 charts or notes) and completion of the PSLN (Post Session Learning Needs) form. 
4.            .Successful completion of the session I (one) of Community Health Aide training program and passing required testing with a grade of 80% or better
2.      All certifications must be maintained at current level.
Additional Qualifications for Community Health Aide II: Meets all requirements of Community Health Aide I in addition to the following:
1.      Successful completion of the session II (two) of Community Health Aide training program and passing required testing with a grade of 80% or better.
 
2.      Complete 200 hours of field experience including 60 customer-owner encounters before the next training session. Requires direct onsite observation, Medical Traffic Evaluation (3 calls), PEF chart review (5 charts or notes) and completion of the PSLN (Post Session Learning Needs) form. 
Additional Qualifications for Community Health Aide III: Meets all requirements of Community Health Aide II in addition to the following:
1.      Successful completion of the Session III (three) of Community Health Aide training program, passing required testing with a grade of 80% or better. Completion of 200 hours of field experience, including 60 customer-owners encounters prior to the next session of training. 
2.      This will also involve direct onsite observation, Medical Traffic Evaluation (3 calls), PEF chart review (5 charts & notes) and completion of the PSLN (Post Session Learning Needs) form. 
3.      Will apply for certification after completing required field training for this level.
4.      Current certification by the Community Health Aide Program Certification Board.
5.      All certifications must be maintained at current level.
6.      In accordance with the Patient Protection and Affordable Care Act and the National Correct Coding Initiative (NCCI) it is required to enroll as individual rendering providers with Alaska Medicaid.
Additional Qualifications for Community Health Aide IV: Meets all requirements of Community Health Aide III in addition to the following:
1.      Successful completion of the Session IV (four) section of Community Health Aide training program. Successful completion of the session IV (four) of Community Health Aide training program and passing required testing with a grade of 80% or better.
2.      Completion of an additional 200 hours of field experience, including 60 customer-owner encounters or alternative completed to the satisfaction of the designated Supervisor.  This will also involve direct onsite observation, Medical Traffic Evaluation (3 calls), PEF chart review (5 charts & notes) and completion of the PSLN (Post Session Learning Needs) form. 
3.       Current certification by the Community Health Aide Program Certification Board, Level IV.
4.      All certifications must be maintained at current level.
5.      In accordance with the Patient Protection and Affordable Care Act and the National Correct Coding Initiative (NCCI) it is required to enroll as individual rendering providers with Alaska Medicaid.
Additional Qualifications for Community Health Aide Practitioner: Meets all requirements of Community Health Aide IV in addition to the following:
1.      Successful passing of a preceptorship through one on one evaluation by CHA Preceptor for 30 hours minimum direct customer-owner care, performing at least 15 customer-owner encounters as primary provider. 
2.      Complete credentialing as a CHP with the training center per guidelines.
3.      After credentialing as a CHP, complete 48 hours of approved Continuing Education every 2 years. 
4.      The preceptorship& re-credentialing is to be repeated every 6 years.
5.      Current certification as a Practitioner by the Community Health Aide Program Certification Board.
6.      All certifications must be maintained at current level.
7.      In accordance with the Patient Protection and Affordable Care Act and the National Correct Coding Initiative (NCCI) it is required to enroll as individual rendering providers with Alaska Medicaid.
Working Environment:
·         Employee may be exposed to: wet or humid non-weather (under 1/3 time); exposure to bloodborne pathogens (to 2/3 time); hazardous waste (under 1/3 time); outdoor weather conditions (under 1/3 time).
·         Noise level: Moderate noise (i.e. business office with computers and printers, light traffic).
 Physical Demands:
·         Position requires: stand (to 2/3 time); walk (under 1/3 time); sit (to 2/3 time); use hands to finger, handle or feel (to 2/3 time); fumes or airborne particles (under 1/3 time); reach with hands and arms (to 2/3 time); talk or hear (to 2/3 time).
·         Weight lifted or force exerted: Up to 10 pounds (to 2/3 time), Up to 25 pounds (to 2/3 time), Up to 50 pounds (under 1/3 time), Up to 100 pounds (under 1/3 time).
·         Special vision requirements: Close vision (clear vision at 20 inches or less), Color vision (ability to identify and distinguish colors), Peripheral Vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point). Depth perception (three-dimensional vision, ability to judge distances and spatial relationships). Ability to adjust focus (ability to adjust the eye to bring an object into sharp focus).
·         Additional physical demands: this position requires driving; employee may be required to work holidays, evenings, weekends, and nights; employee must be able to respond when needed by prompt appearance at a required location; employee may be required to provide customer-owner care in the customer-owner’s home or in other locations away from employee’s primary work site; travel may be required; the employee is able to work under physically and emotionally stressed conditions.
Age and Customer-Owner Population(s) Served:

Age of Customer-Owner Population Served
Population
·         Neonate (birth- 28 days)
·         Infant (29 days- less than 1 year)
·         Pediatric (1-12 yrs)
·         Adolescent (13-17 yrs)
·         Adult (18-64 yrs)
·         Geriatric (65 yrs & older)
·         All populations



INTERESTED APPLICATIONS:
Please complete an online application by clicking the 'Apply' button at the top/bottom of this page. For more information contact SCF Human Resources by Email or (907) 729-4977 or Toll free at 1-800-478-3343

NATIVE PREFERENCE UNDER P.L. 93-638.
Preference will not be given unless certification is submitted to Human Resources (a copy is acceptable).