Community Health Worker- Public Health Nursing

Job Purpose & Position Overview The purpose of this position is to provide culturally responsive outreach, education, care coordination, and support services for community members living with or at risk for diabetes and other chronic diseases. 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 PHN 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 – Public Health Nursing Conduct home visits in collaboration with Public Health Nursing staff to support individuals and families with identified health needs. Assist clients with medication management activities, including medication reconciliation, medication reminders, medication education, and identifying barriers to medication adherence. Monitor and report medication concerns, side effects, and adherence challenges to the Public Health Nurse. Support clients with organizing medications using approved pill organizers and medication schedules under nursing guidance. Assist with care coordination for clients with chronic diseases, complex medical conditions, and multiple healthcare providers. Conduct follow-up visits and phone calls for high-risk clients after hospitalizations, emergency department visits, and specialty care appointments. Provide health education regarding chronic disease prevention and management, including diabetes, hypertension, cardiovascular disease, respiratory disease, and obesity. Assist with blood pressure, blood glucose, weight, pulse oximetry, and other approved screenings and monitoring activities. Support Public Health Nursing initiatives related to communicable disease follow-up, immunization outreach, maternal-child health, elder services, and health promotion activities. Identify and address barriers related to Indigenous Social Determinants of Health, including transportation, housing, food security, access to healthcare, and social support. Assist clients with scheduling and attending medical, behavioral health, specialty care, and public health appointments. Coordinate referrals to community resources and assist with follow-up to ensure services are received. Assist with home safety assessments and identify potential health and environmental risks within the home. Support development and implementation of individualized care plans under the direction of the Public Health Nurse. Maintain accurate documentation, client records, and reports. Participate in case conferences, multidisciplinary team meetings, quality improvement activities, and program evaluation efforts. Assist with community outreach, wellness events, health fairs, vaccination clinics, and public health emergency response activities. Promote culturally grounded, trauma-informed, and strengths-based approaches to care while supporting Indigenous ways of knowing, being, and healing. Attend required trainings, certification courses, workshops, 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. #J-18808-Ljbffr Winnebago-Comprehensive-Healthcare-System