Community Health Representative (CHR) III

Job Title: Community Health Representative (CHR) III

Salary: $23.04 – $28.72 per hour – Non-exempt DOE

Status: Permanent, Full-Time

Hrs. /WK: Forty (40) hours per week 

Department: Health Services 

Job Location: Tucson, Arizona 

Nature of Work: 

Embraces and Embodies Tucson Indian Center’s (TIC’s) Identity Document’s Mission, Purpose and Vision Statements; Core Values; Guiding Principles and Strategic Goals. The Community Health Representative (CHR) III is responsible for delivering and modeling exemplary CHR services, training other CHRs, and performing medical assistant duties such as recording patient vital signs, demonstrating office skills, obtaining baseline physical data, and supporting the efficient operation of the medical clinic. This role also provides maintenance services for laboratory and assisting medical staff as needed, addressing COVID-19 and other health needs within the Tucson urban American Indian community.

Essential Functions:

1. Patient education, outreach, and case management: Educate and connect patients to available health resources; conduct      outreach to Tucson American Indian community and engaging them in TIC Health Services; case management and coordination; patient care and monitoring; perform home visits as appropriate or as needed by care team referral, performing evaluation and providing services within the scop of  the CHR. 
2. Health education activities: Delivers learning experiences on health topics to provide patients with knowledge, skills and tools to live healthier lives. Delivers education on the importance of preventative care and overall health on how it reduces the risk for disease and disabilities through direct patient care. 
3. Coordination  of care: Organizing patient care activities such as specialty referrals and sharing information among all participants concerned with a patient’s care to achieve safer and more effective care.  This includes but is not limited to Specialty Referrals, External and Internal Referrals, Closing Care gaps, care team panel monitoring and management with respect to access to screening and prevention services, and lab work.  
4. Training: Provide training for other CHRs on outreach, engagement/recruitment, home visits, health education, EMR utilization, and other related CHR services.
5. Partnership coordination: Assists with partnership coordination for CHR and primary care/Behavioral Health services, such as attending Pima County CHR partnership meetings and Purchase Referred Care. 
6. Medical Assistant Duties: Including but not limited to: Interview patients and record their medical history. Measure patient’s vital signs, help physicians with patient exams, give patient immunization and injections/medications as directed by physician, phlebotomy duties, performs CLIA waived tests, responding to provider tasks for patient care, managing laboratory and clinical inventory, utilize medical equipment such as EKGs/glucometers, prescription coordination, etc.
7. Other duties: Perform other job-related duties as assigned.

Required Knowledge, Skills and Abilities: 

• MA Certificate or State Certification 
• Medical Terminology
• Phlebotomy
• Knowledge of social determinants of health, including conditions in which people are born, grow, work, live, and age.
• Skills in excellent customer service, including professional and courteous communication.
• Ability to actively and professionally engage local American Indians of all ages in program services through outreach activities, including utilizing virtual/ telecommunication outreach methods.
• Ability to identify specific needs of clients and advocate for patients, including providing continuity and clarity between provider and patient.
• Ability to operate basic medical equipment including thermometers, blood pressure machine, accu-check or glucose machines, and other related equipment.
• Ability to maintain confidentiality.
• Ability to utilize and assist patients/clients with electronic communication devices
• Ability to function in a proactive manner and with limited supervision.

Preferred Knowledge, Skills and Abilities:

• Knowledge of local American Indian community and health needs.
• Knowledge of Purchased and Referred Care (PRC) eligibility and requirements. 

Required Experience and Training:

1. Bachelor’s Degree in health, human services or business fields, such as public health, social work, education, or business; 

OR 

1. Associate’s Degree in health, human services or business fields, or certificate of health professional training such as a State of Arizona Nurse Assistant (CNA) or Medical Assistant (CMA) certification and a minimum of 3 years of experience in the human services or business fields

Additional Requirements: 

• Must possess valid Arizona Driver’s License 
• Must pass Driver Insurance Carrier’s requirements
• Must obtain a HIPAA certification within 2 weeks of hire
• Must maintain a current Tuberculosis (TB) skin report as required.
• Must obtain certifications in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED) and First Aid within 3 months of hire.
• Must pass Arizona DPS Fingerprint Clearance (Class I & II)
• Must pass and submit to periodic/random drug testing

Working Conditions: 

• Exposure to communicable disease & bloodborne pathogens, unpredictable environmental conditions, physical requirements. 
• Exposure to communicable diseases such as COVID-19 or bloodborne pathogens is a risk of this position. 
• Unpredictable environmental conditions range from working in a climate-controlled office/clinic setting to working in a patient’s home, outside, in extreme temperatures, or in spaces with poor ventilation. 
• While performing the duties of this job, the employee is regularly required to stand, walk, and drive in the Tucson Urban area. 
• The employee is occasionally required to sit; balance; stoop, kneel, or crouch. 
• The employee must occasionally lift and/or move up to 30 pounds.

Supervisory Status: 

Non-Supervisory; Reports to Medical Business Office Manager