Provides supervision and support and serves as the clinical and administrative point of contact for the Community Health Aides and Practitioners (CHA/Ps) to ensure understanding and compliance with Chugachmiut’s employee values, CHA/P training and certification requirements, clinical protocols, policies, procedures, documentation, and adherence to state and Federal laws governing health clinics.
Coaches, innovates, and provides input into health system design in support of an integrated and strengthened healthcare system providing high-quality care. Participates as an integral member of the health division in providing medical services. Assists with evaluating population-based care outcomes and barriers to care.
Assures best practices are spread throughout the division and communicates regularly with CHA/Ps and clinical teams to assess for issues and opportunities; communicates regularly with supervisors, managers, and administrators about issues and opportunities to spread best practices; communicates regularly with clinical and senior leadership, fostering broader deployment of best practices throughout the division and healthcare system.
Complies with the Community Health Aide Program Certification Board (CHAPCB) Standards for Community Health Aide Training and Supervision and use of the electronic Community Health Aide Manual (eCHAM/iCHAM).
Maintains knowledge of the current Community Health Aide Program Certification Board Standards and Procedures and ensures that each Community Health Aide and Practitioner is trained to and performs at the highest standards.
Mentors CHA/Ps by fostering leadership, clinical, communication, and panel management skills. Empowers staff to achieve their best professionally and guides them through creative problem solving.
Develops and maintains a system for staff to self-monitor and obtain/maintain certification and credentialing with a goal of 100% certification for all Chugachmiut employed Community Health Aides and Practitioners.
Conducts clinical chart reviews quarterly and provides timely feedback and training in support of CHA/Ps performing at the highest standards of care within the scope of practice.
Keeps the immediate supervisor promptly and fully informed of all problems or unusual matters.
Maximizes training opportunities to support the highest level of care for those we serve throughout the Chugach Region, fostering the growth of staff to their greatest potential.
Monitors CHA/P training requirements.
Monitors CHA/P timely completion of documentation (within 3 days of patient encounter) and provides support and assistance to ensure documentation meets standards.
Provides ongoing direct and virtual education and training to CHA/Ps throughout the region.
Primarily focuses on pre-session, post-session learning needs, standing orders, credentialing, recredentialing, and CE.
Maintains an active role in the training and education of CHA/Ps, including but not limited to chart reviews, standing orders, pre-session, post-session learning needs, continuing education needs, preceptoring, and credentialing.
Assesses the educational and training needs of each individual CHA/P.
Prepares appropriate materials and information for presentations to the CHA/Ps for maintaining and enhancing skills related to health care in the rural health care setting.
Presents the material in a manner and setting conducive to learning.
Evaluates the learner’s progress, provides feedback, and makes changes as necessary to accomplish the desired effect.
Monitors and tracks preceptorships and standing orders, keeping them up to date.
Effectively monitors and maintains accurate records of all CHA/Ps related to EMT training, pre-session training, session training, post-session learning needs, certification, credentialing, continuing education needs, and any other training. Assists each CHA/P with developing a systematic approach to maintain their own personal file of documents required for training and certification.
Demonstrates a cooperative and collaborative approach with CHAP Management.
Acts as a professional resource and role model for CHA/Ps.
Works to plan, implement, and evaluate CHA/P orientation and training in the clinical setting.
Functions as the clinical instructor for all clinics within the region, teaching primary health care skills, health education, preventive health techniques, and emergency skills to CHA/Ps, and coordinates and/or provides clinical preceptorships for CHA/P candidates as needed.
Participates in CHA/P performance improvement planning, monitoring, and interventions, and in policy and procedure development.
Assists with monitoring performance of assigned clinic staff through: direct observation; video observation; reports of clinical performance, monthly logs, patient encounter documentation; and other submitted reports.
Provides an evaluation of each CHA/P after completion of field training requirements for each level of session training.
Collaborates with APP-CHAP Supervising Clinical Instructor, Medical Director, and licensed clinicians to guide CHA/P practice and determine the ongoing educational needs of the CHA/Ps.
Initiates meaningful improvement to services, programs, and processes and/or organizational effectiveness that creates new value for patients and employees.
Models behavior consistently that supports the culture of continual improvement.
Demonstrates knowledge of tools, methodologies, and philosophies of continual quality improvement through work on clinical practice and/or project-focused work. Applies knowledge of clinical quality improvement models and processes.
Assists with the development of Quality Improvement and Quality Assurance activities with respect to clinical services. Develops, prioritizes, and implements CHA/Ps goals and objectives.
Assists with and provides guidance on clinical matters regarding the scope of services, facilities, supplies, and staffing within the Community Health Aide Program (CHAP).
Monitors and shares necessary information to facilitate risk prevention activities with licensed clinicians and management. Participates in peer review sessions and provides CHA/P reviews.
Assists Health Division Directors to develop, manage, and monitor the CHAP budget and reporting requirements to assure compliance with compact and grant provisions.
Implements goals in keeping with Chugachmiut’s mission, vision, and strategic plan by setting goals with staff for maintaining and improving performance, which include an action plan, time frame, and follow-up action.
Supervises, hires, transfers, promotes, and assigns, rewards, counsels, disciplines, and discharges appropriate employees according to policies and procedures.
Manages and resolves human resource, labor relations, employee, and departmental safety and risk management issues.
Develops and/or maintains standardized systems, policies, and procedures to support efficient and effective clinical operations, including but not limited to ordering and tracking of medical supplies, equipment, pharmaceuticals, and general supplies; QA procedures; staff orientation; CLIA compliance; OSHA compliance; ACES biomedical equipment maintenance and contract; and medical waste services.
Assists with coordination to support the Emergency Medical Services program (EMS) to enhance EMS training efforts and to integrate emergency services provided by CHA/Ps with village-based first responders.
Maintains and/or delegates responsibility for developing an electronic regional schedule for clinical coverage within the communities.
Provides Administrator On-Call (AOC) coverage during the evenings and weekends on a rotational basis (coverage shared with other managers and directors).
Provides quarterly reports to the Health Services Division Director for BOD reporting.
Travels by small aircraft on a regular basis to provide training and clinical supervision to Community Health Aides and Practitioners.
Performs other duties as assigned or required.
Direct Care Provider
Provides preventive, primary, and emergent healthcare services, including evaluation, treatment, and follow-up within the scope of practice, including responding to after-hour emergencies on an on-call basis during times of critical staffing shortages.
Works within the scope of practice and consults a supervising or designated licensed healthcare physician and/or practitioner when any unfamiliar, uncommon, or unstable conditions arise.
Remains current in improvements in the field of medicine and strives to incorporate those improvements into the program when appropriate, maintaining certification and/or licensure and other credentials as required.
Ensures timely documentation and maintenance of complete and accurate patient records for every encounter. Uses the computer system to obtain patient information, order labs and tests, and check messages.
Completes medical record documentation timely within 3 business days from the date of the patient encounter.
Continually strives to improve patients’ experience and quality of care by focusing on key leverage points of access, continuity, team-based care, clinical information systems, self-management, and community engagement.
Represents Chugachmiut in a positive and respectful manner, assisting in the promotion and maintenance of good public relations among staff, community groups, and professional organizations.
Uses verbal and written communication skills to establish and maintain effective relationships with patients, colleagues, subordinates, management, and other Chugachmiut staff.
Creates, develops, and nurtures culturally-appropriate interactions and connections with each other, patients, and the community.
Practices meaningful customer service, addressing patient and staff needs courteously and promptly.
Provides clear, concise verbal and written patient education with the ability to ensure instructions are understood. Listens for feedback to modify communication as needed for the individual.
Follows established protocols for patient referrals within and outside the Alaska Tribal Health System.
Works with Purchased/Referred Care (PRC) to prioritize medical needs of patients and coordinates follow-up; works within the PRC budget to ensure financial stability.
Coordinates and participates in community outreach programs, serves on Chugachmiut committees, and prepares reports or other documentation as directed, assigned, or required.
Develops and maintains collaborative working relationships with staff and the Alaska Healthcare System for appropriate service integration. Attends all OSHA, HIPAA, and other regulatory compliance training as directed or required.
Applies patient privacy knowledge to include the 1974 Privacy Act, HIPAA, and 42 CFR Part 2, as the use of patient records is an integral part of the position, and the privacy of individuals must be protected to the fullest. Conforms to safety policies and general housekeeping practices.
Complies with Chugachmiut personnel and Health Services Division policies.
Maintains credentials in good standing and appropriate to the level of practice.
Demonstrates sound work ethics, is flexible, and shows dedication to the position.
Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward patients and co-workers.
Prepared to start shift on time, meet attendance standards, and work the hours necessary to perform the essential functions of the job.
Embraces, supports, and promotes the core values of respect, integrity, trust, compassion, and quality which align with Chugachmiut’s Mission and Vision through actions and interactions with all patients, staff, and others.
Travels to provide medical services to the village communities if critical staffing shortages arise. Provides service support during clinic hours and after-hours on-call health services at village clinic locations. May have occasion to serve as a medical escort. Is required to provide on-call emergency care at village clinic locations.
Performs other duties as assigned or required.
