CHA-Level I, II, III, IV or P
Bristol Bay Area Health Corporation - Dillingham, AK

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The purpose of this job is to provide an opportunity for the employee to continue learning basic healthcare skills, complete progressive Community Health Aide training and ultimately complete the requirements to become a Community Health Practitioner. Provides primary healthcare, within given limits of level of training, including preventive, acute and emergency care, to residents of an assigned village within the Bristol Bay region.

Qualifications:
  • Must be high school graduate or have GED certificate or equivalent.
  • Achieves a score on the standardized Test of Adult Basic Education (TABE Form M7-Test 2 or equivalent) indicating eighth grade level competence in basic math skills including decimals and fractions and English for both written and verbal communication.
  • Must have basic computer skills.
  • Prefer ability to speak local native language.
  • Dependable and maintains confidentiality.
  • Resides in assigned community or sub region.
  • Commitment to the job for a minimum of two years.
  • Able to leave the home community for periods of 1-6 weeks or more for training.
  • Itinerant CHA/Ps must be able to leave the home community for periods of 1-6 weeks or more for training or job assignments, at times, with very short notice.
  • Itinerant CHA’s must be certified as a level III or above.
  • Able to provide year-round coverage of clinic hours and 24-hour emergency call.
  • Able to perform the physical demands of the job.
  • If assigned to a specific village, recommended by the Traditional Village Council of the assigned village.
  • Must successfully pass the pre-employment drug and alcohol screening.
  • If authorized to drive a community vehicle, must have a current, insurable driver’s license.


  • Essential Functions:
    CHA-T Community Health Aide – Trainee
  • Entry level position.
  • May work full time or part time depending on work assignment, clinic hours, and training schedule.
  • May perform clerical functions after receiving instruction.
  • May perform patient care only under the direct supervision of an approved healthcare provider (referral doctor, mid-level practitioner, CHAP Field Coordinator, or experienced Community Health Practitioner mentor assigned by Training Coordinator). See competencies for Pre- and Post-Session training.
  • May not take emergency call. May gain experience by going on emergency calls with other qualified CHA/P.
  • May respond to emergency call as a first responder under EMS certification.
  • A CHA-Trainee may perform the following functions only after receiving instruction and being authorized to do so:
  • Greets patients and answers telephone courteously. Handles calls appropriately.
  • Makes patient clinic appointments and maintains a current clinic appointment schedule. Arranges health care appointments outside the village for patients, arranges Medicaid patient travel and fills out Medicaid paperwork as needed.
  • Keeps patient health records and charts organized, current, and filed appropriately.
  • Establishes, maintains, and revises record keeping and filing systems. Classifies, sorts, files and mails/transmits correspondence, records and other documents as needed.
  • Coordinates the services of other health professionals that serve the village. Informs other health providers of the health needs of patients or the community.
  • Orients new co-workers to local work environment and shares knowledge with co-workers.
  • Appropriately organizes, orders, and maintains inventory of clinic medicines, medical supplies and equipment.
  • Maintains current quality assurance records for clinic medical supplies and equipment. Participates in performance improvement activities.
  • Maintains established village clinic hours.
  • Works cooperatively and effectively with clinic co-worker(s), other BBAHC staff, and staff from other agencies, village residents, and visitors to the clinic.
  • Communicates, coordinates, and shares responsibilities, within level of training, with clinic co-worker(s).
  • Actively participates in patient billing as directed by BBAHC.
  • Encourage and assist residents to apply for Medicaid and Denali KidCare and monitor and follow-up with their applications.
  • Pre-Session: May do a second set of vital signs under supervision of senior CHP. Stocks exam room cabinets daily and assists in making supply order, and observes, may assist in scheduling patients, and documents refrigerator log after being cleared by CHP. Under the guidance and co-signature of senior health aide, may fill out supply order forms, call sheets and clinic calendars, daily medical logs.
  • Post-Session: Under guidance of senior health aide, perform vital signs on patients that are not significantly ill, document history on PEF as senior CHP asks questions. Documentation must be reviewed by senior CHP. Can complete with instruction and co-signature call sheets and calendar, lab control sheets, supply order forms, schedule patients and daily medical log.
    CHA I

  • Has successfully completed both the classroom and field components of Basic Health Aide Training Session I.
  • Has successfully completed Standing Medical Orders open book test for Session.
  • Has completed Post-Session Practice Checklist for Session skills.
  • Must successfully demonstrate and maintain the ability to meet all of the requirements of the CHAP Certification Board (CHAPCB) Standards and Procedures Article 20, Sections 2.20.100 and 2.20.120.
  • CHA II

  • Has successfully completed both the classroom and field components of Basic Health Aide Training Session II.
  • Has successfully completed Standing Medical Orders open book test for Session II.
  • Complete Standing Medical Order process with supervising physician.
  • Has completed Post-Session Practice Checklist for Session skills.
  • Must successfully demonstrate and maintain the ability to meet all of the requirements of the CHAPCB Standards and Procedures Article 20, Sections 2.20.100 and 2.20.120.
  • CHA III

  • Successfully completes the requirements (both classroom and field components) of Community Health Aide Basic Training Session III, preferably within 6-12 months after completing Session II.
  • Has successfully completed Standing Medical Orders open book test for Session III, preferably within 6-12 months after completing Session III.
  • Complete Standing Medical Order process with supervising physician.
  • Successfully completes requirements to become certified.
  • Has completed Post-Session Practice Checklist for Session skills.
  • Must successfully demonstrate and maintain the ability to meet all of the requirements of the CHAPCB Standards and Procedures Article 20, Sections 2.20.300 and 2.20.310.
  • Must receive certification from the CHAPCB prior to being promoted to CHA-III.
  • CHA IV

  • Successfully completes the requirements (both classroom and field components) of Community Health Aide Basic Training Session IV, preferably within 6-12 months after completing Session III.
  • Has successfully completed Standing Medical Orders open book test for Session IV, preferably within 6-12 months after completing Session III.
  • Complete Standing Medical Order process with supervising physician.
  • Successfully completes requirements to become certified as a Community Health Practitioner, preferably within 6-12 months after completing Session IV.
  • Has completed Post-Session Practice Checklist for Session skills.
  • Must successfully demonstrate and maintain the ability to meet all of the requirements of the CHAPCB Standards and Procedures Article 20, Sections 2.20.400 and 2.20.410.
  • Must receive certification from the CHAPCB prior to being promoted to CHA IV.
  • CHA-P (Practitioner)

  • Must successfully demonstrate and maintain the ability to meet all of the credentialing requirements of the CHAPCB Standards and Procedures Article 20, Sections 2.20.500, 2.20.510, and 2.20.600.
  • Must receive certification from the CHAPCB prior to being promoted to CHA-P.
  • Complete Standing Medical Order process with supervising physician.
  • I-CHA (Itinerant)

  • I-CHAs perform the same functions in the clinics as other CHA/ps of the same level of training and certification.
  • Itinerant CHA/Ps must be certified as level III or above.
  • An I-CHA does not participate in the emergency "On-Call" schedule in the home-base village unless specifically assigned by the CHAP Itinerant supervisor.
  • Complete Standing Medical Order process with supervising physician.

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