Chronic Disease Community Health Worker (Chw) - Md043

Title: Chronic Disease Community Health Worker

Location: Indian Health Clinic- 703 NE Hancock St, Portland, OR 97212 &

Wellness Center- 12360 E Burnside St, Portland, OR 97233

Schedule: This is an in-person position, Monday- Friday, 8:30 AM - 5:00 PM with flexibility to work evenings, weekends, and special events required.

Wage Range: $22.00 - $29.00 hourly, non-exempt

Note: There are two openings for this role.

If you are a motivated and dedicated Community Health Worker looking for an opportunity to contribute to an organization making a positive impact, we want to hear from you!

At NARA Northwest, you'll find a supportive work environment where every team member is valued and respected. Whether you're passionate about healthcare, behavioral health, education, or social services, there's a place for you to make a meaningful difference.

Company Mission:

The mission of NARA NW is to provide education, physical, mental health services, and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and anyone in need.

About the Company:

At NARA NW, we deliver services and support to Native American and Alaska Native communities, helping individuals lead healthier, more fulfilling lives.

With over 450 employees across a variety of programs-including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives NARA NW offers numerous opportunities for growth and advancement, all while making a tangible, positive impact on the lives of others.

Position Overview:

The NARA NW Chronic Disease (CD) Program Community Health Worker (CHW) is responsible for navigation of individual living with chronic conditions. They will provide individual and group health education. This position will be a subject matter expert in chronic disease management, and will assist patients living with diabetes, prediabetes, hypertension and those being screened for breast, cervical and colorectal cancer in navigating the health care system and addressing social services and support needs. The CD CHW will also assist in the training of NARA NW staff and health system partners on delivering chronic disease interventions adapted for American Indians and Alaska Native people.

What you will do:

• Provide individual and group chronic disease self-management education (either virtual or in person) for diabetes and hypertension.

• Manage and track provider referrals. Actively coordinate and participate in warm hand-offs from Providers to CD Team. Assist Provider Teams to identify and refer patients eligible for chronic disease programs. Track bi-directional referrals.

• Provide coaching on healthy lifestyles. Assist patients in setting and achieving self-management goals.

• Navigate patients to appropriate NARA NW programs or other community-based services as appropriate. Ensure appropriate medical records are available at scheduled appointments.

• Assess patient barriers/needs, facilitate appointment scheduling, remind patients of appointments, and arrange transportation and/or language translation or interpretation services as needed.

• Provide trauma-informed and culturally appropriate care.

• Ensure timely documentation of all patient navigation in Chronic Disease database and Electronic Health Record.

• Work collaboratively, and maintain professional boundaries with clients, other NARA staff, team members, and treat everyone with respect and dignity at all times.