SUMMARY

This position is responsible for assisting Native American Community Clinic (NACC) Community Health Department preventative care and chronic disease management grant programming and quality improvement projects through patient outreach and education.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Phone and mail outreach for population health management. Includes scheduling appointments and basic care coordination.

Generate population health reports for various preventative health and chronic disease management initiatives

Educate patients on timeline for preventative care screening and follow up including cancer screening, diabetes, cardiovascular disease, well child checks, and others.

Recruit for chronic disease management groups and preventative care events and programming.

Field Community Health Department referrals including diabetes education, diabetes prevention program, mobile medical services (mammogram and vision), and colorectal cancer screening fit kit referrals.

Support grant specific program evaluation activities and incorporating findings to refine and improve program effectiveness to meet grant deliverables

Track attendance and reach required for each grant

Complete monthly reports for program and grant activities provided to Community Health Manager.

Assist with grant reporting as requested by Community Health Manager Core duties and responsibilities include the following.

Assist with the programs in purchasing and budget maintenance.

Work with grant/project evaluators and Community Health Manager to develop data and reports as required to fulfill requirements of program evaluation plans.

Maintain regular communication with project partners and with the project officer to fulfill grant requirements, including submitting regular reports, as required.

Support ongoing sustainability planning on behalf of Community Health Programs.

Play an active role on the outreach team. Other duties may be assigned.

GRANTS:

AMERICAN INDIAN CANCER FOUNDATION (AICAF): SCREEN OUR CIRCLE GRANT

Assist with identification of patients due for breast and cervical cancer screening and navigation to completed screening

Determine eligibility for AICAF Screen Our Circle breast and cervical coverage program for uninsured and underinsured patients

Complete enrollment forms and tracking for patients enrolled in AICAF Screen Our Circle program

Assist with coordinating and scheduling for cervical cancer screening and quarterly Mammogram Screening Day and other cancer screening events supported by NACC and our partners

MINNESOTA DEPARMENT OF HEALTH (MDH): SAGE SCOPES GRANT & MINNESOTA CANCER CLINICAL TRIALS NETWORK: COLOCRECTAL CANCER SCREENING GRANT

Assist with identifying eligible patients for colorectal cancer screening outreach

Deliver colorectal cancer screening promotion and education for eligible patients through mailings and phone calls

Provide fit kit education and follow up for eligible patients

Complete MDH Sage Scopes enrollment forms and tracking for eligible patients seeking colorectal cancer screening

CITY OF MINNEAPOLIS: BRIDGING THE GAP IN DIABETES CARE GRANT

Assist with population management of NACC patients with diabetes by performing outreach calls for patients due for follow up

Assist with identification and documentation of barriers to care for NACC patients with diabetes

AMERICAN INDIAN CANCER FOUNDATION (AICAF): UNDERSTANDING BARRIERS TO LUNG CANCER SCREENING

Assist with identifying eligible patients for lung cancer screening outreach

Deliver lung cancer screening promotion for eligible patients through mailings and phone calls

SUPERVISORY RESPONSIBILITIES:

This job has no supervisory responsibilities.

COMPETENCIES:

To perform the job successfully, an individual must demonstrate the following competencies:

Interpersonal Skills - Focuses on solving conflicts, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things.

Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts the success of the team above one’s own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.

Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Promotes a harassment-free environment; Builds a diverse workforce.

Ethics - Treats people with respect; keeps commitments; Inspires the trust of others; works with integrity and ethically; Upholds organizational values.

Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.

Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures one’s self against the standard of excellence; Takes calculated risks to accomplish goals.

Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Develops realistic action plans.

Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

Dependability - Follows instructions, responds to Management direction; Takes responsibility for one’s own actions; Keeps commitments; Completes tasks on time or notifies the appropriate person with an alternate plan.

EDUCATION AND/OR EXPERIENCE:

Practical Nursing Diploma and current LPN license with Minnesota Board of Nursing.

LANGUAGE SKILLS:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers.

COMPUTER SKILLS:

To perform this job successfully, an individual should have knowledge of: Spreadsheet Software (Excel); Word Processing Software (Word); Electronic Mail Software (Outlook); Presentation Software (PowerPoint); Publisher Software and EMR Software

CERTIFICATES, LICENSES, REGISTRATIONS:

Licensed Practical Nurse (LPN)

OTHER QUALIFICATIONS:

Experience in the Native American community, preferred.

At least two years of work experience in community resources.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk.

The employee must occasionally lift and/or move up to 10 pounds.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

The noise level in the work environment is usually mild to moderate.