Chap Director

Locations: Seward, AK

Type:Tribal

Salary Range:$1 to $1 / Per Year

Open Period:3/26/2024 until filled

Summary:The CHAP Director will provide direct supervision, clinical oversight and instruction to Community Health Aides and Practitioners (CHA/Ps) living and working within the Chugach Region.

The CHAP Director will maximize training and skill opportunities to support the highest level of care for patients throughout the Chugach Region.

The CHAP Director will develop, contribute and inspire a vision and desired future for retaining and recruiting Community Health Aides within the Chugach Region.

The CHAP Director shall provide direct clinical care to include preventative, primary, and emergent health services within the Chugach Region's communities, including taking first call for after hour emergencies during times of critical staffing shortages. Services include providing care to infants, children, adolescents, adults and geriatric patients consistent with the highest recognized standards of clinical medicine and in accordance with Chugachmiut's mission, vision, and core values, and policies and procedures.

Duties:CHAP Director 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 the provision of 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 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 and provides timely feedback and training in support of CHA/Ps performing at the highest standards of care within scope of practice.

Keeps 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 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 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 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, program 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 process. Assists with 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 ENTECH 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.

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 scope of practice, including responding to after hour emergencies on an on-call basis during times of critical staffing shortages.

Works within 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 in order to obtain patient information, order labs and tests and checks 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 any communication per 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 is required 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 while in village clinic locations.

Qualifications:Minimum five years administering health services programs with fiscal responsibility and accountability, including budgets, monitoring funds, and supervision of ten or more employees in a health care service setting preferred. Active Alaska license in good standing as a Nurse Practitioner, Physician Assistant, or a Certified and Credentialed Community Health Practitioner with a minimum of two-year experience required.

Active unrestricted DEA registration (NP and PA). A minimum of three (3) years' experience in primary care with a strong preference for experience in tribal health or rural health care. Basic Life Support (BLS) certification required.

ACLS, NRP, ATLS, ALSO and PALS as required for specialty and any certification to the scope of practice as required.

ETT to EMT-3 certification preferred. Knowledge, Abilities, and Skills: Knowledge of standards of care, patient privacy, health risk management principles, medical ethics, and medical malpractice principles.

Knowledge of family practice and emergency care principles, common disease processes and pharmacology. Knowledge of program services, patient needs and management techniques. Knowledge of the science, principles, techniques, and procedures for the care of patients.

Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge of 1974 Privacy Act, HIPAA and 42 CFR Part 2 is required as use of patient record is an integral part of the position and privacy of individuals must be protected to the fullest. Knowledge of applicable federal, state, tribal and local regulations and requirements.

Knowledge of Alaskan culture. Knowledge of training theories and practices including adult learning principles.

Knowledge of CLIA laboratory regulatory requirements.

Ability to efficiently utilize the electronic medical record and other clinically required technology. Ability to delegate direct and indirect patient care activities to appropriate personnel. Ability to educate and coordinate with other health care professionals.

Ability to efficiently and effectively manage multiple clinical tasks, projects and demands. Ability to perform duties with a high degree of autonomy. Ability to maintain quality, safety, and infection control standards.

Ability to communicate effectively orally and in writing. Ability to solve complex problems and deal with a variety of issues. Ability to mediate and resolve conflict.

Ability to educate patients and family members about diagnoses, treatment plans alternatives, risks, options, and medications. Ability to write clinical reports, procedure manuals, quality assurance reports, flowcharts and design/create/manage databases. Ability to supervise and mentor Community Health Aides clinical practice for skills check, preceptorship, or consultation.

Ability to coordinate activities and maintain excellent communication with Chugachmiut regional and corporate staff. Ability to read, analyze and interpret practice standards, professional journals, technical procedures and federal, state, tribal and local standards, regulations and requirements. Skill in providing effective and compassionate care, assessing patient situations and taking effective courses of action.

Skill in oral and written communication. Skill in assessing and prioritizing multiple requests by patient, families, and team members. Skill in providing cardiopulmonary resuscitation.

Skill in analyzing clinical test and examination results. Skill in operating medical equipment. Skill in assessing and prioritizing multiple tasks, projects and demands.

Skill in operating a personal computer utilizing a variety of software applications. Skill in reviewing clinical work of others according to professional standards and practice guidelines. Skill in peer review process according to professional standards and practice guidelines. Skill in interpreting and analyzing patient care issues and regulations to develop training programs.

Work Type:Permanent, Full

Announcement #:01-23-10-003