Community Health Advocate I or II – Portland

Opening Date: April 13, 2023
Closing Date: Open Until Filled
Job Title: Community Health Advocate I or II- Portland
Salary/Wage: $19.85/hr – $22.37/hr
Tribal Level: TL 110 – TL 113
Location: Portland, OR
Classification: Full Time, Non-Exempt
Job Posting Number:  202148


CTSI is pleased to offer a sign-on bonus for this position of $1000. The selected applicant shall receive one-half the incentive in the first paycheck and the second half after successful completion of 6 (six) consecutive months of employment provided the employee remains employed.  The Sign-on Incentive is not part of the base salary calculation and is considered taxable income.  The Sign-on Incentive is not included in retirement salary calculations.  A full copy of the incentive policy is available upon request.

The Community Health Advocate’s (CHA) provides a variety of services to tribal members relating to healthcare.  CHAs advocate for individuals, identify available services available to tribal members, and promote wellness individually and community wide.


CHA I: High School diploma or GED and one year of health-related coursework or experience working with the public in a health or social service related field.

CHA II: Certified Basic Nursing Assistant or Certified THW/Community Health Worker, and one year experience working with the public in a health or social service field.

Knowledge of: Healthcare systems and payment mechanisms utilized by Siletz tribal members, including Purchased Referred Care, Oregon Health Plan, and IHS medical facilities.  Local, private, and county healthcare service systems and individual medical providers.  Basic preventive health practices in the areas of nutrition, tobacco, alcohol, and drug use, physical activity, communicable disease, maternal-child health, and routine health screenings. A basic understanding of disease and illness, and skill sufficient to teach clients, and to impress upon them and their family members the necessity to continue the procedures of proper health care. The unique health concerns of Native Americans, preferred.  Ability to: Model preventive health practices during work hours. To travel locally and long distance in accordance with tribal transportation policy. Build and maintain client rapport and trust through a nonjudgmental attitude, advocacy, timely follow-up to client requests, and unconditional positive regard. Maintain personal and professional boundaries.  Therapeutic boundaries in interactions with clientele are necessary to maintain professionalism and to ensure proper utilization of community health staff. Exercise good judgment in situations significantly impacting client and/or own safety and well-being.  Other: Obtain First Aid/CPR within the first 30-days of hire. Obtain Food Handlers card within 15-days of hire. Complete Motivational Interviewing basic course within 6-months of hire. Must possess a valid driver’s license, insurance and be eligible to drive a GSA Vehicle.


Reduce barriers to Tribal members receiving health services including: Serving as liaison and/or referral source between clientele and relevant tribal programs, healthcare providers, and county, state, and federal agencies. Providing advocacy for client as needed. Providing or arranging transportation in accordance with tribal transportation policy. Provide health information and activities to the Tribal membership in local service area through monthly newsletter submissions, quarterly health promotion activities, and periodic health screenings.  Serves as local distributor and educator of health and safety equipment including bicycle helmets, car seats, and Elders Safety Project items per department policy. Consults with supervisor in a timely fashion regarding situations outside the scope of CHA knowledge and experience. Works with Purchase Referred Care to provide pre and post-operative medical related services. Contacts assigned elders regularly to offer services, keeps assigned elder’s list updated and contacts are tracked in real time. Works closely with supervisor to provide local service area clientele access to Community Health Department sponsored events. Provides nutritional education support to USDA Program (Siletz and Salem CHAs only).  Maintains accurate and current client records and provides quarterly and annual program reports as required.  Tactfully encourages wellness practices as well as client follow-up on existing health problems. Support the diabetes program. Dispense and maintain over-the-counter medication inventory. Support the Healthy Traditions Program as needed: Nutrition cooking classes, Food preservation: freezing, drying, canning. Other duties as assigned. CHA Providers will document and track services provided for billing purposes. They will remain current on trainings that allow their services to be billable and will submit billing regularly.

After the six-month probation the employee will be evaluated of his/her performance and at that time, it will be, decided if the employee is entitled to a regular employee status.

How to Apply

All applicants must submit a Tribal “Application for Employment Form”, found here:

Employment Application (PDF)
Apply Online

Applications must be received by the closing date of this announcement to receive consideration.


If applying for more than one position, separate applications will be required for each position.
The high school diploma/GED requirement will be waived for Tribal Elders

Send Applications To

Confederated Tribes of Siletz Indians
Attn: Human Resources Department
P.O. Box 549
Siletz, OR 97380

Fax number: 855-573-1032
Human Resources: 1-800-922-1399 ext. 1274

Conditions of Employment

The selectee will be required to submit to a urinalysis to screen for illegal drug use before employment.

New employees are required to provide proof of COVID-19 vaccination prior to their first day of employment or submit a request for medical exemption to the Human Resource Manager, prior to starting employment.

May need to provide DMV Driver Record and proof of Automobile insurance.

The Tribe’s Indian Preference Policy will apply. Tribal government will not discriminate in selection because of race, creed, age, sex, color, national origin, physical handicap, marital status, politics, membership, and non-membership in an employee organization.