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Community Paramedic

Community Health Worker (CHW)

Community Paramedic

Position Summary

A CHW is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the worker to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. [1]

Community paramedics have completed a suitable educational program and shown competence in providing health education, monitoring, and amenities beyond conventional emergency care and transportation. Their particular roles are unique to each community’s health needs together with public health and medical advice.

Training and Prerequisites

  • Completion of an approved CHW Training Program by the SD Department of Social Services. [2]
  • The CHW Agency process will include the process utilized to hire individuals qualified to act as a CHW following certification that the individual has completed the Indian Health Service Community Health Representative basic training, a CHW program approved by the South Dakota Board of Technical Education or the South Dakota Board of Regents, or a CHW training program approved by the State. [3]
  • Training requirements vary; there are no uniform community paramedics regulations


  • No certificate or license is required in SD.
  • Varies from state to state.

Typical Supervisors

  • CHWs are primarily supervised by a clinic manager, nursing manager, or other organizational manager. [5]
  • Supervised by physicians or advanced practice provider.

Median Hourly Wage (National)


  • Community Health Worker (CHW) – $19.41
  • Community Paramedic – $17.62

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