< > Comparisons - Registered Nurse (RN) - Community Health Workers Collaborative of South Dakota

Registered Nurse (RN)

Community Health Worker (CHW)

Registered Nurse (RN)

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]

Observe and record patient behavior, do physical exams and diagnostic tests, patient and family counseling and education, administer medication, wound care, supervise other healthcare professionals, and conduct research. [6]


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]
  • Complete state approved professional nursing program.
  • Criminal background check.
  • High school diploma or GED for nursing program. [7]


  • No certificate or license is required in SD.
  • RN License required by SDBON. [7]

Typical Supervisors

  • CHWs are primarily supervised by a clinic manager, nursing manager, or other organizational manager. [5]
  • Supervised by Nurse Supervisors and Physicians. [7]

Median Hourly Wage (National)


  • Community Health Worker (CHW) – $20.19
  • Registered Nurse (RN) – $36.22

Download PDF