Job Description Job Title: UPN(s): Division: Section: Location: Shift: Report To: Salary Table: Grade/Step: Salary Level: FLSA Status: SOC Code: W/C Code: Approved On: Revised On: Physical Activity Lifestyle Specialist SDP-05 – SDP-06; SDH-01 Community Services Division Diabetes Program Section Potawot Health Village, Arcata/Del Norte Monday – Friday, 8:00 am to 5:00 pm Diabetes Program Manager Table 1 – Line Staff Grade to $11.86/hr to $15.98/hr ($24,669/yr to $33,238/yr) Non-Exempt - Hourly April 4, 2005 SUMMARY: The primary purpose of this position is to serve as a lifestyle “coach” for participants in the intensive part of the UIHS Diabetes Prevention Demonstration Project (Competitive Grant Program of the SDPI). As such, the employee will develop relationships with the participants and use lessons and tools from the Diabetes Prevention Program (DPP) as well as other methods learned appropriate to our region and culture to facilitate lifestyle change for participants toward preventing diabetes and living a healthier, more active life. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. The Physical Activity & Lifestyle Specialist (PALS) will be responsible for developing a relationship with project participants to facilitate the intensive lifestyle intervention component of the Prevention of Diabetes Project grant for the participants. This will require a considerable interpersonal skill level. The PALS will serve as a facilitator between diabetes program staff and client. The PALS will maintain weekly contact at a minimum with their assigned participants in the active phase of the curriculum and then maintain regular contact with them at regular intervals (not less than monthly) to be specified at a later date throughout the course of the program. These contacts will encourage participation, answer questions, facilitate behavior change, and develop the relationship required for success in this program. The PALS will work closely with the project participants and family members to identify ways to increase exercise, and to utilize program “tools” to meet exercise goals. The PALS will help project participants achieve specific weight loss behavior change goals in a step-wise fashion using standardized strategies, tracking books and other DPP “tool box” strategies. The PALS will reinforce the [education curriculum] lifestyle balance core curriculum (developed out of the DPP curriculum) with participants and families as taught by the prevention program staff. The PALS will facilitate self-management using food records and physical activity habit logs. The PALS will assist in creating group activities to maintain motivation in the intensive lifestyle component of the project. The PALS will work with behavioral specialists and/ or receive special training to guide participants in behavioral change skills and behavioral reinforcement needed to make lifestyle changes to attain the nutrition and physical activity. Review, Recommendation & Approval: Received by HR: Recommended by Personnel Committee: Physical Activity Lifestyle Specialist.doc Approved 00/00/ COLA Page 1 of 5 Recommended by Finance Committee: Approved by Board of Directors: Review & Recommend by GDC: Physical Activity Lifestyle Specialist United Indian Health Services, Inc.

The PALS will assist with the management, the “support materials” components of the project for participants. The PALS may need to travel extensively throughout the tribal health service area to meet with participants to achieve the goals stated, as well as to participate in, plan, and implement community-based activities and events. The PALS will document all relevant participant data for the study participants. Assists in the development and monitoring of all performance improvement initiatives and reporting requirements of the prevention program. Demonstrates positive attitude and professional manner, as well as appropriate problem solving and communications. Maintains cooperative and effective working relationship with diabetes program staff, other UIHS employees and supervisory staff, with tribal officials and visitors to UIHS. Meets all requirements of UIHS policy & procedure. Must have a willingness to learn on the job, employ cultural techniques, be trained in said techniques as indicated. The PALS will agree to participate in recruitment activities and lifestyle sessions that may occur within or outside regular working hours or on weekends. The PALS will be an integral part of a multi-disciplinary team (both the Diabetes Team and Prevention Team), and will work closely with the diabetes program staff to identify impediments to adherence and retention in the project. They may also be asked to participate in recruitment activities as needed. Must be willing to participate in the lifestyle balance program activities in order to serve as a mentor and example to help facilitate relationship and behavioral change for participants in the intensive program. Must be able to maintain strict confidence of all information received on the job. Participates in mandatory initial training and annual update training as indicated as well as continuing education as required. Other duties as assigned. SUPERVISORY RESPONSIBILITIES: none QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION/EXPERIENCE: High School diploma or equivalent. Excellent interpersonal and communication skills. Experience in community organization or participation in community and/or cultural building projects. Knowledge of health, sanitation and safety codes. Understanding of the basic principles of nutrition, exercise, and weight loss would be additional benefit. Experience in working with a wide range of age groups is preferred. COMPUTER OPERATIONS If applicable, please check one of the following: please list if electronic health records experience is needed Basic personal computer skills. Basic personal computer skills including electronic mail, word processing, spreadsheet, graphics, etc. Intermediate personal computer skills, including electronic mail, routine database activity, word processing, spreadsheet, graphics, etc. Proficient personal computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc. Physical Activity Lifestyle Specialist.doc Approved 00/00/ COLA Page 2 of 5 4.

5. Demonstrated use of intermediate computer operations (basic programming in 3 rd and 4 th generation languages, relational databases, and operating systems) and intermediate software packages 9word processing, spreadsheet, graphics, etc.) Utilize complex computer operations (intermediate programming in 3 rd and 4 th generation languages, relational databases, and operating systems) and advanced features of software packages (word- processing, spreadsheet, graphics, etc.) 6. LANUGUAGE SKILLS: Select the level of language (ability to read, write, and speak) needed to successfully accomplish the essential duties of this job.  Level 1: Ability to read a limited number of two- and three-syllable words and to recognize similarities and differences between words and between series of numbers. Ability to print and speak simple sentences. Level 2: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Level 3: 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 or employees of organization. Level 4: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Level 5: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors. Level 6: Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to write speeches and articles using original or innovative techniques or style. Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors.      MATHEMATICAL SKILLS: Select the level of mathematical skills and abilities needed to successfully accomplish the essential duties of this job.       Level 1: Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Level 2: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Level 3: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Level 4: Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Level 5: Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis. Level 6: Ability to comprehend and apply principles of advanced calculus, modern algebra, and advanced statistical theory. Ability to work with concepts such as limits, rings, quadratic and differential equations, and proofs of theorems. Physical Activity Lifestyle Specialist.doc Approved 00/00/ COLA Page 3 of 5 REASONING ABILITY:

Select the level of reasoning skills and abilities needed to successfully accomplish the essential duties of this job.   Level 1: Ability to apply common sense understanding to carry out simple one- or two-step instructions. Ability to deal with standardized situations with only occasional or no variables. Level 2: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Level 3: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Level 4: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Level 5: Ability to define problems, collects data, establishes facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Level 6: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables. Physical Activity Lifestyle Specialist.doc Approved 00/00/ COLA Page 4 of 5     CERTIFICATES, LICENSES, REGISTRATIONS:  Shall possess a valid driver’s license.  Must be eligible for the agency’s vehicle insurance and provide proof of private vehicle coverage.  Must have or be able to obtain CPR certification within six months of hire and maintain such. OTHER SKILLS AND ABILITIES:  Ability to operate standard office equipment (copier, fax, etc.).  Must be able to work with American Indian people and be sensitive to their culture.  Comply with all safety policies, practices and procedures. Report all unsafe activities to supervisor and/or Human Resources.  Participate in proactive team efforts to achieve the Mission, Vision and Guiding principles of UIHS.  Provide leadership to others through example and sharing of knowledge/skill. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. N (Not Applicable) Activity is not applicable to this occupation. O (Occasionally) Occupation requires this activity up to 33% of the time ( hrs/day) F (Frequently) Occupation requires this activity from 33% - 66% of the time ( hrs/day) C (Constantly) Occupation requires this activity more than 66% of the time (5.5+ hrs/day) Physical Abilities Lift /Carry Push / Pull Push / Pull StandF10 lbs or less12 lbs or less WalkF11-20 lbs13-25 lbs SitO21-50 lbsF26-40 lbsF Handling/FingeringF lbs lbs Reach OutwardFOver 100 lbs Reach Above ShoulderF ClimbClimbO CrawlO Squat or KneelF BendF

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. United Indian Health Services, Inc. (UIHS) has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by UIHS as deemed appropriate. Employee Signature Physical Activity Lifestyle Specialist.doc Approved 00/00/ COLA Page 5 of 5 Date