Paramedic Captain - Night Shift

Job Overview:

The Paramedic Captain assists the Chief of EMS Operations with the operational functions of the company by performing operational leadership, decisive decision-making, and resource management to their assigned shift. Incumbents of this position also perform a variety of tasks related to maintenance of vehicles, supplies, QA, or other assigned critical organizational functions.

In addition, The EMS Captain performs all of the duties listed in the position description for Paramedic and fills a full-time shift. Primary assignment will be on a ALS Quick Response Unit but may be required to operate on a transporting ALS MICU depending on operational needs.

This position is a full-time night shift rotation scheduled 1900-0700 with rotating weekends, and the need to work holidays if they fall on their scheduled day.

Key Duties:

Serve as the primary point of contact and resource for crews Provide advice or direction to resolve issues that may arise in line with company policy, guidelines, and procedures. Contacts the Chief of EMS Operations if complex issues arise. All decisions are based on what is best for the patient and the company.

Responsible for the short-term operations work schedule. Is responsible for ensuring staffing requirements are met for the next 72 hours and solicits employees to pick up shifts as needed. Handles employee call-offs, records appropriately, and attempts to find coverage.

Assist in the recruitment and selection of qualified personnel. May interview applicants as part of team to recommend hiring/not hiring to the Chief of EMS Operations. This also includes internal promotional processes, such as FTOs.

Providing additional resources and assistance to all crews and automatically respond to high acuity calls including shootings, stabbings, and cardiac arrests. Additionally, respond to help with other critical patients as requested by crews. This includes assisting with restock at the hospital, if necessary, to get an asset back in service to meet call demand.

Observes the patient care performance of staff and suggests improvements or alternatives as appropriate. Acts as a clinical resource for staff and exemplifies Clinical Performance expectations.

Responsible for assisting the Chief of EMS Operations in supervising, orienting, training and evaluating operations personnel.

Always demonstrate a positive attitude to their staff and customers.

Monitor personnel compliance for required certifications, background checks, con-ed, and organizational mandated learning for assigned shift.

May enact coaching, counseling, and if necessary, discipline for staff members. Conduct regular informal performance check ins and “rounding” of responsible staff and contribute to formal performance evaluations.

Responsible for maintaining medical supplies at a sufficient level to ensure no interruption of operations. Makes sure the crew supply cabinet is adequately stocked at all times. Responsible for overseeing monthly date checks of equipment to prevent expired stock from being used, and reports these findings to the Chief of EMS Operations (if date check day falls on their scheduled shift). Ensure completion of daily equipment check (vehicle, medications) of assigned shift, correcting any issues reported.

Responsible for performing narcotic reconciliation of all company-controlled narcotics during their shift.

Responsible for ensuring their shift’s vehicles are in a state of readiness to respond at all times.

May represent the Chief of EMS Operations at meetings as directed or authorized.

Attends scheduled meetings, sessions, and other activities required of the leadership team.

Knowledge, Skills, and Abilities:

A Knowledge, Skills, and Abilities (KSA) framework for a Paramedic Captain reflects a dual mandate: maintaining mastery over Advanced Life Support (ALS) field operations while exercising formal supervisory, operational, and administrative control.

1. Knowledge

• Clinical Medicine & Protocols: Comprehensive mastery of regional/state EMS protocols, Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), best practices based on evidence-based medicine for a variety of medical and trauma conditions that may be encountered in the pre-hospital environment.
• Incident Command System (ICS) & NIMS: Working knowledge of FEMA/NIMS guidelines (ICS-100, 200, 700, 800 minimum) including knowledge of the functions of command-level ICS to participate in the ICS structure for expanding incidents.
• EMS Legalities & Regulatory Compliance: Understanding of HIPAA privacy regulations, state EMS licensing laws, mandatory reporting thresholds (elder/child abuse), emergency vehicle operation regulations, and documentation standards for legal defensibility. This includes internal company policies, guidelines, and procedures related to such situations.
• Labor, Safety, & Employment Practices: Working knowledge of OSHA/bloodborne pathogen safety standards, agency standard operating procedures (SOPs/SOGs), progressive discipline principles.
• Quality Assurance/Quality Improvement (QA/QI): Familiarity with clinical audit processes, key performance indicators (KPIs), cardiac arrest registry reporting (e.g., CARES), and clinical review cycles.

2. Skills

• Clinical Mentorship & Field Auditing: Ability to evaluate performance of staff in real time, step in tactfully during critical skill failures, and conduct constructive post-incident debriefings.
• Operational Command & Resource Deployment: Proven capability to establish scene size-up, coordinate staging areas, manage multi-agency radio communications, and dynamically allocate field units based on call volume surges. Can handle multiple simultaneous requests at once, and is able to creatively find solutions to ensure all requested responses are met.
• Conflict Resolution & Mediation: De-escalating tense interpersonal conflicts between field crew members, resolving friction with hospital receiving staff (e.g., triage/bed delays), and handling citizen or patient complaints diplomatically.
• Advanced Technical Procedures: Precision execution of critical low-frequency/high-risk skills (e.g., surgical cricothyrotomy, needle decompression, video-assisted intubation, intraosseous vascular access) under adverse conditions.
• Administrative & Electronic Systems Proficiency: Proficient use of Electronic Patient Care Reporting (ePCR) software, computer-aided dispatch (CAD) monitoring tools, scheduling programs, and fleet/inventory management applications.
• Investigative Root-Cause Analysis: Competence in conducting preliminary accident investigations, (vehicle collisions, equipment failures, sharp injuries) patient complaints, staff complaints and writing objective, legally sound supervisory fact-finding reports. Can creatively find solutions to encountered problems.

3. Abilities

• Decisive Crisis Leadership: Ability to maintain emotional stability, situational awareness, and executive decision-making clarity during high-stress scenes, pediatric arrests, or multi-alarm incidents.
• Clear Multimodal Communication: Ability to articulate complex operational orders over radio channels, present policy changes effectively during shift briefings or throughout the shift, and communicate with empathy to distressed family members.
• Impartial & Ethical Judgment: Ability to enforce agency policies objectively, identify and address clinical or ethical compromises (e.g., documentation falsification, impairment), and maintain strict confidentiality.
• Physical Stamina & Environmental Resilience: Ability to lift heavy loads (stretcher movements, bariatric extrications) in compliance with agency minimums, perform sustained CPR, and operate effectively in extreme weather, hazardous terrain, and sleep-deprived conditions.
• Adaptive Triage & Prioritization: Ability to pivot instantly from desk-based administrative duties (scheduling, supply reconciliation) to high-acuity street response without losing operational oversight.

Minimum and Preferred Qualifications:

Education:

• High School Diploma or GED, Associates Degree preferred, but not required.

Experience:

• 2 years ALS in a busy 911 system. Greater than 4 years preferred, but not required.
• Prior Supervisory/Leadership experience preferred, but not required.

Training, Certifications, and Credentials

• Certified and valid Pennsylvania Paramedic
• ACLS, PALS, BLS/CPR. Preferred PHTLS/ITLS
• Previous approved EMS Leadership training through National Emergency Medical Services Management Association (NEMSMA), National Fire Academy, or IFSAC is preferred, but not required

Pay: From $34.00 per hour

Expected hours: 36.0 – 48.0 per week

Benefits:

• 401(k)
• 401(k) matching
• 403(b)
• Continuing education credits
• Dental insurance
• Employee discount
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Tuition reimbursement
• Vision insurance

Work Location: In person