Internal Only - Advanced Practice Paramedic

Wake County Government•Raleigh, NC

3d•$35 - $45•Onsite

About The Position

Wake County EMS is hiring for its Advanced Practice Paramedic program. The role provides advanced prehospital care and mobile integrated health services for a wide range of patients, including people with high- or low-acuity conditions, mental health needs, and substance use disorders. Advanced Practice Paramedics provide on-scene leadership and clinical management, help patients overcome barriers to care and navigate the healthcare system, and work with community partners to improve outcomes and reduce EMS utilization. They may transport mental health and substance use disorder patients to appropriate alternate care facilities. This position is in the Division of Medical Affairs. It is based at the Public Safety Center in Raleigh, North Carolina. The regular work schedule consists of shifts, typically 12 hours, and may be adjusted based on system needs. Candidates who complete the assessment center successfully may be placed on a promotional eligibility list for Advanced Practice Paramedic vacancies; placement does not guarantee promotion. The list is expected to remain in effect through April 30, 2027, unless it is exhausted or operational needs change.

Requirements

Associate’s degree or equivalent in Emergency Medical Services or a related field; equivalent education and experience are accepted.
Three years as a medically cleared paramedic in a transporting 911 EMS agency.
Valid driver’s license and a safe driving record.
North Carolina Paramedic certification or eligibility for that certification.
Successful completion of the Wake County EMS System Academy and Release to Practice within one year if not already medically cleared in the Wake County EMS System.
Successful completion of a Wake County EMS System Mobile Integrated Health Academy within one year.
Excellent written and verbal communication skills.
Ability to interact and communicate effectively with people at all levels of the organization with tact and diplomacy.
Ability to maintain social, ethical, and organizational norms and adhere firmly to codes of conduct and ethical principles.
Ability to function in a physically demanding environment requiring strength, flexibility, and endurance.
Must continue to meet the position’s minimum qualifications and all county and department requirements at the time of selection.
Include all prior work experience on the application and resume.

Nice To Haves

Bachelor’s degree in Emergency Medical Services or equivalent.
Two or more years of experience as a Wake County Field Training Officer.

Responsibilities

Work independently and, when needed, as a team leader.
Integrate with other emergency responders and provide advanced patient care and on-scene clinical management at high-acuity calls.
Perform advanced life support skills using liberal standing-order protocols and advanced decision-making to guide patient care.
Respond to calls involving a range of acuity, mental health needs, and substance use disorders, providing on-scene leadership, clinical management, and patient-care assistance.
Perform post-dispatch follow-up for specialty patients in collaboration with community partners and healthcare agencies.
Apply specific criteria and protocols to provide appropriate care and treatment for patients in crisis due to substance use disorders.
Help patients overcome barriers to care and navigate the healthcare system, coordinating with community partners to improve outcomes and reduce EMS utilization.
Transport mental health and substance use disorder patients to appropriate alternate care facilities when appropriate.
Support department and division initiatives by visiting specialty patients to ensure appropriate follow-up, resources, and education.
Refer potential high-volume utilizers to teams within the division and department.
Participate in emergency preparedness and response operations when required, including possible temporary assignments, exercises, and preparedness training.