Chief Medical Officer

Regional Ambulance Services•Reno, NV

17h

About The Position

The Chief Medical Officer provides physician-level strategic and clinical leadership for REMSA Health and Care Flight. The role serves as the system’s principal clinical spokesperson and advisor to executive leadership, the Board of Directors, government oversight authorities, and regulatory agencies, and represents the organization in negotiations and renewal processes involving clinical performance or medical oversight. The CMO is the Medical Director of record and leads physician recruitment, credentialing, privileging, and performance evaluation for medical direction staff. The CMO oversees clinical protocols, medical control, controlled substances, clinical quality improvement, patient safety, and system performance. The position directs clinical education and training, supports physician education programs where applicable, and ensures compliance with applicable EMS, controlled-substance, privacy, and other regulatory requirements. It also provides medical oversight and strategic direction for mobile integrated health, community paramedicine, special operations, and air medical operations, and participates in disaster response planning and incident management. The role builds relationships with hospitals, public health authorities, public-safety agencies, and other stakeholders; represents the system in EMS physician organizations; and partners with executive leadership on medical affairs budgets, staffing, capital planning, equipment, pharmaceuticals, and supplies. The position directly supervises the REMSA Health and Care Flight Organization.

Requirements

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
Unrestricted license to practice medicine in Nevada and eligibility for licensure in California.
Board certification, or eligibility for board certification with certification required within an agreed timeframe, in Emergency Medicine.
At least five years of progressively responsible experience in EMS medical direction, including prior experience as a system, regional, or agency medical director.
Demonstrated experience providing medical oversight in a high-performance and/or public utility model EMS system.
Current provider status or ability to obtain before hire in ACLS, ATLS or PHTLS, PALS or APLS, and a Neonatal Resuscitation course.
Working knowledge of federal and state EMS statutes and administrative codes, such as NRS/NAC 450B or equivalent, and of the regulatory relationship among the EMS authority, medical director, and Prehospital or Regional Medical Advisory Committees.
Valid driver’s license and clean driving record.

Nice To Haves

Completion of, or enrollment in, an ACGME-accredited EMS Fellowship.
Graduate-level training or equivalent experience in healthcare management, business, or public health, such as an MBA, MPH, or MMM.
Experience serving as Program Medical Director for a CoAEMSP-accredited paramedic education program.
Experience serving as Program Medical Director for a CAMTS-accredited air medical program.
Peer-reviewed publication, research, or grant experience in EMS systems of care, resuscitation science, or mobile integrated healthcare.
Prior dispatch medical oversight experience, such as Emergency Medical Dispatch/ProQA or equivalent, and Accredited Center of Excellence dispatch accreditation.

Responsibilities

Serve as an advisory member of the Executive Leadership Team and contribute clinical judgment to strategic planning, clinical and quality care, service-line development, and system growth.
Serve as Medical Director of record for REMSA Health and Care Flight, carrying out applicable statutory and administrative-code responsibilities; ensure coverage for any designated Associate or Assistant Medical Directors acting on the CMO’s behalf.
Act as the principal clinical spokesperson and advisor to executive leadership, the Board of Directors, government oversight authorities, and regulatory agencies.
Represent the organization in contract negotiations, requests for proposal, and franchise or exclusive operating-area renewal processes involving clinical performance, medical oversight, or scope of practice.
Lead recruitment, credentialing, privileging, and performance evaluation for medical direction staff.
Develop, review, and annually approve clinical protocols, standing orders, and treatment guidelines in collaboration with division medical directors, using current evidence-based and consensus-guideline practices.
Authorize and maintain the controlled substance program, including DEA registration for ordering and secure storage, diversion-prevention auditing, and periodic review of security procedures.
Review sentinel events, critical incidents, and reported protocol deviations; direct corrective action, remediation, or retraining with clinical quality and operations leadership.
Provide online and offline medical control with division medical directors and ensure a reliable base-station and physician-consultation structure for field crews.
Approve scope-of-practice expansions, new clinical programs, and equipment or formulary changes for ground and air ambulance operations.
Lead the Clinical Quality Improvement program and establish a data-driven, non-punitive culture of continuous improvement.
Define and monitor clinical performance measures aligned with agreements and national benchmarks, including cardiac arrest outcomes, STEMI and stroke time intervals, sepsis and pediatric bundle compliance, airway and pain management, and patient experience.
Partner with operations and communications center leadership to achieve clinical performance alongside contractual response-time compliance.
Use NEMSIS-compliant data, dashboards, and analytics to benchmark performance and guide protocol revision and resource allocation.
Oversee patient safety and risk mitigation, including trigger-based chart review, near-miss reporting, and root-cause analysis.
Regularly report quality and safety performance to the Board, government oversight authority, and Prehospital or Regional Medical Advisory Committees.
Direct clinical education and training, including onboarding, continuing education, and high-risk, low-frequency skills maintenance.
Where applicable, serve as Medical Director for a CoAEMSP-accredited paramedic education program and review curriculum, instructional quality, student progress, and graduate competency.
Support and mentor an EMS Fellowship or equivalent physician training program where present, in coordination with academic and hospital partners.
Teach clinicians, communications center staff, and base-station physicians through direct instruction, simulation, and case review.
Ensure medical practices comply with state EMS laws and regulations, licensure and certification requirements, and applicable federal requirements concerning controlled substances, HIPAA, and telehealth or telemedicine.
Support corporate compliance, risk management, and legal counsel in investigating and resolving clinical complaints, litigation, and regulatory inquiries.
Ensure medical-legal documentation, informed consent and refusal, and destination and triage protocols comply with applicable specialty-care system designations.
Provide medical oversight and strategic direction for Mobile Integrated Health and Community Paramedicine, alternative destination, treat-in-place, and telehealth-enabled care programs, including protocol development and outcome tracking.
Evaluate and pilot emerging technologies, therapies, and care models to improve system performance and patient access.
Serve on electronic health record and clinical technology selection and governance committees.
Provide medical direction for special operations teams, potentially including Tactical EMS, Urban Search and Rescue, Technical Rescue, wilderness or ski patrol, and event medicine programs.
Oversee medical direction for rotor- and/or fixed-wing air medical operations, including applicable altitude physiology, flight-specific protocols, and crew resource management.
Serve on the Incident Management Team during declared mass casualty incidents, disasters, or public health emergencies, and support regional and state disaster medical response planning.
Build relationships with receiving hospitals, specialty-care centers, the medical community, public health authorities, and partner public-safety agencies.
Serve as medical liaison to news media and community stakeholders on clinical care and system performance.
Represent the system in state, regional, and national EMS physician organizations.
Partner with executive leadership on the medical affairs budget, medical-direction staffing model, and clinical capital and equipment planning.
Provide clinical input on equipment, pharmaceutical formulary, and supply standardization, balancing efficacy, safety, and cost.
Exercise direct medical supervision of the REMSA Health and Care Flight Organization.