Community Paramedic – Mobile Integrated Health

EMS Unlimited•Rifle, CO

3d•$72,000 - $86,000•Hybrid

About The Position

EMS Unlimited is preparing to launch a Community Paramedic / Mobile Integrated Health (CP/MIH) program in Garfield County, with patient services anticipated to begin in early 2027. We are seeking a new team member to join soon and participate in the program's development before its official launch. This is a full-time Community Paramedic position. The role involves working from a dedicated CP vehicle, providing care to enrolled patients in their homes, and collaborating with their physicians to reduce emergency department readmissions. You will practice under Colorado's Community Paramedic endorsement, CP protocols, and have access to real-time telehealth with a supervising physician. Patients served will include those recently discharged with high readmission risks (CHF, COPD, pneumonia, diabetes, post-surgical), frequent emergency department users, patients without a stable primary care connection, individuals managing chronic diseases at home, older adults at risk for falls, and patients with behavioral health or substance use needs requiring follow-up and service connection.

Requirements

Current Colorado Paramedic certification
Colorado Community Paramedic endorsement completed within 2 months of hire; course and exam company-paid
Current CPR/BLS and ACLS
Minimum 2 years of paramedic-level field experience
Proficient in 12-lead ECG interpretation, IV access, and venipuncture
FEMA ICS-200 and ICS-700
At least 21 years old, with a valid, clean driver's license and at least 2 years of driving experience (EMS Unlimited Driver Requirements)
Able to work independently, manage a daily visit schedule, and communicate clearly with patients, families, and physicians
Comfortable with electronic charting, telehealth video visits, and basic computer work

Nice To Haves

National Registry Paramedic (NRP)
PALS, PHTLS, AMLS
Critical care certification (CCP-C or FP-C) or Colorado CCT
Experience in home health, care coordination, behavioral health, or hospital/ED settings
Bilingual English/Spanish

Responsibilities

Complete a full in-home history and physical exam, including vital signs, cardiac monitoring, and 12-lead ECG acquisition and interpretation.
Perform point-of-care testing (i-STAT and glucose) and venipuncture/specimen collection as ordered.
Use point-of-care ultrasound within protocol and training.
Provide wound assessment and care, IV access, and medication administration under CP protocols and physician orders.
Recognize decline early, escalate by telehealth consult, and arrange the right level of care (clinic, urgent care, ED, or EMS transport) when a patient needs more.
Make post-discharge home visits, typically within 24–72 hours of discharge.
Perform medication reconciliation: compare the discharge list to what is actually in the home, identify duplications, missed doses, and adherence barriers, and report discrepancies to the prescriber.
Reinforce discharge instructions and confirm follow-up appointments are made and kept.
Teach self-management for CHF (daily weights, fluid and sodium limits, symptom red flags), COPD (inhaler technique, action plans), diabetes (glucose monitoring, hypoglycemia recognition), and hypertension.
Track patient progress against care plan goals set with the patient's physician.
Complete home safety and fall-risk assessments and recommend fixes.
Screen for depression, substance use, food insecurity, transportation barriers, and caregiver strain.
Connect patients to behavioral health, social services, pharmacy, home health, and community resources.
Communicate findings to primary care providers, case managers, and discharge planners.
Document every encounter and follow up on referrals until closed.
Track enrolled patients, visits, and outcomes (ED visits, readmissions, goal progress) that the program reports to the state.
Help build the program: CP protocols, referral workflows, and monthly quality reviews.