Community Paramedic – Mobile Integrated Health

EMS Unlimited•Rifle, CO

8d•$72,000 - $86,000•Onsite

About The Position

EMS Unlimited is preparing to launch a Community Paramedic / Mobile Integrated Health program in Garfield County, with patient care expected to begin in early 2027. The company is seeking a full-time Community Paramedic to join before launch and help build the program. The role works from a dedicated CP vehicle, visiting enrolled patients in their homes and collaborating with their physicians to reduce care gaps that can lead to emergency department visits and readmissions. Practice is under Colorado’s Community Paramedic endorsement and CP protocols, with real-time telehealth access to a supervising physician. Patients may include people recently discharged and at high risk of readmission; frequent emergency department users or people without stable primary care; patients managing chronic disease at home; older adults at risk of falls; and people with behavioral health or substance use needs who require follow-up and connection to services. The Community Paramedic provides in-home assessment and clinical care, post-discharge transitional care, chronic disease education, safety and social-needs screening, care coordination, and documentation. The position also contributes to building CP protocols, referral workflows, and monthly quality reviews. The schedule is Monday through Friday on day shift, with exact hours still being designed. Travel throughout Garfield County during the shift is in a company vehicle.

Requirements

Current Colorado Paramedic certification.
Colorado Community Paramedic endorsement completed within 2 months of hire; the company pays for the course and exam.
Current CPR/BLS and ACLS.
At least 2 years of paramedic-level field experience.
Proficiency 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.
Ability to work independently, manage a daily visit schedule, and communicate clearly with patients, families, and physicians.
Comfort with electronic charting, telehealth video visits, and basic computer work.
Successful completion of a pre-employment drug screen, physical, and physical ability exam; these are completed at company expense.

Nice To Haves

National Registry Paramedic (NRP).
PALS, PHTLS, or 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 in-home histories and physical exams, including vital signs, cardiac monitoring, and acquisition and interpretation of 12-lead ECGs.
Perform point-of-care testing, including i-STAT and glucose testing, and collect venipuncture specimens 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 patient decline early, escalate through telehealth consultation, and arrange an appropriate level of care, including clinic, urgent care, emergency department, or EMS transport.
Make post-discharge home visits, typically within 24–72 hours of discharge.
Reconcile medications by comparing discharge lists with medications in the home, identifying duplications, missed doses, and adherence barriers, and reporting discrepancies to prescribers.
Reinforce discharge instructions and confirm that follow-up appointments are made and kept.
Teach self-management for CHF, COPD, diabetes, and hypertension.
Track patient progress against care-plan goals established 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 with 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 they are closed.
Track enrolled patients, visits, and program outcomes, including ED visits, readmissions, and progress toward goals, for state reporting.
Help build the program, including CP protocols, referral workflows, and monthly quality reviews.