Division Chief - Clinical

MONTGOMERY COUNTY HOSPITAL DISTRICTConroe, TX
1dOnsite

About The Position

The Division Chief – Clinical, as member of EMS Command Staff, provides executive oversight of clinical performance for MCHD and affiliated First Responder organizations. This position is responsible for system-wide clinical governance, quality improvement, education and workforce development, regulatory compliance, and implementation of evidence-based clinical initiatives. Through collaboration with EMS leadership and the Medical Director, the Division Chief – Clinical ensures continuous advancement of patient care quality, measurable clinical outcomes, and alignment of clinical practice with organizational and fiscal objectives.

Requirements

  • Bachelor’s degree preferred; and a minimum of 7 years related experience and/or training.
  • Proficient word processing, database, and spreadsheet skills required.
  • Basic Email and internet skills required.
  • A basic understanding of medical databases and data reporting and analysis is required.
  • Clinical authorization as an Attendant Paramedic must be obtained within 180 days of employment.
  • Current Texas Driver’s License required.
  • Remain insurable by the current insurance vendor of MCHD.
  • CPR, Pre Hospital Trauma Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support or equivalents required.
  • Texas Department of Health Services EMT – Paramedic or Licensed Paramedic certification is required.

Nice To Haves

  • Specialized training or experience in quality improvement, curriculum development, customer service efforts and pre-hospital care is preferred.

Responsibilities

  • Develop, administer, and ensure fiscal accountability for the Clinical Division operating budget in alignment with organizational financial objectives.
  • Establish and model a service-oriented culture aligned with organizational values and goals.
  • Participate in the Administrator-On-Call system.
  • Perform other duties reasonably consistent with this senior leadership role.
  • In partnership with the Medical Directors and Assistant Chief of EMS, oversee development, implementation, maintenance, and revision of Clinical Guidelines.
  • Provide senior leadership for the identification, approval, implementation, and performance monitoring of new clinical initiatives and evidence-based care advancements, ensuring successful system-wide adoption through policy integration, training, compliance oversight, and measurable outcome evaluation.
  • Oversee credentialing of MCHD personnel and affiliated responder agencies.
  • Ensure compliance with all regulatory requirements, including controlled substance management.
  • Monitor national standards of care and implement system improvements as appropriate.
  • Coordinate clinical research initiatives when available.
  • Advise the Chief of EMS, Assistant Chief of EMS, Medical Directors, and Board of Directors on clinical matters as necessary.
  • Maintain a comprehensive continuous quality improvement system in collaboration with Quality and Process Improvement.
  • Identify, track, analyze, and report clinical quality metrics and risk indicators; develop and oversee corrective action plans.
  • Ensure the patient care record system supports regulatory compliance, data integrity, and performance analytics.
  • Assure timely, constructive, and actionable clinical feedback to crews in coordination with EMS Operations and Clinical Services.
  • Design, implement, and oversee training programs for new and existing staff and affiliated responders.
  • Oversee all EMS educational course offerings.
  • Provide leadership, supervision, and professional development of the EMS Captain. including lead on quarterly meetings.
  • Provide oversight of EMS field training and monitored clinical instruction.
  • Coordinate Community EMS education initiatives.
  • Ensure credentialed EMS personnel maintain required field hours.
  • Develop staff through structured training, education, performance feedback, and ongoing professional growth initiatives.
  • Collaborate with EMS Operations leadership to ensure clinical and operational goals are aligned and achieved.
  • In collaboration with the Medical Directors assist in coordination, evaluation, and oversight of District Chiefs.
  • Maintain strong working relationships with affiliated responder agencies and the local medical community to ensure continuity of care.
  • Coordinate with Materials Management to ensure adequate medication supply and clinical resource availability.
  • Promote high levels of customer satisfaction across the EMS system.
  • Participate in MCHD Disaster Operations as part of the EMS Command Staff.
  • Complete a minimum of 8 hours per month in the field on an ambulance as a third rider for clinical observation and system engagement.
  • Directly supervises the employees in the Department of Clinical Services and clinical supervision of all credentialed providers.
  • Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
  • Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
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