EMS Shift Manager

Aiken County•Ems Hq, SC

17h

About The Position

Under limited supervision, the EMS Shift Manager manages the administrative and organizational performance of an assigned EMS shift and reports to departmental leadership as designated by the organizational structure. The role supervises the Assistant Shift Manager and is accountable for assigned shift personnel, scheduling, personnel availability and performance, policy enforcement, disciplinary processes, and the readiness and assignment of shift vehicles. The manager directs the Assistant Shift Manager and crew leadership in implementing deployment and field operations, providing higher-level direction, resource decisions, and administrative follow-through while the Assistant Shift Manager serves as the primary supervisory responder. The position exercises personnel and disciplinary authority within County policy and delegated departmental authority, referring actions requiring higher approval through the chain of command. Work focuses primarily on administration, planning, and coordination, with station inspections and field response as required. The manager maintains paramedic capability and responds to emergencies when command-level oversight, additional resources, or operational necessity requires. The position manages a team of about 30 people, including 12 crew chiefs, assistant shift managers, and extrication staff. Nights, weekends, holidays, extended shifts, and emergency callbacks may be required.

Requirements

High school diploma or equivalent.
At least eight years of EMS experience, including a minimum of six years of supervisory experience in EMS; supervisory experience may be included within the eight-year total.
Experience demonstrating responsibility for staffing or scheduling, personnel performance, policy enforcement, administrative reporting, and operational resource coordination.
Current South Carolina paramedic certification and maintenance of certification throughout employment.
Current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS) credentials, maintained throughout employment.
Valid driver’s license and eligibility to operate County vehicles under County requirements.
Current Basic Vehicle Extrication course for internal promotions; external hires must complete it within one year of hire. Internal applicants must already have this certification.
Complete HAZMAT Awareness within six months of hire or promotion, unless already completed.
Complete ICS-300 within six months of hire or promotion into this classification, unless already completed.
Complete ICS-400 within six months of hire or promotion into this classification, unless already completed.
Complete Instructor Methodology (or equivalent) within one year.
Ability to lift and move 125 pounds individually and 250 pounds with a partner.
Ability to safely lift, carry, push, pull, and maneuver patients, stretchers, medical equipment, and rescue equipment; climb stairs; bend, kneel, crouch, reach, and work in confined or uneven environments.
Ability to perform essential functions such as driving emergency vehicles, communicating by radio, assessing patients, and functioning in adverse weather, traffic, exposure hazards, and stressful emergency scenes, with or without reasonable accommodation.

Nice To Haves

Degree from an accredited college or university in EMS management or a related field.

Responsibilities

Prepare, maintain, and administer the shift schedule, including leave coverage, vacancies, assignments, and approved overtime; monitor qualifications, staffing, workload, and fatigue concerns; resolve coverage gaps and maintain accurate scheduling records within authorized staffing and expenditure limits.
Supervise the Assistant Shift Manager and assigned shift personnel; establish expectations, monitor attendance and performance, conduct evaluations using documented field observations, develop improvement plans, address personnel concerns, and maintain appropriate supervisory records.
Enforce County and departmental rules consistently; review reported violations, establish facts, document findings, and administer authorized corrective or disciplinary action in coordination with departmental leadership and Human Resources as required.
Maintain accountability for shift vehicles, service status, crew assignments, inspections, and unresolved defects; coordinate repair, maintenance, replacement, and reserve-vehicle needs with fleet and logistics personnel, and track deficiencies through resolution.
Evaluate countywide coverage, staffing availability, call demand, and operational risks; establish deployment priorities and direct implementation through the Assistant Shift Manager and dispatch; coordinate additional resources or mutual aid within delegated authority and escalate major coverage or capacity issues.
Review timestamps, leave records and coding, attendance, and overtime for accuracy and compliance; resolve discrepancies, submit approved records by deadlines, and ensure shift administrative reports and incident records are complete, accurate, timely, and appropriately routed.
Review trends in response performance, staffing, vehicle availability, documentation completion, complaints, and safety incidents; work with QA/QI, training, and logistics to identify causes, assign corrective actions, and monitor results; ensure documentation review and referral of clinical concerns to the appropriate quality or medical-direction process.
Coordinate required training, identify developmental needs, arrange staffing coverage for training, translate field observations and performance findings into coaching or development plans, and monitor completion and effectiveness.
Support significant incidents, prolonged operations, mass-casualty events, and resource-intensive calls; provide command-level coordination, resource authorization, and continuity planning within delegated authority; respond as needed to support the Assistant Shift Manager, provide paramedic care, or assume command when assigned; support extrication operations when required.
Prepare a consolidated shift report documenting staffing, personnel concerns, vehicle status, major incidents, resource needs, and unresolved follow-ups; ensure a complete management handoff and perform other related duties as assigned.