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Ems Chief Jobs (NOW HIRING)

Forsyth County, NC

EMS Lieutenant

Winston Salem, NC · On-site

$27.31 - $31.41/hr

One year experience as an EMS Paramedic Crew Chief * Two years' experience as a North Carolina Credentialed Paramedic working within a 911 prehospital system * Completion of EMS Officer I course ...

Gfoat

Fire Chief

Paris, TX · On-site

$90 - $140/hr

Paris/Lamar County EMS is a stand‑alone third city service operating under the direction of the Fire Chief. This position interacts regularly with other City departments, other public agencies ...

Virginia Department of Emergency Management

$120 - $160/hr

The next Chief will build upon this strong foundation, leading with a practical, forward-looking ... Oversees EMS quality assurance, clinical performance improvement programs, and system-wide service ...

New

Lake Mary City of Lakes

NY · On-site

$120 - $170/hr

The next Chief will build upon this strong foundation, leading with a practical, forward-looking ... Oversees EMS quality assurance, clinical performance improvement programs, and system‑wide ...

Gfoat

WI · On-site

$120 - $180/hr

Serves in emergency management capacities (e.g., Incident Commander, Operations Section Chief, or EMS Branch Director) during local disasters, severe weather events, or major public safety incidents ...

San Manuel Casino

EMS Coordinator

Highland, CA

Advice the Fire Chief, EMS Operations Manager, and Medical Director on EMS matters. Complete confidential reports and documentation on EMS care. 6. Provide input as it relates to EMS responsibilities ...

Clay County Board of County Commissioners

$151K - $234K/yr

The Fire Chief provides strategic direction, executive oversight, and command leadership for all ... Oversees EMS quality assurance, clinical performance improvement programs, and system-wide service ...

City of Lewiston

Deputy Fire Chief

Lewiston, ID

$107K - $117K/yr

Maintains EMS agency license for Idaho and Washington , coordinates with Division Chief of training to ensure all personnel maintain ems certifications. Ensures compliance with all regulatory ...

City of Lewiston, ID

Deputy Fire Chief

Lewiston, ID · On-site

$107K - $117K/yr

Maintains EMS agency license for Idaho and Washington , coordinates with Division Chief of training to ensure all personnel maintain ems certifications. Ensures compliance with all regulatory ...

Gfoat

Fire Chief

Frisco, TX · On-site

$180 - $240/hr

POSITION OVERVIEW The Frisco Fire Chief is the executive leader of one of the nation's premier all ... Experience in a 911 EMS based system. * Demonstrated planning and command experience at major ...

Clemson

Fire and EMS Training Officer

Clemson, SC · On-site

$41K/yr

This position does not establish operational policy or regulatory authority for Fire, EMS, or Police functions, which remains with the respective Fire Chief and Police Chief. Performs other duties as ...

Clemson University

Fire and EMS Training Officer

Clemson, SC · On-site

$98K - $98K/yr

This position does not establish operational policy or regulatory authority for Fire, EMS, or Police functions, which remains with the respective Fire Chief and Police Chief. Performs other duties as ...

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Ems Chief information

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$33K

$124.4K

$200.5K

How much do ems chief jobs pay per year?

As of Sep 6, 2026, the average yearly pay for ems chief in the United States is $124,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $93,000.00 and $146,000.00 per year, depending on experience, location, and employer.

What is an EMS chief?

EMS Chiefs are senior leaders responsible for overseeing emergency medical services (EMS) operations within an organization or municipality. Their duties typically include managing EMS staff, developing policies and procedures, ensuring regulatory compliance, budgeting, and coordinating with other emergency services like fire and police departments. EMS Chiefs also play a crucial role in strategic planning, training, and community outreach to improve patient care and response times. They often act as the public face of their EMS organization and are accountable for its overall performance.

What does an EMS chief do?

As an EMS chief, your job is to supervise and direct the delivery of emergency medical services. In this role, you command a team, ensure adequate response times, monitor supplies, and manage personnel and staffing needs. EMS chiefs also help with public relations, ensure that all personnel members understand applicable laws, ordinances, and patient care standards, and help guarantee that staff members have the correct licenses and certifications. EMS chiefs are also known as EMS captains, EMS coordinators, operations managers, and division chiefs, and employers may advertise this job d under any of those titles. EMS chiefs supervise lieutenants and report to a director or department chief.

What are the key skills and qualifications needed to thrive as an EMS chief, and why are they important?

To thrive as an EMS Chief, you need extensive experience in emergency medical services, leadership abilities, and relevant certifications such as NREMT-Paramedic or equivalent along with management training. Familiarity with EMS scheduling software, incident command systems (ICS), and compliance protocols like HIPAA is typically required. Outstanding communication, decision-making, and crisis management skills help an EMS Chief lead teams effectively under pressure. These skills ensure the delivery of high-quality emergency care, operational efficiency, and strong team performance in critical situations.

What are some common challenges faced by an EMS chief, and how can they be effectively managed?

An EMS Chief often encounters challenges such as balancing administrative duties with field operations, managing budget constraints, and ensuring staff retention and well-being. Effective management involves clear communication, delegating responsibilities to trusted supervisors, and staying engaged with both staff and municipal leadership. Proactive planning, ongoing training, and fostering a positive workplace culture are key to overcoming these hurdles and maintaining high-quality emergency medical services.

What is the difference between Ems Chief vs Ems Supervisor?

AspectEms ChiefEms Supervisor
CertificationsEMT-P, Paramedic, EMS Management CertificationEMT-B, EMT-Paramedic
Work EnvironmentLeadership roles in EMS agencies, overseeing operationsSupervising EMS crews, managing daily field activities
Employer & Industry UsageEMS agencies, hospitals, emergency servicesEMS agencies, ambulance services
Search & Comparison IntentUnderstanding leadership roles in EMSManaging EMS teams and daily operations

The Ems Chief typically holds a higher leadership position, overseeing entire EMS operations, while the Ems Supervisor manages daily field activities and team supervision. Both roles require EMS certifications, but the Ems Chief often has additional management credentials. The choice depends on whether you're interested in strategic leadership or operational supervision within EMS organizations.

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Ems Chief jobs near you
Infographic showing various Ems Chief job openings in the United States as of August 2026, with employment types broken down into 2% Internship, 1% As Needed, 87% Full Time, 9% Part Time, and 1% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $124,409 per year, or $59.8 per hour.

EMS Lieutenant

Forsyth County, NC

Winston Salem, NC • On-site

$27.31 - $31.41/hr

Full-time

Posted 6 days ago

Job description

Salary: $27.31 - $31.41 Hourly
Location : EMS, 911 East Fifth Street, Winston-Salem, NC
Job Type: Full Time
Job Number: 09049
Department: Emergency Services
Opening Date: 09/01/2026
Closing Date: 9/13/2026 12:00 AM Eastern
General Statement of Duties
The EMS Lieutenant (Operations) serves as a Field Trainer Officer and performs the duties of a Medic I while functioning as a ride-up supervisor in the absence of a shift Captain. This position is responsible for training and evaluating employees in the clearance process and serves as a liaison between Quality Management and shift supervision. The EMS Lieutenant (Operations) provides supervisory coverage for a designated operational area when assigned as an acting EMS Captain and may be tasked by EMS Battalion Chiefs or EMS Captains to lead or complete projects, training initiatives, or operational assignments.
Distinguishing Features
This position requires strong leadership, high accountability, and a commitment to Forsyth County Emergency Services operational standards. Work involves mentorship, coaching, direct field training, and ensuring quality and compliance with departmental procedures. The EMS Lieutenant (Operations) must demonstrate sound judgment, independent decision-making, and effective communication while working in a dynamic and high-pressure environment.
  • Ability to effectively train, mentor, and evaluate EMS personnel.
  • Strong knowledge of Forsyth County EMS protocols, policies, and quality assurance standards.
  • Effective written and verbal communication skills.
  • Ability to manage stressful or rapidly changing situations.
  • Ability to lead projects and assignments independently.
  • Strong problem-solving and operational decision-making abilities

Minimum Education and Experience
  • High School Diploma or Equivalent
  • North Carolina EMT-Paramedic Credential
  • ICS 100, 200, 300, 400, 700, and 800
  • Completion of an established Field Training Methodology Course
  • Competency with Microsoft Office Suite and Ninth Brain platform
  • Cleared QRV Medic
  • One year experience as an EMS Paramedic Crew Chief
  • Two years' experience as a North Carolina Credentialed Paramedic working within a 911 prehospital system
  • Completion of EMS Officer I course (preferred)
  • Associate's degree in EMS, Emergency Management, Public Safety or another related field (Preferred)

Essential Duties and Responsibilities
  • Respond to emergency and non-emergency calls for service and provide excellent ALS level care using all current protocols, equipment, and vehicles.
  • Train, coach, and evaluate employees progressing through the clearance process.
  • Supervise EMT-Basic direct reports and complete annual performance evaluations for those personnel.
  • Serve as liaison between Quality Management and shift supervision, ensuring effective communication and documentation.
  • Perform duties of Medic I and provide advanced prehospital medical care.
  • Serve as acting EMS Captain when assigned, overseeing operations in a designated response area.
  • Provide guidance, feedback, and mentorship to junior EMS personnel.
  • Assist with development and implementation of training plans, remediation plans, and operational improvement initiatives.
  • Conduct field performance evaluations and deliver training assessments.
  • Ensure compliance with Forsyth County EMS protocols, quality assurance expectations, and operational guidelines.
  • Complete assigned projects and initiatives from EMS Battalion Chiefs or EMS Captains.
  • Maintain accurate records, reports, and documentation related to training, supervisory actions, and patient care.
  • Participate in continuing education, leadership development programs, and departmental initiatives.
  • Must be able to lift, carry, and move patients and equipment in excess of 100 lbs with assistance.
  • Frequent standing, walking, bending, kneeling, climbing, and reaching during emergency response activities.
  • Ability to work in hazardous, confined, or unstable environments during rescue or medical operations.
  • Must be able to operate EMS vehicles and equipment according to department standards.
  • Must maintain sufficient physical stamina for extended emergency operations.

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These links do not apply to positions that are Part Time, no benefits.
01
The following supplemental questions may be used as a scored evaluation of your knowledge, skills and experience. Be certain that the choices you make correspond to the information you have provided on your application. Please be as honest and accurate as possible. You may be asked to demonstrate your knowledge and skills in a work sample or during a hiring interview.By completing this supplemental evaluation you are attesting that the information you have provided is accurate. Any information you provide may be reviewed by the hiring manager. Any misstatements or falsification of information may eliminate you from consideration or may result in dismissal. "See resume" is not an acceptable answer to the questions.
  • Yes I understand and agree
  • No I do not agree

02
Do you have a High School Diploma or Equivalent?
  • Yes
  • No

03
What best describes your highest level of completed education?
  • Did Not Finish High School
  • High School Diploma or GED
  • Some college
  • Associate's Degree
  • Bachelor's Degree
  • Master's Degree or Advanced Degree

04
Are you currently certified by the NC Department of Human Resources office of Emergency Medical services and the NC Board of medical examiners as an EMT-Paramedic?
  • Yes
  • No

05
How many years of experience do you have as an EMT-Paramedic?
  • No Experience
  • 1 to 2 years
  • 2 to 4 years
  • 4 to 6 years
  • More than 6 years

06
Do you have a valid driver's license?
  • Yes
  • No

07
Has your certification ever been suspended by North Carolina Office of EMS or a Medical Director?
  • Yes
  • No

08
Have you completed an EMS Field Training Methodology Course?
  • Yes
  • No

09
Have you completed ICS 100,200,300,400
  • Yes
  • No

10
Do you have at least two years' experience working as a North Carolina credentialed Paramedic, working in operations in a 911 prehospital system
  • Yes
  • No

11
Are you currently a FCEMS Cleared QRV medic?
  • Yes
  • No

12
Do you have an associate's degree in EMS, Emergency Management, or another related field?
  • Yes
  • No

Required Question

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