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Ems Director Jobs (NOW HIRING)

First Care

EMS Director

Cincinnati, OH · On-site

EMS Director First Care Ohio, LLC Position Summary The EMS Director is responsible for the overall leadership, management, compliance, and operational performance of the ambulance service. This ...

Quorum Services

EMS Director

Austin, TX

$65K - $80K/yr

The EMS director will be involved in the planning, developing, and evaluating the activities of the Emergency Medical Services (EMS) division. In addition to assisting with all aspects of the company.

Morrow County Health District

EMS Director

Irrigon, OR · On-site

$96K - $111K/yr

The Emergency Medical Services (EMS) Director oversees and directs the work of staff providing Emergency Medical Services through the District's hospital-based ambulance service. The service area ...

CONFIRE JPA

EMS/Transport Director

Rialto, CA · On-site

$160K - $228K/yr

The EMS and Transport Director oversees system performance, contract compliance, operational integration, stakeholder coordination, and quality improvement initiatives supporting regional patient ...

UCLA Health

EMS Program Director - EMT

Los Angeles, CA · On-site

$7.2K - $15K/mo

The EMS Program Director works under the Executive Director and collaborates closely with Medical Directors and the staff and management team within the UCLA Center for Prehospital Care. As a key ...

UCLA Health

EMS Program Director - EMT

Los Angeles, CA · On-site

$7.2K - $15K/mo

The EMS Program Director works under the Executive Director and collaborates closely with Medical Directors and the staff and management team within the UCLA Center for Prehospital Care. As a key ...

TeamHealth

EMS Director in Sullivan, IN

Sullivan, IN · On-site

Are you looking to advance your career as an EMS medical director while continuing to practice clinically in emergency medicine? TeamHealth has an excellent full-time opportunity for a board ...

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Ems Director information

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$34K

$116.5K

$185.5K

How much do ems director jobs pay per year?

As of Jun 29, 2026, the average yearly pay for ems director in the United States is $116,501.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,500.00 and $136,000.00 per year, depending on experience, location, and employer.

What are EMS Directors?

EMS Directors are responsible for overseeing emergency medical services (EMS) operations within an organization or region. They manage personnel, budgets, training, and ensure compliance with local, state, and federal regulations. EMS Directors also coordinate with hospitals, fire departments, and other emergency agencies to provide efficient and effective emergency care. Their leadership is crucial in maintaining high standards of patient care and operational readiness.

What are some common challenges EMS Directors face when managing emergency medical services teams?

EMS Directors often encounter challenges such as balancing limited resources with high service demand, ensuring staff are properly trained and equipped, and maintaining compliance with evolving regulations. They must also address staff burnout and foster effective communication across shifts and departments. Successful EMS Directors proactively develop protocols, provide ongoing training, and promote a positive workplace culture to meet these challenges and deliver high-quality emergency care.

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

To thrive as an EMS Director, you need a comprehensive background in emergency medical services, leadership experience, and typically a degree in EMS management or a related field, along with relevant state or national certifications. Familiarity with EMS software, incident command systems, and regulatory compliance tools is crucial. Strong decision-making, communication, and crisis management skills help you lead teams effectively and foster community trust. These competencies ensure efficient emergency response operations, regulatory adherence, and the safety of both patients and EMS personnel.

What Do EMS Directors Do?

EMS directors provide administrative oversight to a large group of emergency services professionals. As an EMS director, your staff includes paramedics, emergency medical technicians (EMTs), doctors, nurses, and support staff. Your main duties are to handle budgetary and staffing matters, such as scheduling, instruction of new employees, finding volunteers, and managing your organization’s compliance with local, state, and federal health and safety codes. In addition to your work in the office, your responsibilities may include working closely with community partners, hospitals, and other entities to ensure that your program is providing the best services possible.

What is the difference between Ems Director vs Ems Coordinator?

AspectEms DirectorEms Coordinator
CertificationsEMT-P, Paramedic, or EMS Management CertificationEMT-B or EMT-Paramedic
Work EnvironmentOversees multiple EMS teams, manages operations, and develops policiesCoordinates EMS responses, schedules, and patient care at the operational level
Employer & Industry UsageHospitals, EMS agencies, and emergency services organizationsEMS agencies, hospitals, and emergency response teams

The Ems Director typically holds higher-level management responsibilities, overseeing entire EMS operations, while the Ems Coordinator focuses on coordinating daily EMS activities and logistics. Both roles require EMS certifications, but the Director's role involves strategic planning and leadership, whereas the Coordinator handles operational tasks.

More about Ems Director jobs
What cities are hiring for Ems Director jobs? Cities with the most Ems Director job openings:
What are the most commonly searched types of Ems jobs? The most popular types of Ems jobs are:
Who are the top companies hiring for Ems Director jobs? The top employers for Ems Director jobs are:
What states have the most Ems Director jobs? States with the most job openings for Ems Director jobs include:
What job categories do people searching Ems Director jobs look for? The top searched job categories for Ems Director jobs are:
Ems Director jobs near you
Infographic showing various Ems Director job openings in the United States as of June 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% In-person job distribution, with an average salary of $116,501 per year, or $56 per hour.
EMS Director

EMS Director

First Care

Cincinnati, OH • On-site

Full-time

Posted 19 days ago

Job description

EMS Director
First Care Ohio, LLC
Position Summary
The EMS Director is responsible for the overall leadership, management, compliance, and operational performance of the ambulance service. This position oversees clinical operations, regulatory compliance, controlled substance management, supply chain operations, personnel management, quality improvement, safety initiatives, and relationships with regulatory agencies and healthcare partners. The EMS Director ensures the organization operates in accordance with all applicable federal, state, and local laws while maintaining the highest standards of patient care, employee safety, operational readiness, and organizational excellence.
Essential Duties and Responsibilities
Regulatory Compliance
  • Ensure compliance with all applicable federal, state, and local EMS regulations, licensing requirements, and industry standards.
  • Maintain organizational compliance with EMS regulatory agencies, controlled substance regulations, vehicle licensing requirements, and accreditation standards.
  • Serve as the primary liaison with state and local regulatory agencies.
  • Monitor changes in EMS laws, regulations, and industry standards and implement necessary operational changes.
  • Ensure organizational compliance with HIPAA, OSHA, DOT, Medicare, Medicaid, and other applicable regulatory requirements.
  • Oversee regulatory inspections, audits, investigations, and corrective action plans.

Operational Leadership
  • Direct daily EMS operations to ensure efficient and effective service delivery.
  • Develop and implement operational policies, procedures, and protocols.
  • Monitor system performance, response times, service delivery metrics, and operational readiness.
  • Oversee fleet readiness, equipment compliance, and resource allocation.
  • Participate in strategic planning, growth initiatives, and service expansion opportunities.
  • Collaborate with leadership to establish operational goals and performance objectives.

Personnel Management
  • Train, develop, supervise, and evaluate EMS personnel.
  • Provide leadership and mentorship to supervisors, managers, and field personnel.
  • Ensure employee certifications, licenses, credentials, and training requirements remain current.
  • Address employee performance concerns through coaching, corrective action, and performance management processes.
  • Foster a culture of accountability, professionalism, teamwork, and employee engagement.
  • Participate in employee disciplinary processes, investigations, and conflict resolution.

Clinical Quality and Patient Care
  • Collaborate with the Medical Director to ensure compliance with approved clinical protocols and standards of care.
  • Oversee quality assurance and quality improvement programs.
  • Review clinical performance indicators and patient care outcomes.
  • Investigate patient complaints, adverse events, medication variances, and operational incidents.
  • Implement corrective actions and process improvements when necessary.
  • Support continuing education and clinical competency programs.

Controlled Substance Management and Compliance
  • Oversee all aspects of controlled substance management and regulatory compliance.
  • Ensure compliance with all applicable federal and state laws governing controlled substances, including requirements established by the DEA, state boards of pharmacy, and EMS regulatory agencies.
  • Maintain accurate controlled substance inventories, security measures, records, audits, and reporting processes.
  • Investigate and address controlled substance discrepancies, losses, diversions, and documentation concerns.
  • Coordinate controlled substance inspections, audits, and corrective action plans.
  • Develop and implement policies and procedures related to narcotic storage, handling, administration, wasting, and recordkeeping.
  • Ensure all personnel receive appropriate training regarding controlled substance handling and compliance requirements.
  • Serve as the organization's designated leader for narcotics accountability, medication security, and controlled substance oversight.

Supply Chain and Inventory Management
  • Oversee procurement, inventory control, distribution, and replenishment of medical supplies, medications, and operational equipment.
  • Ensure all ambulances and facilities maintain appropriate inventory levels to support operational readiness.
  • Monitor supply utilization and identify opportunities for cost containment and operational efficiency.
  • Establish inventory management processes to minimize waste, expiration, loss, and shortages.
  • Coordinate vendor relationships and purchasing activities related to medical supplies, pharmaceuticals, and operational equipment.
  • Ensure compliance with medication storage requirements, expiration tracking, and inventory documentation standards.
  • Participate in budgeting and forecasting for medical supplies, pharmaceuticals, and equipment expenditures.
  • Maintain operational readiness by ensuring vehicles, equipment, medications, and supplies meet company standards and regulatory requirements.

Safety and Risk Management
  • Promote a culture of safety throughout the organization.
  • Oversee accident prevention, driver safety, infection control, and workplace safety initiatives.
  • Participate in incident investigations and corrective action planning.
  • Ensure compliance with OSHA and workplace safety requirements.
  • Analyze safety trends and implement preventative measures to reduce organizational risk.

Financial and Administrative Management
  • Assist with budgeting, forecasting, and resource planning.
  • Monitor operational expenses and identify opportunities for efficiency improvements.
  • Review vendor relationships, purchasing agreements, and operational contracts.
  • Develop performance metrics and reporting processes related to operations, compliance, inventory management, and patient care.
  • Support business development, customer relations, and community outreach initiatives.

Minimum Qualifications
  • Current EMT, AEMT, Paramedic, Registered Nurse, or other healthcare credential recognized by state EMS authorities.
  • Five (5) years of progressive EMS leadership, supervisory, or management experience.
  • Demonstrated knowledge of ambulance operations, EMS regulations, and healthcare compliance requirements.
  • Valid driver's license with an acceptable driving record.
  • Strong leadership, communication, organizational, and problem-solving skills.
  • Ability to manage multiple priorities and make independent decisions in a fast-paced environment.
  • Proficiency with Microsoft Office and operational reporting systems.

Preferred Qualifications
  • Bachelor's degree in Healthcare Administration, Public Administration, Business Administration, Emergency Management, Nursing, or a related field.
  • Experience serving as an EMS Director, Operations Director, Regional Director, Clinical Director, or similar leadership role.
  • Experience managing ambulance operations in multiple states.
  • Thorough working knowledge of Indiana, Ohio, and Kentucky EMS laws, administrative codes, licensing requirements, and regulatory processes.
  • Demonstrated experience obtaining, maintaining, or managing EMS licensure and regulatory compliance in Indiana, Ohio, and Kentucky.
  • Experience interacting with state EMS offices, regulatory inspections, complaint investigations, and licensing audits.
  • Experience with EMS accreditation programs, quality improvement initiatives, and regulatory compliance programs.
  • Experience managing controlled substance programs, including DEA compliance, state pharmacy regulations, inventory controls, diversion prevention, and auditing.
  • Experience overseeing EMS supply chain operations, inventory management systems, medication procurement, and fleet equipment readiness.
  • Thorough understanding of controlled substance security, documentation, auditing, and regulatory reporting requirements.
  • Knowledge of HIPAA, OSHA, DOT, Medicare, Medicaid, and healthcare compliance requirements.
  • Experience conducting internal compliance audits, corrective action planning, and organizational risk management.
  • Experience managing budgets, contracts, and strategic growth initiatives.

Physical Requirements
  • Ability to sit, stand, walk, bend, stoop, and reach for extended periods.
  • Ability to occasionally lift and carry up to 50 pounds.
  • Ability to travel between company locations and attend meetings, inspections, conferences, and community events.
  • Ability to respond to operational emergencies outside normal business hours as needed.

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