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Ems Lieutenant Jobs (NOW HIRING)

$15.50 - $20.50/hr

EMS Lieutenant Posting type: Open & Promotional Categories: Fire & EMS Summary The EMS Lieutenant (Operations) serves as a Field Trainer Officer and performs the duties of a Medic I while functioning ...

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EMS Lieutenant

Winston Salem, NC · On-site

$15.25 - $20.25/hr

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 ...

EMS Lieutenant

Winston Salem, NC · On-site

$27.31 - $31.41/hr

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 ...

EMS Lieutenant

Wichita, KS · On-site

$26.06/hr

EMS Job ID: 13204 Pay: $26.06 per hour Work Schedule: Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation ...

EMS Basic Pool 2026

Reidsville, NC · On-site

$16 - $21.25/hr

Work is performed under the moderate supervision of the EMS Lieutenant. Examples of Duties: * Provides emergency and non-emergency care to residents and visitors of the County; operates equipment and ...

$40K/yr

Work is performed under the moderate supervision of the EMS Lieutenant. Paid Medical, Dental, Vision & Life Insurance Onsite wellness/medical clinic Onsite fitness center Retirement Flexible Spending ...

The Lieutenant serves the community by responding to a wide variety of situations, ranging from ... Must be able to operate mobile devices, Fire/ EMS Software amp; Active 911. * Performs all work ...

The Lieutenant serves the community by responding to a wide variety of situations, ranging from ... Must be able to operate mobile devices, Fire/ EMS Software & Active 911. * Performs all work duties ...

$49K/yr

Work is performed under the limited supervision of the EMS Lieutenant. Paid Medical, Dental, Vision & Life Insurance Onsite wellness/medical clinic Onsite fitness center Retirement Flexible Spending ...

... Lieutenant to help lead continuing education and orientation efforts across our South Division ... Adhere to all Empress EMS policies and procedures. * Implement and coordinate Empress EMS training ...

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Ems Lieutenant information

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$43K

$81.7K

$133K

How much do ems lieutenant jobs pay per year?

As of Sep 14, 2026, the average yearly pay for ems lieutenant in the United States is $81,728.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $108,500.00 per year, depending on experience, location, and employer.

What is an EMS lieutenant?

EMS Lieutenants are supervisory personnel within Emergency Medical Services who oversee EMTs and paramedics during emergency response operations. They are responsible for coordinating teams, ensuring protocols are followed, and providing leadership at the scene of medical emergencies. EMS Lieutenants also handle administrative duties such as scheduling, training, and incident reporting. Their role is essential for maintaining efficient and effective emergency medical response and ensuring both patient and crew safety.

What does an EMS lieutenant do?

An EMS Lieutenant plays a critical leadership role by coordinating team members, making quick decisions, and ensuring effective communication during high-pressure emergencies. They are responsible for delegating tasks, monitoring scene safety, and providing support to paramedics and EMTs to ensure patient care is delivered efficiently. Additionally, EMS Lieutenants often act as a liaison between their team and other emergency services, such as fire and law enforcement, to ensure seamless operations. This role requires strong leadership, calmness under pressure, and the ability to adapt to rapidly changing circumstances.

What are the key skills and qualifications needed to thrive as an EMS lieutenant?

To thrive as an EMS Lieutenant, you need advanced emergency medical training (such as paramedic certification), leadership ability, and incident management experience. Familiarity with dispatch systems, electronic patient care reporting, and protocols like ICS (Incident Command System) is typically required. Outstanding communication, decision-making under pressure, and team-building skills help set exceptional EMS Lieutenants apart. These competencies enable effective emergency response coordination, safeguarding patient outcomes and crew safety.

What is the difference between Ems Lieutenant vs Ems Paramedic?

AspectEms LieutenantEms Paramedic
CertificationsEMT-Basic, EMT-Paramedic, Leadership trainingEMT-Basic, EMT-Paramedic
Work EnvironmentSupervisory role, administrative duties, field supervisionPatient care, emergency response, transport
Employer & IndustryFire departments, EMS agencies, hospitalsAmbulance services, EMS agencies, hospitals

The Ems Lieutenant typically holds leadership responsibilities, overseeing EMS teams and managing operations, while the Ems Paramedic focuses on providing advanced patient care in emergency settings. Both roles require EMT-Paramedic certification, but the Lieutenant also emphasizes supervisory skills and administrative duties.

More about Ems Lieutenant jobs

What states have the most Ems Lieutenant jobs?

States with the most job openings for Ems Lieutenant jobs include:

What are popular job titles related to Ems Lieutenant jobs?

For Ems Lieutenant jobs, the most frequently searched job titles are:

Infographic showing various Ems Lieutenant job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 77% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $81,728 per year, or $39.3 per hour.

$15.50 - $20.50/hr

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Posted 3 days ago

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Job description

Posting number: 09049

Department: Emergency Services

Job classification: EMS Lieutenant

Posting type: Open & Promotional

Categories: Fire & EMS

Summary

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.

Examples of duties

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

Qualifications

  • 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)

Supplemental information

  • 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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