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Ems Lieutenant Jobs (NOW HIRING)

Maintain and track EMS supplies and inventory. * Report inventory supply levels to the Fire Lieutenant * Perform other related job duties and related job tasks as assigned.

Supervise personnel in performance of firefighting, rescue, EMS, hazardous materials, public relation, administrative and maintenance duties as outlined in department policy, procedures, guidelines ...

Full Time - Lieutenant/EMT

Stafford, TX

$15.50 - $20.50/hr

Supervise personnel in performance of firefighting, rescue, EMS, hazardous materials, public relation, administrative and maintenance duties as outlined in department policy, procedures, guidelines ...

Full Time - Lieutenant/EMT

Stafford, TX ยท On-site

$90K - $99K/yr

Supervise personnel in performance of firefighting, rescue, EMS, hazardous materials, public relation, administrative and maintenance duties as outlined in department policy, procedures, guidelines ...

Paramedic

Deer Park, TX ยท On-site

$28.84/hr

EMS Shift Lieutenant * EMS Captain * EMS Chief * Director of Emergency Services Supervision Exercised None Examples of Duties / Knowledge & Skills Essential Duties and Responsibilities Duties may ...

Paramedic

Deer Park, TX ยท On-site

$28.84/hr

EMS Shift Lieutenant EMS Captain EMS Chief Director of Emergency Services Supervision Exercised None Examples of Duties / Knowledge & Skills Essential Duties and Responsibilities Duties may include ...

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Showing results 1-20

Ems Lieutenant information

See salary details

$43K

$81.7K

$133K

How much do ems lieutenant jobs pay per year?

As of Jun 9, 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 are the key skills and qualifications needed to thrive as an EMS Lieutenant, and why are they important?

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.

How does an EMS Lieutenant typically support and lead their team during high-pressure emergency situations?

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 EMS Lieutenants?

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 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:
Infographic showing various Ems Lieutenant job openings in the United States as of May 2026, with employment types broken down into 5% Locum Tenens, 77% Full Time, 5% Part Time, and 13% Temporary. Highlights an 84% Physical, 14% Hybrid, and 2% Remote job distribution, with an average salary of $81,728 per year, or $39.3 per hour.

Full-time

Posted 18 days ago


Job description

Summary: Under administrative direction, plans, directs, manages and oversees the activities and operations of the Fire and Rescue Department. This will include policy development, fiscal management, code enforcement, emergency medical services (EMS), fire safety and fire suppression and prevention; to coordinate assigned activities with other departments and outside agencies; and to provide highly responsible and complex administrative support to NEMS senior management.

Essential Duties and Responsibilities

ยท Provides oversight to all matters pertaining to the Department.

ยท Ensures that the vision of reducing and eliminating risk for our clients is achieved at the highest level possible within budgetary constraints.

ยท Provides effective leadership for all personnel necessary to carry out the business and mission of the Department.

ยท Manages the development and implementation of departmental goals, objectives, policies and priorities for the Department.

ยท Develops, recommend and administer policies and procedures pursuant to the goals/objectives of the Department.

ยท Establishes and coordinates appropriate service and staffing levels.

ยท Establishes recruitment/retention plans to attract and retain quality personnel.

ยท Selects, trains, motivates and evaluates assigned personnel.

ยท Monitors and evaluates the efficiency and effectiveness of service delivery methods and procedures.

ยท Develops metrics to identify potential issues and directs actions for resolution.

ยท Performs final interpretations of fire codes and ordinances to ensure consistency and compliance with mandate rules, regulation, codes and ordinances.

ยท Works with personnel to correct deficiencies and implement corrective action.

ยท Participants in the development and administration of the Departmentโ€™s budget.

ยท Explain and justify Department programs, policies and activities.

ยท Coordinates activities with other departments and outside agencies/organizations as needed.

ยท Will serve as NorthStar EMSโ€™ liaison with clients.

ยท Will stay up-dated on latest Fire Department/EMS standards and trends and evaluate possible implementation.

ยท Provide expertise in fire prevention, fire suppression and fire investigation strategies.

ยท Meets the NorthStar EMS job description requirements for Industrial Firefighter and/or Industrial Firefighter/Paramedic, Fire Lieutenant, Fire Captain, and Assistant Fire Chief (as required).

ยท Must be able to drive all assigned vehicle per NorthStarโ€™s driving policies.

ยท Will adhere to NorthStarโ€™s and Department specific Standard Operating Procedures.

ยท Performs other duties as required by superiors.

Minimum Qualifications

ยท Must be at least 21 years of age.

ยท High school diploma or GED.

ยท Class E driver license.

ยท Current CPR / AED for Health Care Provider or BLS certification.

ยท IFSAC / ProBoard Firefighter II.

ยท NFPA 1002 Ch. 4 or equivalent Emergency Vehicle Driver Training or Apparatus Operator (AO) Certification.

ยท NFPA 1002 Ch. 5 or equivalent Fire Department Pumper Operations 1

ยท IFSAC / ProBoard Fire Instructor 1 or NFPA 1041 equivalent.

ยท IFSAC / ProBoard Fire Officer 3 (4 preferred) or NFPA 1021 equivalent.

ยท NIMS 100, 200, 300, 400, 700

ยท OSHA 30 Certification is preferred. Will be required within 12 months of hire.

ยท Fire Department Safety Officer/Health & Safety Officer NFPA 1521

ยท Pass a background check.

ยท Must have the ability to establish and maintain effective working relations with fellow employees, clients, assigned facility/plant employees and contractors, neighboring emergency service agencies, NorthStar EMS/NorthStar Industrial EMS and Fire (NorthStar) management, and the general public.

ยท Must have excellent verbal and written communication skills.

ยท Must be able to handle conflict situations with good judgment, professionalism, and courtesy.

ยท Firefighters must meet the medical training requirements for each locationโ€™s Scope of Work, i.e., Emergency Medical Responder (EMR), EMT Basic, Advanced EMT or Paramedic.

Driving Requirements:

ยท Valid Driverโ€™s license.

ยท Must pass Motor Vehicle Records check

ยท Meets NorthStarโ€™s insurance requirements to drive company vehicles.

PHYSICAL REQUIREMENTS:

ยท Successful ability to complete the departments physical agility requirements including, but not limited to walking, climbing, crawling, bending, pushing, pulling, lifting, and maintaining balance over less than ideal terrain.

ยท Must have good physical stamina and endurance, measured by the ability to undertake, without adverse effects, lifting, carrying, and balancing loads in excess of 125 pounds (250 pounds with assistance), climbing ladders and stairs while carrying equipment/tools, lifting/carrying and pulling hose lines, lifting/carrying required tools and equipment.

ยท Must have the ability to see different color spectrums.

ยท Eyesight must be correctable to 20/20 in at least one eye.

ยท Must have good eye-hand coordination and sufficient manual dexterity to manipulate equipment, instrumentation, and medications.

ยท Must be able to differentiate between normal and abnormal findings in human physical conditions by using visual, auditory, olfactory, and tactile observations.

ยท Must be oriented to reality.

STRESS FACTORS:

Frequently: Intense tasks, busy environment.

Constantly: High pressure.

WORKING ENVIRONMENT:

Occasionally: Extended day. Available for immediate recall, as needed.

Constantly: While performing the duties of this job the employee may work outdoors. This may include exposure to wet, humid, hot, and inclement weather conditions. The employee may work near moving mechanical parts, under hazardous, life-threatening conditions, such as, but not limited to, heights, confined spaces, temperature extremes, crowds, loud noises, limited visibility, in the presence of hazardous materials, in the

presence of victims of death and/or dismemberment. The employee must work effectively as a team member and/or leader of a fire company, communicate professionally with peers and superiors, one-on-one and in groups.

MENTAL REQUIREMENTS:

Frequently: Analyzing, decision making.

Constantly: Simple reading and writing, high math and writing skills, clerical, memorization, perception/computation, problem solving, simple math skills, judgment, reasoning.

EQUIPMENT USED:

Occasionally: Tablet computer, computer, keyboard, stapler, 3-hole punch, sharpener, calculator. Biomedical equipment

Frequently: Telephone, cell phone, Fire and EMS medical equipment.

PUBLIC RELATIONS:

ยท Participates actively in public awareness and community educational programs.

ยท Maintain professional appearance of the approved uniform, maintains hygienic and grooming standards.

ยท Work on special projects as delegated by management staff.

COMMUNICATIONS SKILLS:

ยท Needs to communicate tactfully and sensitively to others.

ยท Shall remain apolitical while representing NorthStar. Shall abstain from any and all political involvement with outside agencies while on duty or representing NEMS.

ยท Must speak English clearly and write legibly.

ยท Must possess basic teaching skills.