EMS Lieutenant

Forsyth County (NC); Winston-Salem (NC); On-site; USD 75,000 - 110,000; Full time

Job summary

Forsyth County Emergency Services seeks an EMS Lieutenant (Operations) to supervise and mentor EMS personnel, lead field training, and serve as a Medic I when needed. You will coordinate training, ensure adherence to QA standards, and act as liaison between Quality Management and shift supervision.

Ideal candidates bring NC EMT-Paramedic credential, strong leadership, and the ability to manage high-pressure field operations while advancing training initiatives and project work across the

Qualifications

• Must have NC EMT-Paramedic credential and related licenses.
• Experience as EMS Paramedic Crew Chief and in a 911 prehospital system.
• Completion of Field Training Methodology Course.
• Ability to lift, carry, and move heavy equipment (>100 lbs) with assistance.
• Strong leadership and communication skills.

Responsibilities

• Respond to emergency and non-emergency calls providing ALS level care using current protocols.
• Train, coach, and evaluate employees progressing through the clearance process.
• Supervise EMT-Basic direct reports and complete annual performance evaluations.
• Serve as liaison between Quality Management and shift supervision; ensure documentation.
• Perform duties of Medic I and provide advanced prehospital medical care.
• Serve as acting EMS Captain when assigned, overseeing operations in a designated area.
• Provide guidance and mentorship to junior EMS personnel.
• Assist with training plans, remediation plans, and operational improvements.
• Conduct field performance evaluations and training assessments.
• Ensure compliance with Forsyth County EMS protocols and QA expectations.
• Complete assigned projects from EMS Battalion Chiefs or EMS Captains.
• Maintain records and documentation of training and patient care.

Skills

Training & mentoring

EMS protocol knowledge

Communication

Leadership under pressure

Project leadership

Decision-making

Education

High School Diploma or Equivalent

NC EMT-Paramedic Credential

ICS 100/200/300/400/700/800

Field Training Methodology Course

Associate’s degree (EMS, Emergency Management, Public Safety or related)

EMS Officer I course (preferred)

Tools

Ninth Brain platform

Microsoft Office Suite

Job description

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.

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

• 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)

• 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.