EMT: Paramedic (Full-time)

Paycom - ATS; Pagosa Springs (CO); On-site; USD 51,000 - 64,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plan

Job summary

Pagosa Springs Medical Center in Pagosa Springs, Colorado, seeks an experienced EMT-P to join our EMS team. The Paramedic provides advanced pre-hospital care, leads on scene, and coordinates care for EMT-B and EMT-IV partners in a rural mountain community.

This full-time role offers opportunities to develop clinical leadership while supporting high-quality emergency care in the San Juan Mountains. Enjoy a strong team culture and community-focused service.

Qualifications

• Successful completion of the EMT-P national standard curriculum is required.
• Current Colorado EMT-P certification is required.
• ACLS and PALS certifications or completion within 3 months of hire.
• BLS certification required; strong documentation skills preferred.

Responsibilities

• Provide direct advanced life support care within the Paramedic scope of practice.
• Lead on scene as ALS Lead and coordinate patient care among EMT-B/EMT-IV partners.
• Coordinate patient care and activities of other responders on scene.
• Complete patient care documentation accurately and timely.
• Maintain licensure, certifications, continuing education, and competencies.
• Assist with orientation and training of new EMS staff.

Skills

ALS leadership

Critical thinking

Team leadership

Communication

Scene coordination

Clinical judgment

Patient assessment

Education

EMT-P national standard curriculum

Colorado EMT-P certification

BLS certification

ACLS certification

PALS certification

Tools

EMS software

Microsoft Office

Electronic Health Records

Job description

Job Details: Job Location: Pagosa Springs Medical Center - PAGOSA SPRINGS, CO 81147, Position Type: Full Time, Salary Range: $24.62 - $30.78 Hourly, EMT: Paramedic

Department: Emergency Medical Services (EMS)

Status: Full-Time | 48/96 Shift Schedule

FLSA Status: Non-Exempt

Reports To: Manager: EMS Deputy Chief

Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado

Position Highlight

Provide advanced life support and lead high-quality emergency medical care while serving a rural mountain community as part of Pagosa Springs Medical Center's dedicated EMS team.

Position Summary

Pagosa Springs Medical Center (PSMC) is seeking an experienced and compassionate EMT: Paramedic to join our Emergency Medical Services team.

The Paramedic provides advanced pre-hospital patient care within the EMT-P scope of practice and serves as the ALS Lead during emergency responses. In this role, the Paramedic is responsible for the overall coordination and delivery of patient care, including care provided by EMT-B and EMT-IV partners, coordination of other responders on scene, and the safe and effective operation of the ambulance.

This position is ideal for a skilled EMS professional who thrives in dynamic environments, demonstrates strong clinical judgment and leadership, and is committed to providing exceptional emergency care to patients throughout our rural community.

Why Join PSMC?

• Serve as an ALS clinical leader within a community-focused EMS system
• Provide advanced emergency medical care across a diverse rural and mountain environment
• Work alongside experienced EMTs, paramedics, nurses, providers, fire agencies, law enforcement, and other emergency responders
• Respond to a broad range of medical, trauma, and emergency situations
• Work a traditional 48/96 public safety schedule
• Maintain and expand advanced pre-hospital clinical skills through ongoing education and training
• Help orient and develop other members of the EMS team
• Live and work in the beautiful San Juan Mountains with exceptional year-round outdoor recreation

Key Responsibilities

Advanced Life Support & Patient Care

• Provide direct advanced life support care within the Paramedic scope of practice
• Serve as the ALS Lead and assume responsibility for overall patient care during emergency responses
• Oversee patient care provided by EMT-B and EMT-IV partners
• Perform comprehensive patient assessments, triage, treatment, and ongoing reassessment
• Assess and reassess pain and utilize appropriate pain management techniques
• Administer medications, IV fluids, and other treatments within established protocols
• Make sound clinical decisions in rapidly changing and high-stress situations
• Address the psychosocial needs of patients and families while providing culturally responsive care
• Provide care in a manner that promotes patient safety and minimizes the likelihood of treatment errors

Scene Leadership & Coordination

• Coordinate patient care and the activities of other responders on scene
• Function effectively in a team lead role
• Communicate clearly with EMS partners, receiving facilities, providers, dispatch, fire agencies, law enforcement, and other responders
• Maintain situational awareness and adapt quickly as patient or scene conditions change
• Understand and appropriately utilize the EMS chain of command
• Apply critical thinking and sound professional judgment in complex situations
• Understand the National Incident Management System (NIMS) and the role of EMS in large-scale exercises and real-world incidents

Ambulance & Equipment Operations

• Verify that the assigned ambulance is mechanically sound and properly equipped at the beginning of each shift
• Operate ambulances and other EMS vehicles safely and responsibly
• Operate medical equipment safely and correctly
• Maintain familiarity with medications, IV fluids, equipment, and treatment protocols
• Identify and communicate vehicle, equipment, supply, and safety concerns
• Maintain operational readiness throughout the shift

Documentation & Quality

• Complete patient care documentation accurately and in accordance with current standards and policies
• Complete required documentation within the assigned shift
• Participate in EMS quality assurance and performance improvement activitiesAccept and apply feedback from QA to continually improve clinical practice
• Maintain all required licensure, certifications, continuing education, and competencies
• Follow PSMC policies, EMS protocols, procedures, and operational expectations

Team Development & Station Responsibilities

• Assist with orientation and training of new EMS staff members
• Provide training to staff as requested
• Participate in departmental training, continuing education, and emergency preparedness activities
• Participate in assigned station duties and chores
• Maintain clean, organized, and safe EMS living and working quarters
• Follow established expectations for shared EMS living quarters
• Participate in departmental inventory and other operational activities as assigned

Qualifications: Education & Training

• Successful completion of the EMT-P national standard curriculum required

Experience

• Experience working as an EMT-P required
• Operational experience providing emergency care to sick and injured patients strongly preferred
• Knowledge of clinical scope-of-practice skills, critical thinking, and ALS pre-hospital patient care required
• Experience providing pre-hospital care in dynamic environments requiring adaptability, situational awareness, and strong critical thinking skills strongly preferred

Licensure & Certifications

• Current Colorado EMT-P certification required
• Current AHA BLS certification for Healthcare Providers required
• Current ACLS certification required, or successful completion of the next available course within three (3) months of hire
• Current PALS certification required, or successful completion of the next available course within three (3) months of hire
• Must successfully complete a Fitness for Duty evaluation
• Must remain insurable under PSMC's automobile insurance requirements and maintain an acceptable driving record

Skills

• Strong advanced patient assessment and ALS clinical skills
• Excellent critical thinking and clinical decision-making abilities
• Ability to effectively lead patient care and coordinate emergency scenes
• Ability to remain calm, focused, and professional during high-stress situations
• Strong interpersonal and team communication skills
• Ability to work independently while appropriately utilizing available resources
• Ability to safely operate emergency vehicles and medical equipment
• Basic computer skills, including Microsoft Office, electronic health records, and EMS software
• Ability to manage multiple priorities and frequent interruptions in a rapidly changing environment

Physical & Work Environment Requirements

This is a physically demanding emergency response position. The job description classifies the position as Very Heavy Work and includes lifting, carrying, pushing, pulling, kneeling, stooping, reaching, standing, walking, and other physical activities associated with emergency medical care and patient movement.

Work may be performed outdoors and in uncontrolled emergency environments with exposure to inclement weather, roadway hazards, blood and bodily fluids, communicable diseases, hazardous materials, equipment hazards, and potentially challenging or physically aggressive situations.

What We're Looking For

• Is passionate about providing exceptional advanced emergency medical care
• Demonstrates confidence and sound clinical judgment as an ALS provider
• Is comfortable assuming responsibility for patient care and scene coordination
• Remains calm, focused, and professional during high-acuity and rapidly changing situations
• Demonstrates strong situational awareness, adaptability, and critical thinking
• Understands the importance of accurate and timely patient care documentation
• Works effectively with EMT partners and multidisciplinary emergency response teams
• Takes accountability for maintaining clinical competency, certifications, equipment readiness, and professional standards
• Enjoys supporting the development and training of other EMS professionals
• Embodies PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and Respect

Schedule, Hours & Overtime

PSMC EMS employees are generally scheduled in 24- to 48-hour shift tours, following the traditional public safety 48/96 shift schedule model for most of our operations.

EMS employees scheduled for a minimum of 24 consecutive hours are paid their regular wage for hours worked up to 40 hours in a single workweek, with time and a half applied for hours worked beyond 40 in that week.

When scheduled for a shift of 24 hours or more, EMS employees do not receive time and a half after 12 hours of work in a single day.

Occasionally, EMS employees are scheduled for shifts shorter than 24 hours to help during high-volume periods. In these cases, employees receive time and a half for hours worked beyond 12 hours in a single day.

Compensation & Benefits

Base Compensation Range: $24.62 - $30.78 hourly

For EMS positions: Compensation is subject to specific overtime rules in accordance with Colorado labor law and PSMC’s Payroll and Timekeeping Policy. EMS employees scheduled for shifts of 24 consecutive hours or more are paid at the regular base rate for up to 40 hours per workweek; hours worked beyond 40 in the same workweek are paid at 1.5x the base rate. These employees do not qualify for daily overtime after 12 hours due to the medical transportation exemption. For EMS shifts under 24 hours, time-and-a-half is paid for any hours worked beyond 12 in a single day.

Benefits: Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.

Job Type: Full-time

Anticipated End Date for Posting: October 9, 2026. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated.

Pagosa Springs Medical Center is an Equal Opportunity Employer.

All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law.

Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.

About Pagosa Springs Medical Center

Pagosa Springs Medical Center is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. Our EMS team provides essential emergency medical services throughout a rural mountain community where highly skilled pre-hospital care and strong clinical leadership make a meaningful difference for patients and families.

Located in the beautiful San Juan Mountains, Pagosa Springs offers an unmatched quality of life with world-class hiking, skiing, fishing, mountain biking, rafting, hunting, and the world's deepest geothermal hot springs. At PSMC, you'll join a collaborative team guided by our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect, where every team member plays an important role in protecting and improving the health of our community.