Lead Field Training Officer - Roanoke

Hospital-to-Home; Roanoke (VA); On-site; USD 65,000 - 90,000; Full time

Job summary

Hospital-to-Home in the Roanoke region seeks a Lead FTO to guide the regional FTO team while continuing to provide hands-on EMS care. You will mentor others, oversee training, and ensure providers follow H2H protocols and documentation standards.

The role combines field duties with leadership and program oversight. As the working lead, you will coordinate orientation, field training, and competency assessments, review trainee performance, and maintain training materials and records for the

Qualifications

• Current Virginia EMS certification at the required provider level.
• At least 2 years EMS experience; prior FTO experience preferred.
• Strong coaching, communication, and documentation skills.
• Valid driver’s license and ability to operate an H2H vehicle.
• Familiarity with QA/QI processes and regional protocol interpretation is a plus.

Responsibilities

• Provide field training, coaching, and clinical oversight for the region.
• Review trainee performance and complete evaluation tools during ride time.
• Coordinate orientation, field training, and competency assessments with RTC.
• Lead FTO team in the region and onboard new FTOs with mentorship.
• Maintain regional training materials and training records; ensure documentation compliance.

Skills

EMS experience

Coaching / training

Documentation

Communication

Leadership

Driver's license

Tools

Traumasoft

Job description

Reports To: Regional Training Coordinator (Clinical) and Regional General Manager (Operational)Status: Full-time / HourlyLocation: Assigned RegionPosition SummaryThe Lead FTO supports the Regional Training Coordinator by guiding the region’s FTO team and helping manage daily training needs. The role combines direct field training, coaching, and clinical oversight while still functioning as a working FTO. The Lead FTO serves as the primary contact for training support in the region and helps ensure providers follow H2H protocols, documentation standards, and performance expectations.Key ResponsibilitiesTraining & Field DevelopmentSupports the RTC in planning and coordinating orientation, field training, and competency assessments.Provides hands-on instruction for new and current providers within their certification level.Conducts skill refreshers, targeted remediation, and return-to-work validations when requested.Reviews trainee performance during ride time and completes required evaluation tools.Acts as a field resource for clinical questions and protocol guidance.FTO Team LeadershipServes as the working lead for all FTOs in the region and supports task assignments.Helps onboard new FTOs and provides mentorship to strengthen consistency across the team.Reviews FTO documentation and supports the RTC in ensuring accuracy and completeness.Assists in maintaining regional training materials and training records.Clinical & Documentation StandardsReinforces adherence to H2H Protocols, ODEMSA guidelines, and OEMS requirements.Supports accurate and complete documentation practices in Traumasoft.Elevates concerns related to clinical care, performance, or professionalism to the RTC or Director of Clinical Operations.Operational ResponsibilitiesFunctions as a working FTO providing direct patient care and transport.Serves as a liaison between crews, the RTC, and the GM for operational and training issues.Assists with coverage for training needs when staffing or orientation demands increase.Helps coordinate regional skills days, CE opportunities, and local training events.General ExpectationsMaintains current knowledge of H2H protocols and training standards.Models professionalism and positive training culture.Maintains confidentiality around personnel and performance matters.Other duties as assigned.Required QualificationsCurrent Virginia EMS certification at the appropriate provider level.At least 2 years of EMS experience; prior FTO experience preferred.Strong working knowledge of H2H operations, documentation, and protocols.Effective communication, coaching, and evaluation skills.Valid driver’s license and clearance to operate an H2H vehicle.Maintains clearance to practice under the H2H Medical Director.Preferred QualificationsPrevious leadership, training, or precepting experience.Familiarity with QA/QI processes and training documentation.Experience with Traumasoft and regional protocol interpretation.Physical RequirementsAbility to meet the physical demands of EMS work, including lifting, carrying, pushing, pulling, and patient movement.Ability to complete training and evaluation duties while functioning as a field provider.