Lead Paramedic — Emergency EMS Team Leader

Harris County ESD 11; Silver Spring (MD); On-site; USD 52,000 - 90,000; Full time

Job summary

Harris County ESD 11 is seeking a paramedic to deliver high‑quality pre‑hospital care and lead EMS responses. The role requires handling both emergency and non‑emergency calls, assessing situations, and coordinating transport decisions while maintaining certifications and adhering to EMS protocols.

Applicants must meet Texas requirements, possess a Paramedic credential, and demonstrate excellent communication.

Qualifications

• High School Diploma or GED equivalent.
• At least 18 years of age.
• At least two years’ experience as a lead paramedic in a progressive 911 system.
• Completion of a qualified Paramedic program and acceptance for certification in the State of Texas and maintaining certification or licensure.
• Maintain current Valid Texas Driver’s License.
• Current American Heart Association Healthcare Provider CPR card.
• NIMS 100,200,700,800.
• Effective communication both oral and written.
• Ability to read, write, and speak English.
• Ability to read a map and have basic knowledge of State, County, and other public roadways.
• Knowledge of Texas Administrative Code 157.
• Knowledge of other standards, rules, regulations, and policies related to EMS.
• Any other requirements as determined by the Office of the Medical Director.
• May not have been excluded by the OIG to participate in federally funded healthcare programs.

Responsibilities

• Competently render both non-emergency and emergency pre-hospital care.
• Assess each call situation to determine best course of action and appropriate protocol.
• Develop and utilize triage skills to provide optimal efficiency during calls.
• Performs responsibly and acts as team leader during management of a scene.
• Consider patient status and patient requests when determining transportation destinations.
• Utilize medical equipment, including cardiac monitor, oxygen and suction devices, CPR and other procedures and medications as required to provide basic medical care consistent with medical protocols.
• Attend and participate in all required continuing education/meetings of HCESD11 and/or the Medical Directors Office.
• Maintain ALL certifications as required by the Medical Director and HCESD11.
• Comply with HCESD11 and Department of State Health Services requirements for continuing education and licensure.
• Communicate information through the proper “chain of command”, to management and other employees of HCESD11.
• Comply with local, state, and regional emergency medical service operations, regulations, and laws.
• Accurately and completely document the required information on all required documentation required by HCESD11, the Department of State Health Services and the Office of the Medical Director. Examples include logistics forms, employee injury reports, accident reports, incident reports, etc.
• Communicate with Controllers to receive and understand call data provided as well as requesting additional resources or other needs in the field.
• Monitor and maintain the general condition of HCESD11 property, including but not limited to, vehicles, equipment, buildings, and surrounding areas to provide efficient and appropriate patient care, as well as to maintain the image of HCESD11.
• Participate in community programs to establish strong community relations to include community programs sponsored by the police, fire departments and other external customers of HCESD11.
• Effectively function in the Dynamic Resources Management System and understand the system.
• Safely operating and maintaining an emergency vehicle and equipment and tools relevant to position.
• Communicate clearly and compassionately with patients and loved ones.
• Maintain a clean appearance and demonstrate courteous, professional, and ethical behavior.
• Work cooperatively with other members of the EMS Health Care System.
• Ensure confidentiality of medical and all other discretionary information.
• Other duties as assigned.

Skills

Safety sensitivity

Shift work

Communication

English proficiency

Education

High school diploma or GED

Paramedic program completion

Texas certification eligibility

Current Texas driver’s license

CPR card (AHA Healthcare Provider)

NIMS 100/200/700/800

Job description

Harris County ESD 11 is seeking a paramedic to deliver high‑quality pre‑hospital care and lead EMS responses. The role requires handling both emergency and non‑emergency calls, assessing situations, and coordinating transport decisions while maintaining certifications and adhering to EMS protocols.

Applicants must meet Texas requirements, possess a Paramedic credential, and demonstrate excellent communication.