Class specifications are intended to present a descriptive list of the range of duties performed by employees in the class. Specifications are not intended to reflect all duties performed within the job.
DEFINITION
Provide Mobile Integrated Health/Community Paramedicine services in the community and patient home setting, delivering patient-centered assessment, education, care coordination, and follow-up services under approved medical direction and program protocols; collaborate with healthcare providers and community partners to improve access to care, support treatment plans, and reduce avoidable emergency department utilization; may respond to emergency medical incidents as assigned; perform related duties within the assigned area of responsibility.
JOB CLASSIFICATION
Non-Exempt, Safety Sensitive.
SUPERVISION RECEIVED AND EXERCISED
Receives general supervision from Emergency Medical Services Chief.
PRIMARY DUTIES--The following are examples of primary duties assigned to positions in this classification. Other related duties and responsibilities may be assigned.
1. Provide Mobile Integrated Health/Community Paramedicine (MIH/CP) services (primarily in community and home settings), including focused clinical assessments, identification of patient needs, and delivery of services consistent with approved medical direction and program protocols.
2. Manage MIH/CP referrals and patient engagement activities, including intake, scheduling, follow-up contacts, and coordination with referring entities as applicable.
3. Provide post-hospital follow-up services to support safe recovery and reduce avoidable utilization, including assessment, patient education, reinforcement of discharge instructions, and facilitation of appropriate follow-up care.
4. Provide patient education and coaching related to chronic disease management, injury prevention, functional health, and wellness; support patient self-management using clear, culturally responsive communication.
5. Support medication adherence and care-plan compliance by identifying barriers, reinforcing provider instructions, and escalating concerns through appropriate clinical channels consistent with medical direction and program protocols.
6. Coordinate care and facilitate closed-loop connections to services and resources; collaborate with internal and external partners to support continuity of care while protecting patient privacy.
7. Document patient contacts, assessments, interventions, referrals, and outcomes in required systems; prepare and maintain accurate records, reports, and logs in accordance with department policy and applicable laws.
8. Participate in program quality improvement activities, including tracking required measures, identifying trends/gaps, and recommending workflow improvements; assist with development and refinement of MIH/CP procedures, templates, and educational materials.
9. Provide functional guidance and support to personnel related to MIH/CP workflows or protocol orientation when assigned; may provide field instruction, mentoring, and precepting to new employees and/or students withing scope of practice and assignment.
10. May respond to emergency medical incidents as assigned, providing patient care consistent with department protocols, including patient assessment, stabilization, and coordination with receiving medical facilities and providers.
11. Prepare and maintain a variety of records, reports, and logs.
12. Perform other duties of a similar nature or level.
QUALIFICATIONS
Knowledge of:
Principles and practices of mobile integrated health/community paramedicine and public health.
Advanced principles of emergency medical service provision, first aid, life support and technical rescue.
Patient education methods and communication techniques appropriate for diverse populations and varying levels of health literacy.
Medical terminology and appropriate utilization.
Geography and street layout of the City and surrounding area.
Principles and practices of record keeping.
Principles and practices of field instruction, mentoring, and precepting of new employees and/or students.
English usage, spelling, grammar and punctuation.
Modern office technology and equipment, including computers and related software applications.
Applicable tools and equipment operations.
Applicable Federal, State and local codes, laws and regulations.
Ability to:
Provide mobile integrated health/community paramedicine services, including patient assessment, education, care coordination, and follow-up consistent with approved medical direction and program protocols.
Select and properly administer first aid and medical treatment appropriate to the emergency.
Perform medical triage effectively and independently.
Communicate clearly and concisely, both orally and in writing.
Establish and maintain accurate records, logs, and files.
Interpret and apply Federal, State and local policies, laws and regulations.
Operate and use modern office equipment including computers and various software applications.
Establish and maintain effective working relationships with those contacted in the course of work.
Prepare a variety of technical and operational reports.
Work independently, exercise initiative and judgement, and make decisions within the scope of assigned authority.
Perform all duties in a safe, courteous, confidential and professional manner, always taking into account the well-being of the patient.
Protect patient information in accordance with department policies, and in compliance with Colorado and Federal law.
Report, without threat of retaliation, any concerns regarding the department’s patient privacy policies and procedures.
Work varied shifts, on weekends or during holidays.
Speak, read, comprehend, and write the English language fluently.
Experience and Training Guidelines
Minimum Requirements:
Experience:
Two (2) years of recent field experience in emergency medical services including at least one (1) year of paramedic experience.
Training:
High School Diploma or G.E.D.
Other combinations of experience and education that meet the minimum requirements may be substituted.
License or Certificate
Possession of, or ability to obtain, a valid Colorado driver’s license.
Possession of a valid National Registry Paramedic (NRP) and State of Colorado Paramedic (EMT-P) certificate.
Possession of a valid Advanced Cardiac Life (ACLS) Support certificate.
Possession of a Pediatric Advanced Life Support (PALS) or Pediatric Education for Prehospital Providers (PEPP) certificate.
Possession of certification in the National Incident Management System (NIMS).
Possession of, or ability to obtain, a valid Hazardous Materials Awareness certificate.
Possession of, or ability to obtain, a valid Driver Operator certificate.
Possession of, or ability to obtain within ninety (90) days of hire, International Board of Specialty Certification (IBSC) Community Paramedic (CP-C) certification and State of Colorado Community Paramedic (P-CP) endorsement.
Possession of, or ability to obtain within two (2) years of hire, International Board of Specialty Certification (IBSC) Certified Critical Care Paramedic (CCP-C) or Flight Paramedic Certification (FP-C) and/or State of Colorado Critical Care Paramedic (P-CC) endorsement.
WORKING CONDITIONS
Environmental Conditions:
The job is performed in the following working environment:
Field environment.
The following condition(s) may be present on a continuing basis:
Hazardous physical conditions (mechanical parts, electrical currents, vibration, etc.)
Atmospheric conditions (fumes, odors, dusts, gases, poor ventilation)
Hazardous materials (chemicals, blood and other body fluids, etc.)
Work space restricts movement
Local travel
Environmental (disruptive people, imminent danger, threatening environment)
Extreme temperatures
Inadequate lighting
Intense noise
Physical Conditions:
The job is characterized by:
Heavy Work: Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.
The following physical activities are very or extremely important in accomplishing the job’s purpose and are performed on a daily basis:
While performing the duties of this job, the employee is regularly required to balance, sit, walk, twist, demonstrate manual dexterity, grasp, talk, hear, and see. The employee occasionally is required to run, push, pull, stoop, stand, reach, kneel, crouch, climb, crawl, and perform light and heavy lifting. The employee will be exposed to varied weather conditions that may be hot, cold or wet. The employee is required to stay calm during stressful and possibly life-threatening situations.