Job Description

Posting number: 00028

Department: Emergency Medical Services

Job classification: COMMUNITY HEALTH PARADEMIC-TMP

Posting type: Open

Categories: EMS

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This position is currently grant-funded through the North Carolina Office of EMS Rural Health Transformation Program with federal funding provided by the Centers for Medicare and Medicaid Services. 100% of the scope of work performed in this role will be in the Rural Health Transformation Program. At this time, funding is secured through September 30, 2027.

The MIH Community Paramedic role is to address urgent and emergent behavioral health needs, substance use disorder needs, and high utilizers of EMS services within our community. This position will use the paramedic scope and specialized training to provide a whole-person approach to care. The MIH Community Paramedic will function as a co-responder with a Licensed Clinical Social Worker (LCSW). The team will work to connect individuals who call 911 for behavioral health or substance use disorder needs to the most appropriate level of care while addressing social determinants of health barriers, including housing instability, transportation limitations, healthcare access, food insecurity, and other identified needs. The program will also coordinate wraparound and recovery support services when appropriate to improve long-term treatment engagement and continuity of care.

Examples of duties

Under the direction of the EMS Director, the MIH Community Paramedic will:

• Monitor emergency communications and self-dispatch to calls involving mental health and substance use-related concerns, as well as high utilizers of EMS services. Additional referrals will originate from EMS personnel, law enforcement agencies, fire departments, hospitals, behavioral health providers, or community partners familiar with the program’s capabilities.
• Complete needs assessment and obtain consent for treatment.
• Support development, coordination, and delivery of MIH services.
• Participate in the submission of program data through the NCOEMS data platform and prepare bi-monthly data reports.
• Operate Monday through Friday for 40 hours per week.
• Establish follow-up procedures for individuals identified outside normal operating hours. For example, individuals who experience a nonfatal overdose and refuse transport or leave against medical advice may receive scheduled follow-up from the team to encourage treatment engagement, connect them to appropriate services, and reduce the risk of recurrent overdose.
• Increase access to medication for opioid use disorder (MOUD) through field administration of medications such as suboxone, strengthen behavioral health crisis response, and better integrate services into EMS systems of care.
• Participate in the monthly Alamance Behavioral Health Center oversight committee.
• Participate in the county’s Justice Advisory Council, which focuses on reducing justice involvement through upstream intervention strategies related to behavioral health and substance use disorders.
• Participate in the crisis continuum committee. The Alamance Crisis Continuum Committee works to strengthen the local mental health and substance use crisis response system by maximizing existing community resources, improving coordination among providers, and addressing identified service gaps.
• Participate in the Victim’s Advocacy Council of Alamance and the Elder Justice Coordinated Community Response committees.
• Work with the MIH program consultant to implement and develop the MIH program.
• Complete patient care reports and MIH care reports by collecting patient information to document care provided, services referred, and MIH program data reporting.
• Operate MIH Community Paramedic response vehicle in non-emergency and emergency response.
• Maintain organization of MIH Community Paramedic equipment, supplies, and educational resources.
• Respond to emergency and non-emergency EMS calls for service in MIH Community Paramedic response vehicle in times of system overload.
• Complete Alamance County EMS Field Training and Evaluation Program (FTEP) to be released as an independently functioning Alamance County Paramedic.
• Complete Trauma-Informed Care, Motivational Interviewing, Harm Reduction, MOUD, Chronic Disease Management, and De-escalation training.
• Complete Crisis Intervention Team training within Alamance County.
• Complete Post Overdose Response Team (PORT) training.
• Complete all training assigned by the Alamance County EMS Training Officer and EMS Director.
• Will act as a paramedic both on a quick response vehicle as well as on the ambulance when needed.
• Performs related work as assigned.

Qualifications

• Must possess High School diploma or GED.
• Five years of experience as a Paramedic level provider.
• Certification by the State of North Carolina as a Paramedic.
• Physically able to function as a Paramedic as part of a two-person ambulance crew or single person quick response vehicle.
• Valid NC Driver’s License.

Supplemental information

Thorough knowledge of advanced life support and emergency medical procedures and techniques.
Thorough knowledge of the equipment and supplies employed in the emergency care of patients and victims of accidents or trauma.
Considerable knowledge of the geographical layout of the county and city, including the locations of roads and streets within the county.
Considerable knowledge of radio communications equipment.
Skill in applying BLS and ALS techniques and treatment.
Good communication skills. Ability to work well with the public and co-workers.
Willing to successfully complete Mobile Integrated Health, Substance Use Disorder, and Behavioral Health training when offered.
Willing to attend professional development classes and training when offered.
Ability to handle stressful situations and remain calm in a crisis.
Ability to be a team leader.
Ability to multitask.
Ability to communicate successfully with various people and personalities.

Physical Demands N (Not Applicable) Activity is not applicable to this position.
O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+hrs/day)
F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 -5.5+ hrs/day)
C (Constantly) Position requires this activity more than 66% of the time (5.5+hrs/day)
Physical Demands
Stand F
Walk F
Sit F
Manually Manipulate C
Reach Outward F
Reach Above Shoulder O
Climb O
Crawl O
Squat or Kneel O
Bend O
Talk/Hear C
See C
Taste/Smell O
Lift/Carry
10 lbs. or less F
11-20 lbs. F
21-50 lbs. F
51-100 lbs. O
Over 100 lbs. O
Push/Pull
12 lbs. or less F
13-25 lbs. F
26-40 lbs. F
41-100 lbs. F
Other Physical Requirements
•Vision (Near, Distance, Peripheral)
WORK ENVIRONMENT
While performing the duties of this job, the employee is frequently exposed to moving mechanical parts and outside weather conditions, the employee is occasionally exposed to fumes or airborne particles; extreme cold; extreme heat; risk of electrical shock and vibration. The noise level in the work environment can be loud.