Commander of Clinical Affairs


This position is responsible for providing leadership for the organization’s quality programs including clinical quality. This will include assessing quality of all providers affiliated with the Lenoir County EMS System. Responsible for evaluating EMS training activities for effectiveness. Duties include quality assurance, gathering and analyzing data, monitoring and measuring adherence to standards, and resolving non-compliance issues and findings. Works with the Emergency Services Deputy Director, the Medical Director and Training Officer to assure staff skills are in compliance with that required by the Medical Director. Work is subject to both inside and outside environmental conditions, extremes in temperatures, noise, vibrations, and hazards associated with emergency medical work including exposures to fumes, odors, dust, mists, gases, poor ventilation, and oils. As a result of the nature of the work, the employee is exposed to human blood and is subject to the OSHA requirements on bloodborne pathogens. 
Work is performed under the direct supervision of the Emergency Services Deputy Director and will be evaluated through conferences, observations, reports from the Medical Director, and feedback from citizens and staff.

Summary of essential job functions
• Evaluate EMS and first responder data, identifying methods of providing effective emergency medical care, identifying methods to correct complex medical issues and patient care delivery situations, designing quality assurance programs to measure program outcomes and effectiveness through Quality Assurance/Quality Improvement (QA/QI) processes and periodically responding to medical emergencies with field providers to assess QA/QI. 
• Reviews all aspects of emergency medical services responses, including but not limited to, response times, radio protocol compliance, medical protocol compliance, patient care, and treatment, patient report to the hospital (via radio or telephone), patient care documentation, and compliance to patient confidentiality standards.
• Conduct patient care analysis using the department’s patient care reporting system.
• Coordinate investigations of EMS related complaints and unusual occurrences.
• Performs all Quality Assurance for the EMS System.
• Provides statistical information during audit and review meetings with Medical Control Committee.
• Presents findings of investigations to the executive panel of the Medical Control Committee for determination of disciplinary action, as needed
• Monitors and prepares monthly EMS quality assurance reports 
• Research, develop, and/or evaluate strategies, policies, plans, and procedures to achieve identified division objectives and priorities 
• Oversees, directs, and ensures the delivery of initial and ongoing Medicare rules, HIPAA training, patient documentation, and orientation to all division employees, students, trainees, non-emergency providers, and first responders.
• Conducts research/development on the use of medical equipment that are currently in use or will be placed in use, such as, but not limited to suction machines, oxygen delivery systems, backboards, fracture kits, obstetrical kits, intravenous kits, airway equipment, and monitor/defibrillator.
• Assess the quality of procedures in written reports and records on the observation and care of patients at the emergency scene in transit to the hospital.
• Ride alongside field personnel to evaluate crews on their medical skills and procedures on an as needed basis
• Assists with training, as needed
• Assist with development and oversite of personal clinical improvement plans for employees; assist with remediation, education, and counseling as needed with respect to EMS programs
• Assists Deputy Director in developing the budget by recommending supplies, materials, and training opportunities, to include additional hours to add to payroll for purposes of personnel attending in-service training while off duty
• Conducts, at a minimum, quarterly inspections of all Emergency Medical Services stations' controlled substance logs and insures that the Department is in compliance with all Drug Enforcement Administration rules and regulations.
• Acts as the responsible party for the disposal of dated medications.
• Conducts investigations regarding any discrepancies with regards to controlled substance records.
• Assures all relevant licenses are current.
• Coordinates with outside agencies such as Dispatch or medical facilities and staff as needed to ensure continued process improvement goals are met.
• Performs related duties as required.

Knowledge, Skills, and Abilities
• Ability to establish and maintain effective working relationships as necessitated by work assignment
• Considerable knowledge of procedures and techniques for administering emergency medical care.
• Knowledge of program management principles
• Knowledge of applicable Federal, State, and local laws, rules, regulations, codes, and/or statutes
• Knowledge of quality control techniques and practices
• Knowledge of Lenoir County EMS protocols 
• Skilled in speaking in public.
• Skilled in applying independent judgment, personal discretion, and resourcefulness in interpreting and applying guidelines.
• Skilled in conducting paperwork (EMS report) audits.
• Skilled in preparing clear and concise reports, including oral, written, and audio/visual presentations.
• Skilled in gathering and analyzing information and making recommendations based on findings and in support of organizational goals.
• Skilled in operating a computer and related software applications.
• Skilled in communicating effectively with a variety of individuals. 
• Ability to produce various options and reach logical conclusions based on sound reasoning.
• Considerable knowledge of anatomy and physiology.
• Considerable knowledge of equipment and materials utilized in providing emergency care.
• Ability to accurately record services provided.
• Ability to administer necessary medical care under stressful conditions.
• Ability to maintain confidentiality if necessary.

Abilities required
• Must be able to perform very heavy work exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to lift objects.
• Must be able to physically perform the basic life operational functions of climbing, balancing, stooping, kneeling, crouching, crawling, reaching, standing, walking, pushing, pulling, lifting, fingering, grasping, feeling, talking, hearing, and repetitive motions
• Position requires visual acuity for operating an automobile for checking, performing, and maintaining written computer files and reports, monitor site progress, and for responding to an emergency situation while driving a county-issued vehicle, using emergency response when necessary.
• Must possess the visual acuity necessary to administer emergency medical services to the public.
• The work is subject to various hazards such as exposure to moving mechanical parts, electrical current, fumes, odors, dust, mists, gases or poor ventilation

Minimum requirements
• Associates Degree with coursework in emergency medical services, or related field and extensive experience in emergency medical services
• Possession of a valid North Carolina driver’s license
• Four years experience as a Paramedic
• NIMS 100, 200, 700, and 800
• NIMS 300 and 400 (or ability to obtain within six months of hire)
• The equivalent combination of education, certifications and experience may be considered in meeting requirements

Grade: GRADE 68


Posting Start Date: 03/11/2019

Posting End Date: 03/22/2019


Salary: $33,559.93-$59,222.02

Closing Date (If Any): 
Friday, March 22, 2019
Certification Level: