Lenoir County Emergency Services- Community Paramedic

Lenoir County Emergency Services

EMS Division

Community Paramedic

Job Description


Title: Community Paramedic

Department: Emergency Services

Division: Emergency Medical Services

Reports to: EMS Operations Manager 


Job summary

This employee works with patients in their residential setting to provide proactive care that is intended to help improve the overall health and wellness of program participants.  Expands access to non-urgent health care through in-home patient visits and/or community-based services and provides outreach education. Employee will consistently perform in compliance with their position descriptions and with the policies/procedures of the department.  Performance is evaluated in cooperation with EMS Operations Manager, Training Officer, and Medical Director by observation and through review of records and reports. This position may supplement 911 responses during mass casualty incidents. Work is performed under the direct supervision of the EMS Operations Manager.

Summary of essential job functions

The following is a summary of the major essential functions of the job.  The incumbent may perform other duties, both major and minor, that are not mentioned below, and specific functions may change from time to time.

  • Provides proactive care that is intended to help improve the overall health and wellness of program participants. Requires excellent rapport, understanding, and communication with the patients and their family members.
  • Expands access to non-urgent health care through in-home patient visits and/or community-based services.  Common services will include: assessment (vital signs, blood pressure, labs such as glucose levels, diagnostic cardiac monitoring, medication compliance and reconciliation, adherence to discharge instructions, etc.), treatment (wound care, medication administration, post-operative follow-up, etc.), prevention (immunizations, home safety check, health education, etc.), and referral (mental health, medical and social services, etc.). Thereby producing better health outcomes and reducing the number of ambulance transports, visits to the emergency department, and hospital readmissions.
  • Works in cooperation with other key stakeholders/key medical providers in order to offer coordinated and integrated care (physician offices, home health agencies, hospice, long term care facilities, public health department, social services, etc.)
  • Maintains thorough patient care documentation and completes all paperwork in a timely manner.
  • Provides on-site patient care in conjunction with other medical providers to offer non-urgent integrated care such as physician offices, hospice, social services, health department, etc.
  • May perform moderate or waived point of care testing per CLIA guidelines.
  • Functions as a Community Paramedic with assigned patients and navigates community resources to reduce barriers to care and provide education and access to services available to patient.  Must also maintain or exceed Paramedic job description.      
  • Demonstrates standards of performance (respect, teamwork, communication, compassion) that support and encourage patient satisfaction and principles of service excellence. 
  • Builds and advocates for the program. Creates community engagement. Functions as physician and hospital extenders by utilizing advanced protocols/procedures approved by the Medical Director.
  • Follows established lines of authority and responsibility and ensures that service objectives are met and maintained.
  • Attends continuing education classes and trains on a regular basis to the satisfaction of the training officer, by taking regular performance evaluations so that any deficits may be corrected immediately.  Attend professional development training at least on an annual basis.   
  • Perform other duties as assigned by the EMS Operations Manager or Emergency Services Director.

Minimum requirements

  • Graduation from high school and 1 to 2 years of experience in advanced emergency medical service work; or any equivalent combination of training and experience which provides the required knowledge, skills and abilities.
  • Credentialed by the North Carolina Office of Emergency Medical Services as a Paramedic with a minimum of two (2) years experience at the Paramedic level. Credentialling by the North Carolina Medical Care Commission is preferred, but is not an exclusion from consideration.
  • Completion of specialty courses in Advanced Cardiac Life Support, Pediatric Advanced Life Support, International Trauma Life Support, and Basic Life Support
  • Completion of ICS 700, 800, 100, 200, and 300
  • Possession of a valid North Carolina driver’s license.  Please refer to Title 21, Sub Chapter 32H, Section .0501 of the North Carolina Administrative Code for specific certification requirements

Abilities required

  • 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
  • Must be able to perform very heavy work exerting in excess of 100 pounds of force.
  • Must possess the visual acuity necessary to prepare and analyze data and figures, operate a computer terminal, and do extensive reading.
  • Must possess the visual acuity to operate mobile equipment, monitor work site progress, administer emergency medical services to the public, and use measurement devices
  • Must possess manual dexterity to operate standard office, data entry, and computer equipment.


The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Additional information

HR use only

Pay grade


Last revised



Closing Date (If Any): 
Tuesday, November 30, 2021
Statewide (No County)
Certification Level: