Description

GENERAL POSITION SUMMARY
The Community Paramedic position provides advanced life support (ALS) care and
community-based clinical services for South Metro Fire Rescue (SMFR) through a Mobile
Integrated Health (MIH) / Community Paramedicine model. The Community Paramedic
performs patient assessment, treatment, patient education, care planning, and care
coordination in non-emergent and emergent settings, including patient homes, clinics,
shelters, and long-term care facilities, under the direction of the Medical Director and
established protocols. This position is not assigned to fire suppression duties and does not
require firefighter certification; however, the role may operate alongside fire and rescue
resources as needed.
ESSENTIAL DUTIESANDRESPONSIBILITIES (The following statements are illustrative of the
duties and responsibilities of the position and do not list every duty that may be required of the
employee for this position. The District retains the right to change the duties and responsibilities
of the position at any time without notice.)
Conducts comprehensive patient assessments (medical, behavioral health, geriatric,
pediatric, and other program-relevant screening) and obtains accurate histories during
scheduled and unscheduled community encounters.
Develops, implements, and documents patient-centered care plans within
MIH/Community Paramedicine program guidelines, including follow-up schedules,
monitoring goals, escalation pathways, and risk mitigation.
Provides ALS interventions within authorization and scope, including focused
assessments, diagnostic interpretation, medication administration per protocol, IV/IO
access as indicated, and other MIH/Community Paramedicine-approved clinical
procedures.
Performs medication reconciliation, identifies adherence barriers, and provides
patient/caregiver education on medication safety and disease self-management.
Conducts post-discharge follow-ups and transitions-of-care visits to reduce readmissions
and prevent avoidable 911 utilization.
Identifies and addresses social determinants of health (housing, food insecurity,
transportation, access to care, and financial barriers) through referrals and linkage to
appropriate community resources.
Coordinates care with hospitals, primary care, specialty care, behavioral health, public
health, home health, hospice, and social service partners to strengthen continuity of care.
Participates in multidisciplinary case reviews, program meetings, and partner
coordination; communicates clinical findings and recommendations clearly and
professionally.
Provides BLS/ALS patient care on 911 or other assigned responses as needed; supports
treatment planning, transport decision-making, and patient advocacy.
Completes timely, accurate, and defensible documentation in ESO and any approved
MIH/Community Paramedicine tracking platforms, including assessments, care plans,
referrals, follow-up outcomes, and required data elements.
Maintains vehicle and equipment readiness through checks, cleaning, restocking, and
equipment function verification; reports equipment issues and initiates corrective actions.
Safely operates SMFR vehicles in compliance with EVOS standards, traffic laws, and SMFR
driving policies; applies safe positioning and scene risk management practices during
responses and community visits.
Participates in training, clinical skills verification, and quality improvement activities;
supports a Just Culture approach and contributes to program/process improvements.
Maintains professional conduct, customer service, ethical standards, and confidentiality;
demonstrates cultural humility and effective communication with diverse patients and
partners.
EDUCATION, EXPERIENCE, LICENSES & CERTIFICATIONS (An equivalent combination of
education, training, and experience that demonstrates the ability to perform the duties of the
position is qualifying.)
Required Qualifications
High school diploma or GED is required.
Prior paramedic field experience.
Ability to successfully complete SMFR orientation and any required MIH/Community
Paramedicine onboarding and field training program.
Preferred Qualifications
Two (2) or more years of 911 paramedic experience in a high-volume system.
MIH/Community Paramedicine experience.
Instructor credentials (AHA, EMS education) or experience mentoring/coaching clinicians.
FEMA/ICS coursework (ICS-100, ICS-200, IS-700, IS-800) completed.
Experience supporting documentation quality, data tracking, or outcomes reporting
(QI/QA support).
LICENSES & CERTIFICATIONS
Current Colorado Paramedic certification (or ability to obtain prior to start date).
Colorado Community Paramedic credential OR International Board of Specialty
Certification (IBSC) Community Paramedic certification. Must be acquired within 1
year of hire if not initially certified upon hire.
Current National Registry Paramedic (NRP) certification preferred.
Current AHA BLS Provider certification (required).
Current AHA ACLS Provider certification (required).
AHA PALS Provider (required within agency-specified timeframe if not held at hire).
Valid Colorado driver's license and ability to meet SMFR driving standards.
EVOS/CEVO (or equivalent emergency vehicle operator training) required within agencyspecified timeframe if not held at hire.
Ability to meet all medical, fitness, and immunization requirements for duty; must pass
SMFR physical ability/fitness standards as applicable.
NECESSARY KNOWLEDGE, SKILLS, AND ABILITIES
Ability to perform thorough patient assessments and make sound clinical decisions in
non-emergent and emergent settings, including independent home-visit environments.
Ability to build rapport, educate effectively, and support behavior change using patientcentered communication approaches.
Demonstrated experience with discharge follow-up, frequent utilizer programs,
alternative destination coordination, or community outreach.
Ability to recognize risk, ensure scene safety in community settings, and apply deescalation and professional boundaries when appropriate.
Ability to provide accurate, complete, and legally defensible documentation and maintain
confidentiality, including ESO ePCR completion.
Strong organizational skills (time management, scheduling, follow-up completion, referral
coordination, and documentation timeliness).
Ability to collaborate effectively with multidisciplinary partners and represent SMFR
professionally in the community.
Ability to coordinate care across healthcare, behavioral health, and community service
systems while navigating complex patient needs and social determinants of health.
SUPERVISION RECEIVED:
Works under the general supervision of the Public Health Program Manager with clinical
oversight from the Medical Director or designee.
SUPERVISION EXERCISED:
None.
EQUIPMENT AND SYSTEMS
Requires frequent use of SMFR vehicles, medical equipment, mobile computers, ESO,
Julota, telephones, and other office and field-based technology.
PHYSICAL DEMANDS
Maintain appropriate personal fitness to safely perform essential job functions and meet
SMFR physical ability requirements.
Regularly required to climb stairs, balance, stoop, kneel, crouch, reach, walk, push, pull,
lift, and carry patients and equipment.
Ability to lift, move, and carry loads consistent with patient movement tasks and
equipment handling requirements; ability to operate in confined or uneven spaces
(including patient homes).
Vision and hearing abilities sufficient to operate vehicles, interpret monitor/defibrillator
displays, and communicate effectively in noisy environments.
WORK ENVIRONMENT AND GENERAL INFORMATION
Work is performed in varied community environments (homes, shelters, clinics, and
facilities) and may include outside conditions and variable hours as assigned.
May be exposed to bloodborne pathogens and other infectious materials during patient
care activities.
May work in dynamic incident scenes as assigned (e.g., traffic, hazardous conditions, fires,
noxious odors, fumes, chemicals, liquids, solvents, and oils).
Noise level is usually moderate but may be loud during emergency response activities.
Revision Date: March 2026

Requirements

The Community Paramedic operates within a civilian Public Health model, providing field-based patient assessment, resource navigation, and follow-up care while working closely with clinical and community partners. This role requires an experienced paramedic who is comfortable operating independently within established protocols and adapting to a non-traditional EMS environment. Ideal candidates will have experience in or alongside case management systems and demonstrate the ability to think critically beyond immediate medical needs. Additional value is placed on candidates who have participated in the development or expansion of community paramedicine or alternate response models, including deployment of field units, prevention strategies, and longitudinal patient engagement.

This is a civilian position requiring paramedic certification only; it is not a dual-role firefighter/paramedic position. The Community Paramedic will not participate in fire suppression operations or fire training. This role is not a traditional 911 or fire suppression position and is best suited for paramedics interested in community-based care, patient navigation, and longitudinal support. However, the position operates within and in support of a fire-based EMS system, and success requires a strong understanding of incident command structure, operational discipline, and fire service culture. Ideal candidates will be self-directed, adaptable, and able to integrate effectively with line personnel while maintaining the independent, patient-centered focus of a Public Health model.