Advanced Practice Paramedic MIH

Job Description

The Advanced Practice Paramedic Mobile Integrated Health (MIH) provides proactive care that is intended to help improve the overall health and wellness of community and program participants. The Advanced Practice Paramedic MIH initiates activities to reduce high volume utilizers through the investigation of and coordination with community partners to address chronic patient issues, conducts home visits to reduce hospital admissions as part of transitional care in conjunction with community partners, encourages and facilitates use of health care services more appropriate to the needs of the patient than the hospital emergency department, particularly for those patients who are in acute crisis from mental health and substance use disorders.  The position includes development and implementation of individualized patient care plans and the delivery of care in accordance with Mobile Integrated Health (MIH) directives and physician orders. The role emphasizes Mobile Integrated Health initiatives, including high-utilizer reduction, chronic disease management, and appropriate utilization of healthcare resources. Work is performed under the direct supervision of the Community Paramedic Captain.

Our core values—Resilience, Excellence, Accountability, Customer Service, and Honesty —are the foundation of our work and the standard by which we operate. As a member of our team, you are expected to demonstrate these values in every aspect of your role. This means delivering high-quality work, taking responsibility for your actions, providing exceptional service, and maintaining integrity in all interactions. Your commitment to these principles is essential to fostering a positive workplace culture and ensuring the success of our organization and the community we serve.

Position Responsibilities

• Provides skilled, professional, and compassionate mobile integrated healthcare to Onslow County citizens.
• Provision of Care Coordination to include examining, treating, and screening health services for patients.
• Conducts post-hospital release follow-up care including, but not limited to medication reconciliation, wound care, vital signs, and medication administration. Able to deploy or trouble shoot patient monitoring equipment in the home.
• Observes, records, and reports to physician patient’s conditions and reactions to drugs, treatments, and significant incidents.
• Conducts patient education, includes diabetes prevention/treatment, hypertension, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), falls assessments, injury evaluation, geriatric frailty visits, and nutrition.
• Functions as physician and hospital extender through advanced protocol utilization
• Formulates and implements individualized patient care plans
• Provides patient care in accordance with Mobile Integrated Health (MIH) directives and physician orders
• Exercises clinical judgment within established protocols and physician oversight in non-emergent settings
• Serves as trained navigator of community resources
• Comprehensive knowledge of principles and processes for providing customer services, including setting and meeting quality standards for services and evaluation of customer satisfaction.
• Ability to handle a variety of customer service issues with tact and diplomacy in a confidential manner
• Ability to communicate ideas effectively, including the preparation of reports and logs. Ability to listen and understand directions, information and ideas presented verbally and in writing
• Attends community meetings and provides community trainings, as requested.
• Preform other duties as assigned depending on the community need and/or home situation.
• Performs assigned functions as a Disaster Ready Team (DRT)
• Performs all job duties and responsibilities as described for Paramedic.
• Performs related tasks as required.

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

Thorough knowledge of the Onslow County EMS system; thorough knowledge of emergency medical care techniques and procedures; crisis intervention skills and techniques; thorough knowledge of mental health, substance use/abuse, and at-risk patient populations; general knowledge of comprehensive opioid, stimulant, and substance abuse site-based programs, thorough knowledge of community paramedicine concepts; ability to thoroughly evaluate, assess, and differentially diagnose patient's conditions and communicate clearly with professional medical personnel; ability to follow oral and written instructions; ability to communicate effectively both orally and in writing; ability to establish and maintain cooperative working relationships with medical providers, fellow employees, patients, and the public; and ability to prepare reports.

Physical Requirements: This work requires the regular exertion of up to 25 pounds of force, frequent exertion of up to 50 pounds of force and occasional exertion of up to 100 pounds of force; work regularly requires standing, walking, sitting, speaking or hearing, using hands to finger, handle or feel, reaching with hands and arms and pushing or pulling, frequently requires stooping, kneeling, crouching or crawling and repetitive motions and occasionally requires climbing or balancing and tasting or smelling; work has standard vision requirements; vocal communication is required for expressing or exchanging ideas by means of the spoken word and conveying detailed or important instructions to others accurately, loudly or quickly; hearing is required to perceive information at normal spoken word levels and to receive detailed information through oral communications and/or to make fine distinctions in sound; work requires preparing and analyzing written or computer data, visual inspection involving small defects and/or small parts, using of measuring devices, operating machines, operating motor vehicles or equipment and observing general surroundings and activities; work frequently requires exposure to wet, humid conditions (non-weather), exposure to outdoor weather conditions, wearing a self-contained breathing apparatus and exposure to bloodborne pathogens and may be required to wear specialized personal protective equipment and occasionally requires working near moving mechanical parts, working in high, precarious places, exposure to fumes or airborne particles, exposure to toxic or caustic chemicals, exposure to extreme cold (non-weather), exposure to extreme heat (non-weather), exposure to the risk of electrical shock, working with explosives and exposure to vibration; work is generally in a moderately noisy location (e.g. business office, light traffic).

Education, Experience, and Special Requirements

High school diploma or GED with coursework in emergency medical services, or related field and considerable EMS experience, at the Paramedic level, in a 911 system or equivalent combination of education and experience.

Special Requirements:

• Valid driver's license.
• Currently credentialed to function as a Paramedic in the Onslow County-Camp Lejeune EMS System or the ability to gain credential within six months of hire.
• Currently credential to perform Drug Assisted Intubation (DAI) in the Onslow County-Camp Lejeune EMS System or the ability to gain credential within 12 months of hire.
• Completion of Advanced Practice Paramedic course within 6 months of hire.
• ICS 100, 200, 700, and 800
• Preferred: Community Paramedic/Mobile Integrated Healthcare Training Program
• Preferred: Associate degree in Emergency Medical Science

Salary will be determined based on qualifications, internal equity, budget, and market considerations.

If applicable, your final transcript showing the date your degree was awarded and/or any required certificates or licenses listed in the application must be uploaded with your application, even if you are a current employee or we have received it with a previous application.

Regular Onslow County employees have the ability to participate in a wide array of employee benefits including:

Health Insurance Health Insurance is provided by Cigna and covers a wide variety of healthcare services. 

Dental Insurance Dental insurance is provided by Delta Dental to full-time employees and covers a percentage of basic to major dental procedures, including orthodontia for children and adults.

Vision Insurance Vision insurance is provided by MetLife to full-time employees and covers a variety of materials (contacts and glasses frames/lenses) and an annual eye exam.

North Carolina Local Governmental Employees' Retirement System Eligible employees are automatically enrolled in the retirement system and must contribute 6% of their gross salary each pay period. Once eligibility requirements are met, employees will be able to receive monthly payments for life based on their salary, age, and years of service credit.

NC401k The County contributes 1% of employees' gross salary into the 401(k) account regardless of the employee's deferral amount. In addition, the County matches employee deferrals up to an additional 4%.

Vacation Leave Regular full-time employees earn 13.5 days of vacation leave per year. With each 5-year increment of employment, vacation accrual increases. 

Sick Leave Regular full-time employees earn 12 days of sick leave per year. 

Paid Holidays County employees receive paid holidays annually. The Board of County Commissioners approves and may adjust the schedule as deemed necessary.

ComPsych Mental Health Services The County provides Mental Health and Life Services through ComPsych to help employees and their families with personal, family and job-related problems such as counseling, crisis support, work-life resources, legal and financial consultations, and organizational support tools.

Supplemental Benefits County employees are also offered a variety of supplemental benefits such as Life Insurance, Flexible Spending Accounts, 457b Deferred Compensation Plan, and MetLife Supplemental Plans.

For more information, please visit http://www.onslowcountync.gov//HR and click on the Benefits tab.