EMS Division Chief - Clinical

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The Division Chief – Clinical, as member of EMS Command Staff, provides executive oversight of clinical performance for MCHD and affiliated First Responder organizations. This position is responsible for system-wide clinical governance, quality improvement, education and workforce development, regulatory compliance, and implementation of evidence-based clinical initiatives. Through collaboration with EMS leadership and the Medical Director, the Division Chief – Clinical ensures continuous advancement of patient care quality, measurable clinical outcomes, and alignment of clinical practice with organizational and fiscal objectives.

• Develop, administer, and ensure fiscal accountability for the Clinical Division operating budget in alignment with organizational financial objectives.
• Establish and model a service-oriented culture aligned with organizational values and goals.
• Participate in the Administrator-On-Call system.
• Perform other duties reasonably consistent with this senior leadership role.
• In partnership with the Medical Directors and Assistant Chief of EMS, oversee development, implementation, maintenance, and revision of Clinical Guidelines.
• Provide senior leadership for the identification, approval, implementation, and performance monitoring of new clinical initiatives and evidence-based care advancements, ensuring successful system-wide adoption through policy integration, training, compliance oversight, and measurable outcome evaluation.
• Oversee credentialing of MCHD personnel and affiliated responder agencies.
• Ensure compliance with all regulatory requirements, including controlled substance management.
• Monitor national standards of care and implement system improvements as appropriate.
• Coordinate clinical research initiatives when available.
• Advise the Chief of EMS, Assistant Chief of EMS, Medical Directors, and Board of Directors on clinical matters as necessary.
• Maintain a comprehensive continuous quality improvement system in collaboration with Quality and Process Improvement.
• Identify, track, analyze, and report clinical quality metrics and risk indicators; develop and oversee corrective action plans.
• Ensure the patient care record system supports regulatory compliance, data integrity, and performance analytics.
• Assure timely, constructive, and actionable clinical feedback to crews in coordination with EMS Operations and Clinical Services.
• Design, implement, and oversee training programs for new and existing staff and affiliated responders.
• Oversee all EMS educational course offerings.
• Provide leadership, supervision, and professional development of the EMS Captain. including lead on quarterly meetings.
• Provide oversight of EMS field training and monitored clinical instruction.
• Coordinate Community EMS education initiatives.
• Ensure credentialed EMS personnel maintain required field hours.
• Develop staff through structured training, education, performance feedback, and ongoing professional growth initiatives.
• Collaborate with EMS Operations leadership to ensure clinical and operational goals are aligned and achieved.
• In collaboration with the Medical Directors assist in coordination, evaluation, and oversight of District Chiefs.
• Maintain strong working relationships with affiliated responder agencies and the local medical community to ensure continuity of care.
• Coordinate with Materials Management to ensure adequate medication supply and clinical resource availability.
• Promote high levels of customer satisfaction across the EMS system.
• Participate in MCHD Disaster Operations as part of the EMS Command Staff.

• Complete a minimum of 8 hours per month in the field on an ambulance as a third rider for clinical observation and system engagement.
• If not field credentialed, may not engage in patient care or fill vacancies as a second crew member.
• If credentialed as a PRN field employee, may engage in patient care and fulfill this requirement as an active second crew member.
• Field time beyond the 8-hour monthly requirement and outside scheduled administrative hours must be clocked in and compensated at Department…