Community Health Paramedic Basic

Job Description

Paramedic  

  

 

IMMEDIATELY HIRING! 

BRIDGE TEAM COMMUNITY HEALTH PARAMEDIC FULL-TIME Opportunity

  

 

 

JOB DESCRIPTION

Our mission of providing care to the world at a moment's notice is at the heart of everything we do. We are caregivers, first and foremost and we will be there when you need us.

 

With more than 36,000 employees, Global Medical Response teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services around the world. We provide end-to-end medical transportation as well as fire services, integrated healthcare solutions and disaster response.

 

                                          

JOB SUMMARY

Serves as the medical member of the City of Waco's BRIDGE Team, a multi-disciplinary behavioral health response program operated in partnership by AMR, the Waco Police Department (WPD), and the Heart of Texas Behavioral Health Network (HoTBHN). Co-responds with a WPD officer and a Qualified Mental Health Professional (QMHP) to behavioral health calls; conducts medical assessments, applies medical exclusion criteria, makes transport determinations, and supports diversion to behavioral health settings rather than emergency departments when medically appropriate. This expanded-scope paramedic role requires independent clinical judgment, de-escalation skills, and the ability to identify medical conditions masked or complicated by psychiatric symptoms or substance use.

ESSENTIAL FUNCTIONS/DUTIES

• Serves as the medical decision-maker on BRIDGE responses; makes assessment, treatment, and transport determinations within the paramedic scope of practice and AMR Clinical Operating Guidelines (COGs) established by the Office of the Chief Medical Officer (OCMO).
• Conducts physical and medical assessments of each individual encountered, including vital signs, examination, medication review, and screening for medical conditions that may underlie or complicate a behavioral health presentation (e.g., hypoglycemia, hypoxia, head injury, arrhythmia, intoxication, or withdrawal).
• Applies the BRIDGE medical exclusion criteria to determine whether emergency department transport is required or whether the individual may be released to the QMHP for behavioral health assessment; re-evaluates if medical status changes.
• Consults online medical control as needed and notifies AMR leadership and the Medical Director following consultation; arranges ambulance transport whenever any team member is not comfortable releasing an individual without further medical evaluation.
• Co-responds with a WPD officer and a HoTBHN QMHP; stages until WPD confirms the scene is safe and coordinates the sequence of medical and behavioral health assessments to support de-escalation.
• Defers behavioral health disposition decisions to the QMHP and law enforcement decisions, including any emergency detention under Texas Health and Safety Code Chapter 573, to the WPD officer.
• Serves as the primary driver of the BRIDGE vehicle; performs pre-shift vehicle and equipment checks (communications, cardiac monitor, ALS first-response equipment, ePCR tablet, PPE, and body armor) and maintains supplies.
• Determines eligibility for BRIDGE vehicle transport to behavioral health facilities or community resources only when all program criteria are met; ensures any transport requiring ambulance-level care is completed by ambulance.
• Provides emergency medical care to any team member, bystander, or community member who becomes ill or injured during a BRIDGE response, and requests EMS through dispatch when a patient becomes medically unstable.
• Participates in post-crisis follow-up when a medical component is relevant; supports medication adherence, identifies barriers to primary care, and connects individuals with medical and community resources.
• Completes accurate, timely ePCR documentation for every contact, including HoTBHN record and WPD case numbers; contributes to program data reporting within authorized data-sharing agreements.
• Protects patient health information in accordance with HIPAA and GMR privacy policy; completes mandated reports of suspected abuse, neglect, or exploitation as required by Texas law.
• Completes all required BRIDGE program training and maintains Texas paramedic credentials, continuing education, and AMR clinical credentialing.
• Adheres to all company policies and procedures and the GMR Code of Conduct.
• Performs other duties as assigned.

 

QUALIFICATIONS

Experience:

• Minimum of two years of full-time paramedic experience (or equivalent part-time experience) required.
• Experience in community paramedicine, mobile integrated healthcare, or co-response with mental health clinicians or law enforcement preferred.

Education:

• High school diploma or GED required.
• Associate or bachelor's degree in paramedicine, EMS, public health, community health, nursing, or a related field preferred.

Skills:

• Knowledge of ALS protocols, pharmacology, cardiac monitoring, airway management, and AMR COGs.
• Knowledge of medical conditions that mimic or complicate behavioral health crises, and of common behavioral health conditions, substance use disorders, intellectual and developmental disabilities, and trauma.
• Knowledge of Texas Health and Safety Code provisions related to EMS and emergency detention, and HIPAA disclosure rules for EMS providers.
• Ability to communicate calmly and respectfully with individuals in crisis and their families using trauma-informed, person-centered approaches.
• Ability to complete accurate, timely documentation, safeguard confidential information, and work collaboratively in a co-located, multi-agency team.
• Bilingual in English and Spanish preferred.

Credentials/Licenses:

• Current Texas Department of State Health Services (DSHS) EMT-Paramedic certification or Licensed Paramedic licensure, maintained throughout employment.
• Current AHA BLS for Healthcare Providers and ACLS; current PALS or PEPP.
• Valid Texas driver's license and ability to meet GMR/AMR driving and motor vehicle record standards.
• National Registry Paramedic (NRP), Community Paramedic certification (e.g., IBSC CP-C, or completion within 12 months of assignment), and ITLS or PHTLS preferred.

Required Training:

• Before first deployment: BRIDGE Team Orientation, OCMO-approved BRIDGE Medical Protocol Training, and WPD Officer Safety Awareness.
• Within 30 days: Mental Health First Aid for Public Safety, SAMA Courses 1 and 2, and BRIDGE Scenario Training (annually thereafter).
• Within 60 days: Behavioral Health Conditions and Crisis Presentations training.
• Required training is paid time, compensated in accordance with the FLSA and GMR policy.

 

 

WORKING CONDITIONS AND MENTAL/PHYSICAL REQUIREMENTS

Working Conditions:

• Work is performed primarily in the field, including private residences, public spaces, outdoor locations, and clinical settings, alongside law enforcement and behavioral health professionals.
• Work in all weather conditions typical of Central Texas; exposure to communicable diseases, bloodborne pathogens, hazardous substances, and individuals who may be intoxicated or exhibit aggressive or unpredictable behavior. PPE and body armor are required.
• Schedule: four 10-hour shifts, Tuesday through Friday (hours confirmed by Operations); overtime may be required and is paid in accordance with the FLSA.

Physical Demands:

• Lifting, carrying, and moving patients and equipment, with or without assistance, consistent with AMR paramedic physical standards (frequently up to 50 pounds; occasionally more than 100 pounds with assistance).
• Prolonged driving, standing, walking, kneeling, bending, and sitting; rapid physical response in emergencies.
• Clear speech and hearing for radio and in-person communication; visual acuity sufficient for patient assessment and safe vehicle operation.

Mental Requirements:

• Critical thinking skills to distinguish acute medical emergencies from behavioral health crises and to apply exclusion criteria consistently.
• Ability to remain calm, use de-escalation techniques, and exercise sound independent judgment in unpredictable, high-stress situations.
• Emotional resilience when working with individuals experiencing trauma, crisis, or substance use.

Conditions of Employment:

• Offers are contingent on a background check conducted in compliance with the Fair Credit Reporting Act, a drug screen, and any required post-offer medical evaluation, consistent with GMR policy and the program agreement.
• Required immunizations and health screenings per GMR clinical policy, subject to approved medical and religious accommodations.
• This assignment is contingent on continued program funding and the partner agreement with the City of Waco.

 

 

GUIDING VALUES AND BEHAVIORS

Employee must consistently exhibit our guiding principles:

• Patient Care - We continually earn the privilege to care for our patients.  It is at the forefront of everything we do.
• One Team - We respect each other and achieve together what no individual can alone.
• Innovation - We are driven to develop solutions that inspire progress.
• Vigilance - We will never waver in our commitment to safety and preparedness in the fulfillment of our duties.
• Ownership - We are accountable for what we do and take pride in how we do it.
• Citizenship - We are dedicated to being good stewards in the communities we serve.

 

REPORTING RELATIONSHIPS

Reports to: AMR Waco Operations Manager (or designee); clinical oversight by the AMR Medical Director / OCMO. No direct reports. Day-to-day field coordination occurs with the WPD BRIDGE Sergeant; employment supervision, scheduling, and timekeeping remain with AMR.

Interrelationships: Waco Police Department, Heart of Texas Behavioral Health Network, AMR Operations, Clinical/OCMO, and Human Resources.

 

Why Choose AMR? AMR is one of Global Medical Response’s (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.  

 

GMR’s Core Behaviors—keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

More Information about this Job

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