Job Details: Job Location: Pagosa Springs Medical Center - PAGOSA SPRINGS, CO, Position Type: Per Diem, Education Level: High School, Salary Range: $24.62 - $30.78Hourly, Job Shift: Any, EMT: Paramedic Department: Ambulance / EMS Status: PRN FLSA Status: Non-Exempt Reports To: Manager: EMS Deputy Chief Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado Work Arrangement: On-Site / Field-Based Base Pay Range: $24.62 - $30.78/hour PRN Differential: +$5.00/hour Application Deadline: November 13, 2026. The application period may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. Candidates are encouraged to apply well in advance of the deadline. 🚑 Position Highlight Provide advanced life support and high-quality pre-hospital care while serving as the clinical lead of an EMS response team. Pagosa Springs Medical Center is seeking a skilled and dependable PRN Paramedic who can assess rapidly changing situations, provide advanced emergency care, lead effectively in the field, and work collaboratively with EMS partners and other healthcare professionals. Position Summary The EMT: Paramedic provides direct patient care within the EMT-P scope of practice and oversees care provided by EMT-B and EMT-IV partners. The Paramedic serves in the ALS Lead role and is ultimately responsible for patient care provided by the crew, coordination of other responders on scene, and the overall operation of the ambulance.  The Paramedic is also responsible for ensuring the assigned ambulance is mechanically sound and appropriately equipped at the beginning of the shift, maintaining required certifications, supporting EMS station responsibilities, and assisting with staff training and development as needed. Why Join PSMC EMS? Provide meaningful emergency medical care to patients throughout our rural community Practice at the advanced life support level in a dynamic pre-hospital environment Serve as the ALS clinical lead during emergency responses Work closely with EMTs, other first responders, hospital clinicians, and community partners Apply critical thinking and clinical judgment in a wide variety of emergency situations Support the orientation and development of other EMS team members Join a community-focused Critical Access Hospital committed to high-quality care close to home Key Responsibilities Advanced Life Support & Patient Care Assess patients and provide appropriate care within the Paramedic scope of practice Assist with triage and evaluation of patients Provide ALS pre-hospital care using sound clinical judgment and critical-thinking skills Administer medications and IV fluids in accordance with approved protocols Monitor and reassess patients throughout care and transport Address the physical and psychosocial needs of patients and families Provide culturally respectful and patient-centered care Maintain accurate and timely patient care documentation Deliver care in a manner that promotes patient safety and minimizes treatment errors  ALS Lead & Scene Coordination Function as the ALS Lead on assigned calls Take responsibility for the overall coordination of patient care provided by the ambulance crew Coordinate effectively with other responders at the scene Apply strong situational awareness and adaptability in rapidly changing environments Follow established chain of command and communicate appropriately with EMS leadership and healthcare partners Function effectively in a team-lead role while supporting a collaborative crew environment  Ambulance & Operational Readiness Verify that the assigned ambulance is mechanically sound and properly equipped at the beginning of the shift Operate vehicles and EMS equipment safely and correctly Maintain readiness for emergency response Participate in assigned station duties Maintain EMS living quarters and shared work areas in accordance with department expectations Understand the National Incident Management System and EMS's role in large-scale exercises and incidents Teamwork, Quality & Professional Development Maintain required licenses, certifications, and clinical competencies Communicate effectively with patients, coworkers, providers, leadership, and other responders Maintain respectful and professional working relationships Accept and apply quality-assurance feedback to improve clinical practice Assist with the orientation of new EMS employees Participate in ongoing training, continuing education, and department activities Demonstrate sound judgment and remain professional during high-stress situations Follow PSMC and EMS policies, procedures, protocols, and safety requirements Qualifications: Required Qualifications Completion of the EMT-P national standard curriculum Experience working as an EMT-P Current Colorado EMT-P certification Current AHA BLS certification for healthcare providers Current ACLS certification, or successful completion of the next available course within three months Current PALS certification, or successful completion of the next available course within three months Knowledge of clinical scope-of-practice skills, critical thinking, and ALS pre-hospital patient care Basic computer skills, including Microsoft Office, electronic health records, and EMS software Ability to successfully complete PSMC's required Fitness for Duty evaluation Ability to remain insurable under PSMC's automobile policy and maintain an acceptable driving record Preferred Qualifications Experience providing care to sick and injured patients in an operational EMS setting Experience providing pre-hospital patient care in dynamic environments requiring adaptability, situational awareness, and strong critical-thinking skills Additional language  What We're Looking For The ideal candidate: Demonstrates strong ALS assessment and clinical decision-making skills Remains calm and focused in emergency and high-stress situations Can quickly adapt when patient conditions or scene circumstances change Communicates clearly with patients, families, EMS partners, providers, and other responders Is comfortable taking clinical responsibility as the ALS Lead Works effectively both independently and as part of a crew Maintains safe vehicle and equipment practices Takes accountability for accurate and timely documentation Responds constructively to quality-assurance feedback Supports the training and development of fellow EMS team members Demonstrates PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and Respect Schedule & Work Environment This is a PRN, non-exempt position. Scheduling will be based on departmental staffing needs and employee availability. EMS work is performed in field, ambulance, station, and patient-care environments and may involve frequent interruptions, high-stress situations, inclement weather, traffic and roadway hazards, exposure to blood and bodily fluids, communicable disease, hazardous materials, and the physical demands associated with lifting, moving, and positioning patients and equipment.  The position requires substantial physical capability and may involve lifting and moving significant weight as part of emergency patient care.  Compensation & Benefits Compensation   Base hourly pay range: $24.62 - $30.78 PRN Differential: +$5.00/hour Placement within the base range will be based on the selected candidate's qualifications, relevant experience, internal equity, and PSMC's applicable compensation practices Other applicable differentials, callback pay, or premium compensation will be paid in accordance with PSMC policy PRN Status & Benefits PRN Differential: +$5.00/hour HFWA Sick Leave: Accrues at 1 hour for every 30 hours worked, subject to applicable PSMC use and carryover limits 401(a) Retirement Plan: Mandatory 6% employee contribution with a 6% employer contribution 457(b) Retirement Plan: Voluntary employee retirement savings option Other applicable employment benefits and provisions are governed by PSMC policies and plan terms About Pagosa Springs Medical Center Pagosa Springs Medical Center is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. PSMC EMS provides essential emergency medical services across a rural and geographically diverse service area where skilled pre-hospital clinicians play a critical role in patient outcomes and access to care. Located in the San Juan Mountains, Pagosa Springs offers year-round opportunities for hiking, skiing, fishing, mountain biking, rafting, hunting, and other outdoor recreation. At PSMC, you'll join a collaborative healthcare team guided by our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect. Apply Today If you're a skilled Paramedic who thrives in a dynamic environment, values teamwork, and is committed to providing safe, compassionate, high-quality emergency care, we encourage you to apply. Join PSMC EMS and help provide advanced emergency medical care when our community needs it most.