EMS District Chief

Salary : $65,231.00 Annually
Location : Nashville, NC
Job Type: Full Time
Job Number: 2026-00046
Department: Emergency Services
Division: Emergency Medical Services
Opening Date: 05/28/2026
Closing Date: 6/4/2026 11:59 PM Eastern


General Statement of Duties
The EMS District Chief is responsible for overseeing and coordinating emergency medical services operations within an assigned district. This role involves supervising EMS personnel, ensuring the delivery of high-quality emergency medical care, and maintaining operational readiness of equipment and resources. The District Chief manages daily operations, responds to complex or high-priority emergency calls, and ensures compliance with local, state, and federal regulations. Additional duties include staff training, performance evaluations, incident reporting, and collaboration with other emergency services agencies to promote efficient and effective response to medical emergencies. The position requires strong leadership, decision-making, and communication skills to manage critical situations and support community safety.

Essential Duties and Tasks
Supervise and Lead EMS Personnel: Oversee daily activities of EMS staff, including paramedics and EMTs, ensuring proper staffing, scheduling, and adherence to protocols.
Emergency Response Coordination: Respond to high-priority or complex emergency calls, providing advanced medical care and directing on-scene operations as needed.
Ensure Operational Readiness: Ensure the cleanliness and readiness of EMS vehicles, stations, medical equipment, and supplies. Conduct regular station and EMS vehicle inspections and coordinate with the Logistics Coordinator on any vehicle, equipment or supply issues. Responds to emergency calls in a Quick Response Vehicle or ambulance as needed; and coordinates the provision of medical services making assessments of critical problems and decides on the sequence of solutions.
Compliance and Reporting: Ensure adherence to local, state, and federal regulations, including accurate documentation of incidents, patient care reports, and operational logs. Occasionally review patient care records for accurate billing information.
Performance Management: Conduct performance evaluations, provide feedback, and address disciplinary issues to maintain a high-performing team.Inter-agency Collaboration: Work with fire, police, and other emergency services to coordinate responses and improve interdepartmental operations.
Training and Development: Develop and implement training programs for EMS personnel to enhance skills, ensure certification compliance, and promote best practices.
Community Engagement: Participate in community outreach programs to promote public safety and educate on emergency medical procedures.
Incident Analysis and Improvement: Review incident reports to identify trends, implement quality improvement initiatives, and enhance service delivery.
Additional Job Duties Performs related duties as required or delegated by EMS administrators.

Knowledges, Skills and Abilities
Emergency Medical Services: In-depth understanding of advanced life support (ALS) and basic life support (BLS)protocols, emergency medical procedures, and patient care standards.
Regulatory Compliance: Familiarity with local, state, and federal EMS regulations, including HIPAA, OSHA, andEMS licensing requirements.
Incident Command System: Knowledge of Incident Command System (ICS) principles and multi-agency coordination during emergencies.
EMS Operations: Understanding of ambulance operations, equipment maintenance, and resource management.
Emergency Medical Care: Ability to perform and oversee advanced emergency medical interventions under high pressure situations.
Decision-Making: Strong analytical skills to make rapid, effective decisions during critical incidents.Communication: Excellent verbal and written communication skills for coordinating teams, interacting with other agencies, and completing reports.
Leadership Principles: Proficiency in leadership and management practices, including team motivation, conflict resolution, and performance evaluation.
Problem-Solving: Ability to identify operational challenges and implement effective solutions to improve performance.

Desirable Education and Experience
Graduation from high school and several years of emergency medical services work as a Paramedic, including some work training and precepting other EMS providers; or an equivalent combination of education and experience.


The ideal candidate for the EMS District Chief position possess a high school diploma or GED and a minimum of two years of experience as a certified Paramedic, demonstrating proficiency in emergency medical services.Completion of NIMS courses 100, 200, 700, and 800 is required to ensure effective emergency management and coordination skills. Candidates should have completed leadership training to prepare for supervisory responsibilities and effective team management. Additionally, internal candidates must have a performance evaluation from the most recent review that meets or exceeds expectations, reflecting strong professional competence, leadership, and reliability in high-pressure environments.
INSURANCE PROGRAMS
Nash County offers cafeteria-style benefits including:
- Health Insurance
- Dental Insurance
- Life Insurance
- Vision Insurance
- Supplemental Health Benefits (Accident, Critical Illness, and Hospital Indemnity Insurances)
- Disability Insurance (Long-Term and Short-Term Disability)
and more!
FINANCIAL PROGRAMS
Retirement

Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.

NC401(k)

The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.

457 Deferred Compensation

The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.

Special Separation Allowance

The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.

125 Flexible Benefit Plan

Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.

• Health Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible health care expenses.
• Dependent Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible dependent care expenses.

Direct Deposit

Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.
LEAVE PROGRAMS
Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit.

Sick Leave

For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.

Holidays

The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year.
The following holidays are observed:

• New Year's Day,
• Martin Luther King, Jr. Day,
• Good Friday,
• Memorial Day,
• Independence Day,
• Labor Day,
• Veteran's Day,
• Thanksgiving Day and the day after, and
• Three (3) days at Christmas.

Military Leave

Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year.
Active Duty - Reserves and National Guard - Ten paid workdays upon activation.

Civil Leave

Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.

Family Medical Leave Act

Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.
OTHER PROGRAMS
Employee Assistance Program (EAP)

The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.

Wellness Center and Telemedicine

We believe that staying healthy is inclusive of exercising regularly and taking care of your physical body. Nash County has a Wellness Center, which consists of various exercise equipment and videos, open to all full and part-time employees.


All full-time employees also have access to telemedicine through Teladoc. Teladoc treats conditions like allergies, sore throats, asthma, and more. Doctors are available by phone or video 24/7 from wherever you are. They are available to diagnose symptoms and send a prescription if needed.


NOTICE OF PRIVACY PRACTICES

The benefits offered by Nash County are subject to change. In the event there is a conflict between the above contents and Nash County policies and/or a State or Federal statute, the policy/statute shall control. Plan documents will govern benefits plans should there be a conflict with this information. They are not held out to any employee as part of any contractual agreement. Benefits, policies, and procedures are subject to change or termination at any time.

Information provided on this site is for informational purposes only. Actual provisions of each plan will be provided on the certificate of coverage as part of the Summary Plan description.

Nash County is an Equal Opportunity Employer/Provider

In accordance with Federal civil rights law and the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).
Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's Target Center at View phone number on click.appcast.io (voice and TTY) or contact USDA through the Federal Relay Service at View phone number on click.appcast.io.
Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at filing cust.html and any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.
To request a copy of the complaint form, call View phone number on click.appcast.io. Submit your completed form or letter to USDA by:


1. mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
2. fax: View phone number on click.appcast.io; or
3. email: View email address on click.appcast.io

USDA is an equal opportunity provider, employer, and lender.
01


Do you hold a valid NC EMT-Paramedic certification?

• Yes
• No
• N/A

Required Question