EMS Director

Director of Emergency Medical Services

Application Deadline: November 21, 2026

Position Summary

The Director of EMS provides overall leadership, direction, and management of KenTenn EMS, a dual-licensed ambulance service serving Fulton County, KY and South Fulton, TN. This position is responsible for ensuring the effective delivery of high-quality prehospital emergency medical care and operational excellence. The Director oversees daily operations, personnel, budgeting, and compliance with all applicable state and federal regulations. Reporting directly to the KenTenn EMS Board of Directors, the Director represents the organization within the community and promotes KenTenn EMS’s mission to provide compassionate, professional, and efficient emergency medical services. Position is located at the KTEMS administrative office in Fulton, KY. May require occasional evening or weekend work in support of meetings, community events, or emergency operations.

Supervision Received and Exercised

• Reports directly to the KenTenn EMS Board of Directors.
• Provides direct supervision to all KenTenn EMS personnel, including approximately 30 employees (14 full-time and 16 part-time).
• Oversees Shift Supervisors, Paramedics, Advanced EMTs, EMTs, and the Office Manager.
• Responsible for staff recruitment, training, evaluation, and discipline in accordance with agency policy.
• Fosters a collaborative, accountable, and safety-focused organizational culture.

Essential Duties and Responsibilities

Leadership and Administration

• Develops and implements operational goals, objectives, and policies to ensure efficient delivery of emergency medical services.
• Provides strong leadership and strategic planning consistent with the mission and vision of KenTenn EMS.
• Serves as the liaison between the Board of Directors, Medical Director, and partner agencies.
• Ensures compliance with all dual-state EMS licensing, operational, and reporting requirements.
• Oversees the creation and maintenance of Standard Operating Procedures (SOPs) and quality assurance programs in coordination with the Medical Director.

Financial and Billing Oversight

• Develops and administers annual operating and capital budgets; monitors and reports financial performance to the Board.
• Coordinates with the third-party billing company to ensure complete, accurate, and timely submission of all ambulance billing documentation.
• Reviews billing processes, follow-up, and payment activity to ensure compliance, timeliness, and effectiveness of collection.
• Works closely with the Office Manager to ensure accuracy in accounts payable, receivable, and financial reporting.
• Monitors expenditures and identifies opportunities for improved efficiency and fiscal responsibility.

Operations and Compliance

• Oversees all aspects of EMS operations, including response readiness, vehicle maintenance, supply inventory, and station operations.
• Ensures compliance with federal, state, and local EMS standards, including Kentucky Board of EMS and Tennessee Department of Health EMS regulations.
• Maintains operational readiness of all department resources, including medical supplies, treatment and diagnostic equipment, uniforms, vehicles, and facilities.
• Implements and maintains a functional Incident Command System (ICS) consistent with FEMA and NIMS standards.
• Ensures accurate documentation and timely submission of reports, audits, and licensure renewals.

Personnel Management

• Recruits, trains, evaluates, and develops EMS personnel to maintain a high-performing workforce.
• Ensures staff maintain required certifications and continuing education.
• Establishes and maintains fair and consistent scheduling, performance evaluations, and disciplinary procedures.
• Promotes teamwork, morale, and effective communication throughout the organization.

Community Relations and Public Education

• Represents KenTenn EMS at local, regional, and state meetings, conferences, and public events.
• Oversees and participates in community outreach and public education programs such as CPR/First Aid courses and school events.
• Promotes the agency’s voluntary membership program to enhance community involvement and support.
• Develops positive working relationships with city and county officials, hospitals, law enforcement, fire departments, emergency management, and other healthcare partners.

Training and Quality Improvement

• Coordinates with the Training Officer to develop and implement an annual training calendar for staff continuing education and compliance.
• Oversees quality improvement activities to monitor and enhance patient care and operational effectiveness.
• Ensures adherence to medical protocols and professional standards as approved by the Medical Director.
• Encourages professional growth and development for all employees.

First Responder Responsibilities

• Serve as an active first responder, providing advanced life support and patient care in accordance with state protocols.
• Respond to emergency calls as needed based on call volume and ambulance availability.
• Staff ambulances during periods of staffing shortages or increased call demand.
• Respond as a third unit with the Office Manager or other staff during and outside normal office hours as needed.
• Maintain current pre-hospital licensure and complete continuing education in accordance with state and agency standards.

Additional Duties

• Maintains good rapport and demonstrates constructive problem-solving with teammates, both medical and non-medical.
• Identifies and manages grant opportunities for operational or equipment funding.
• Performs other related duties as assigned by the Board of Directors.

Qualifications

Required

• Current prehospital licensure in both Kentucky and Tennessee. Minimum Advanced EMT licensure required, Paramedic preferred.
• Valid driver’s license with acceptable driving history.
• Current BLS, ACLS, and PALS certifications.
• FEMA ICS 100, 200, 300, 400, 700, and 800 certifications.
• Minimum of five (5) years of active EMS service, including at least two (2) years in a supervisory or administrative role.
• Demonstrated leadership, communication, and organizational skills.
• Ability to work flexible hours, including nights, weekends, and holidays as needed.
• Ability to maintain confidentiality and professionalism in all aspects of work.

Preferred

• National Registry Paramedic (NREMT) certification.
• Associate or Bachelor’s degree in EMS Management, Public Administration, or a related field.
• Experience in grant writing and grant management.
• Proficiency in EMS reporting software, Microsoft Office, and data management systems.
• Public speaking and community relations experience.

Work Environment and Physical Requirements

• Work is performed in both office and field settings, including emergency response environments and community events.
• Must be capable of lifting and moving patients, equipment, and supplies (up to 150 lbs.) in variable and often physically demanding conditions.
• Requires manual dexterity, good vision, clear speech, and adequate hearing.
• May involve working in extreme weather conditions, confined spaces, uneven terrain, or hazardous situations.

Compensation

This position is classified as exempt under the Fair Labor Standards Act (FSLA). Competitive salary commensurate with experience. Comprehensive benefits provided in accordance with KTEMS policy.

Pay: $70,000.00 - $80,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Retirement plan
• Uniform allowance
• Vision insurance

Work Location: In person