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Department: Jefferson County Ambulance Services
Position Title: Director
Pay Grade: $80,000 minimum; negotiable on experience and qualifications
Status: Exempt/Salaried
Reports To: County Board of Supervisors

Primary Purpose of Position: The Director is responsible for the day-to-day operations and administration of the Jefferson County Ambulance Service and supports countywide first responder service and the County Emergency Medical Service (EMS) Association. Plans, organizes, coordinates and evaluates functioning of ambulance services; conducts training and staff supervision in order to ensure delivery of consistent high-quality care throughout the county. Represents the department and county at local, regional and state meetings.

Essential Duties and Responsibilities

The following duties are normal for this position. These job duties are not to be construed as exclusive, or a specific list, and other duties may be required and assigned by the Board of Supervisors.


  • Responsible to comply with all state and federal rules and regulations pertaining to applicable ambulance and EMS services, and complies with all regulations of the Iowa Department of Health and Human Services – Bureau of Emergency & Trauma Services.
  • Prepares and manages the budget; prepares and presents regular reports to the Board of Supervisors.
  • Plans for future equipment and personnel needs.
  • Communicates timely, accurate information to the Board of Supervisors, Medical Director, EMS and State of Iowa.
  • Purchases equipment, materials and supplies in accordance with the budget and cost effectiveness; determines long range capital and equipment needs; prepares bid specification; reviews bids and purchases equipment in consultation with the Board of Supervisors.
  • Effectively works with County, City and Hospital officials, patients, staff and the public.
  • Promptly handles complaints and/or concerns and communicates these to the Board of Supervisors immediately.


  • Develops written protocols, policies and procedures; organizes, coordinates and evaluates all functions of the ambulance services.
  • Responsible for patient care, staffing, program planning, maintenance of vehicles, equipment and facilities.
  • Ensures emergency vehicles and equipment are maintained and repaired including rig maintenance checks, cot maintenance, medication checks and ordering supplies in a timely fashion.
  • Ensures safety and efficiency in the workplace; submits policies to the state for approval.
  • Ensures schedule needs are met.
  • Ensures ambulance building and grounds are cleaned and maintained.
  • Handles employee discipline issues according to employee handbook.


  • Encourages input from all crew members.
  • Provides leadership, support and assistance with any concerns regarding ambulance services.
  • Communicates effective performance measurements for each crew member.
  • Coordinates training for new staff. Conducts or assists with the training as necessary.
  • Addresses personnel issues in a timely and professional manner.


  • Manages the Ambulance department’s payables, accounts receivable and ambulance billing system.
  • Available to the community for billing questions.

Required Knowledge, Abilities & Skills

  • Knowledgeable of all state and federal rules and regulations pertaining to ambulance and EMS delivery.
  • Serves as a paramedic and responds to emergency calls as necessary.
  • Positive leader that takes initiative, develops ideas and problem solves.
  • Supervise staff and ensure safety in the workplace. Attend safety committee meeting.


  • Bachelor’s degree, prefer Business, Healthcare Administration or related area/experience
  • National Registry Paramedic Certification; State of Iowa Paramedic
  • Minimum two years field experience as a Paramedic
  • Minimum 5 years of progressive EMS management experience and responsibility
  • BLS, ACLS, PALS, and PHTLS Certifications
  • Knowledge of Federal, State and Local statutes as they pertain to the delivery of prehospital emergency care
Minimum Training and Experience Required to Perform Essential Job Functions          
Two to four years supervisory or management experience preferred (in EMS), including experience with employee relations, conflict resolution and critical thinking skills. Current Iowa Paramedic License and 4+ years active experience working in paramedics. Prior experience working with rural ambulance service operations. Valid Iowa driver’s license or equivalent and proof of insurance.
Physical and Mental Abilities Required to Perform Essential Job Functions

Language Ability and Interpersonal Communication

  • Demonstrates good communication skills.  Fluent in the English language and able to read, analyze, and interpret general business periodicals, professional journals, technical procedures, and governmental regulations.
  • Presents information and responds to questions and situations clients, providers, regional staff, representatives of other agencies.

Physical Requirements and Environmental Conditions

  • Ability to perform all requirements of this classification.
  • Horizontal and vertical reaching motion is required. Ability to lift a minimum of fifty (50) pounds.
  •  Must be able to perform their duties under a variety of conditions including inside and outside, and in all types of weather and hazardous conditions.

Work Environment

Described below are typical work environment characteristics encountered while performing the essential function of the position.  Reasonable accommodations may be made to allow individuals with disabilities to perform the essential functions of the position.

  • Exposure to prolonged or intermittent exertion
  • Exposure to severe weather elements
  • Understands the potential for exposure to hazardous drugs exists and agrees to use PPE to reduce personal exposure.

Hazards & Atmospheric Conditions

Precautions must be followed when working in any health care environment.  This position could anticipate the following potentially hazardous conditions.

  • Chemical Hazards
  • Exposure to Fumes
  • Exposure to Dust
  • Exposure to Extreme Temperatures
  • Wet and/or Humid
  • Mechanical Hazards
  • Explosives Hazards
  • Burn Hazards


 Compliance with the employer policies, department work rules & policies, and the County’s Employee Handbook & Policy Manual.



Send Letter of Application and Resume by June 7 at 4:00 p.m. to

Board of Supervisors Chairman: Dee Sandquist

Jefferson County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, SIT will provide reasonable accommodations to qualified individuals with disabilities and encourage both prospective and current employees to discuss potential accommodations with the employer.

Notice: County Courthouse Offices will be closed on Monday, May 27, 2024 in observance of Memorial Day.

Temporary Polling Location Change: Fairfield 2nd Ward will vote at the County Engineer's Office, 901 N 8th St., Fairfield effective for the June 4, 2024 Primary Election.