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  • Emergency Medical Services Division Manager (Health Services Manager, Senior)

    Santa Ana, California United States Orange County, CA Full Time $140,670.40 - $194,833.60 Annually Jan 29, 2026
    County of Orange Employer:

    Orange County, CA

    Discover a Fulfilling Career at the County of Orange With a population of over 3 million residents and 34 cities, Orange County is a thriving community known for its beautiful beaches, diverse culture, and strong economy. As the third-largest employer in the county, the County of Orange offers over 18,000 employees the opportunity to make a difference in their community and build a fulfilling career in public service. As a County of Orange employee, you will have the chance to work in a variety of departments, each providing vital services to our community. From law enforcement and healthcare to public works and environmental protection, there is a wide range of career paths to explore. And with opportunities for advancement and professional growth, you can build a long and rewarding career with us. As a top employer in the region, the County of Orange is committed to providing our employees with excellent benefits, including a competitive salary, flexible work schedules, and outstanding healthcare coverage. We also offer opportunities for career development and training, ensuring that our employees have the skills and knowledge they need to succeed. Whether you're just starting your career or looking for a new challenge, the County of Orange is a great place to work. With a supportive and collaborative work environment, a commitment to excellence, and opportunities for growth and advancement, we invite you to join our team and make a difference in your community.   Community Impact: Working for the County of Orange means you will have the opportunity to make a meaningful impact in your community. Whether you're providing critical services to residents, protecting the environment, or maintaining public safety, your work will make a difference in the lives of those around you. Employee Wellness: At the County of Orange, we prioritize our employees' well-being. We offer telecommuting options, generous health benefits, and wellness programs to promote work-life balance. We believe that by taking care of our employee’s health and well-being, we can help them excel in their careers while still enjoying their personal lives and taking care of their families. Innovation: The County of Orange is committed to embracing new technologies and innovative approaches to service delivery. We encourage our employees to think creatively and find ways to improve our processes and systems. If you're someone who loves to problem-solve and think outside the box, you'll find a supportive and dynamic environment here. Collaboration: Collaboration is key to our success at the County of Orange. We value teamwork, communication, and mutual support, and we work together across departments and functions to achieve our goals. If you're someone who enjoys collaborating with others and building strong relationships, you'll find a welcoming and inclusive community here. Equality: At the County of Orange, we are committed to creating a diverse and inclusive workplace where all employees feel valued and respected. Our Equity Policy reflects this commitment and guides our efforts to promote equity, diversity, and inclusion in everything we do. Career Advancement: The County of Orange is dedicated to helping our employees grow and advance in their careers. We offer a variety of training and development opportunities to help our employees reach their full potential. If you're looking for a place to build a long and fulfilling career, the County of Orange is an excellent choice.  

    Job Description

    CAREER DESCRIPTION

    Emergency Medical Services Division Manager

    ( Health Services Manager, Senior )

    Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization.

    OPEN TO THE PUBLIC
    This position is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met.

    The deadline for the first round of considerations will be on Monday, October 20, 2025, at 11:59 p.m. (PST). Applications received after this date will be processed in the next round.
    Qualified applicants are encouraged to apply immediately.


    This recruitment will establish an open eligible list. This list will be used to fill current and future Health Services Manager, Senior vacancies within the Health Care Agency. This eligible list may also be used to fill positions in similar and/or lower classifications.

    HEALTH CARE AGENCY
    The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community.

    THE DEPARTMENT
    Emergency Medical Services (EMS) mission is to plan, coordinate and oversee the highest quality prehospital and emergency medical care in response to individual needs and community crisis. Mutual cooperation, patient advocacy, advanced medical technology, electronic documentation and evidence-based data are the EMS program major strengths.

    THE OPPORTUNITY
    The County of Orange, Health Care Agency has an exciting opportunity for a qualified individual to serve as Emergency Medical Services (EMS) Division Manager. The position will manage and provide oversight to approximately 40 staff, consisting of: EMS Medical Director, EMS Associate Medical Director, Emergency Management Manager, Chief Pharmacist, PSC Pharmacist, Emergency Management Administrators, HCA Program Supervisor II's, EMS Coordinators, Public Health Nurses (PHN's), EMS Specialists, Storekeeper II's, Office Supervisor B, Staff Specialists, Staff Assistants, Information Processing Technicians and Office Specialists.

    Additional responsibilities of the position will also include but are not limited to:
    • Establish and implement Division goals, objectives, and program priorities
    • Respond to communities, Board of Supervisors (BOS), County Executive Officer (CEO), and media inquiries
    • Participate on Agency, County, and statewide committees
    • Manage multiple federal grant funds for Public Health Emergency Preparedness, Homeland Security, and Hospital Preparedness Programs
    • Oversee the Orange County Medical Emergency Data System (OC MEDS) contracts and enhancements
    • Coordinate with Auditor-Controller staff regarding billing, collection, and grant implementation
    • Oversee HCA Operations Center and Strategic National Stockpile warehouse
    • Provide oversight of emergency medical and disaster exercise planning, training, and implementation
    • Represent HCA at the County Emergency Operations Center during disaster drills and actual emergencies
    • Provide oversight and management of the County's Base Hospital system
    • Oversee, evaluate, coordinate, and implement Division fee and rate studies
    • Evaluate and provide recommendations regarding legislative issues on County and Statewide level
    • Negotiate, coordinate, and obtain Board approval for the County's five (5) exclusive operating areas ambulance contracts
    • Work with Human Resource Services (HRS) to conduct recruitment selection processes
    • Provide oversight of the EMS hospital specialty designations


    DESIRABLE QUALIFICATIONS & CORE COMPETENCIES
    The ideal candidate will possess five (5) or more years of experience in EMS Administration, disaster management and federal grant processes.

    A valid Physician license, Registered Nurse license, Emergency Medical Technician license, or Paramedic license is preferred, but not required.

    Additionally, the ideal candidate will possess extensive knowledge, skills, and abilities that demonstrates the following competencies:

    Professional & Technical Expertise
    • EMS pre-hospital and hospital systems and system providers
    • Quality improvement (QI) and program auditing
    • EMS and health disaster preparedness and response
    • Possessing the skills to perform the responsibilities of a Local Emergency Medical Services Administrator and Medical and Health Operational Area Coordinator
    • Developing and implementing EMS policies and procedures
    • Planning and developing protocols and guidelines to meet State and Federal mandates
    • Ensuring program compliance with State and Federal mandates and County regulations
    • Maintaining the fiscal integrity and accuracy of program expenditures and budget development
    • Conducting audits to ensure emergency medical and disaster planning and preparedness are effective
    • Developing and maintaining strong and effective coordination between EMS programs
    • Strong political acumen when interacting with the BOS, CEO's office, communities, and stakeholders
    • Managing and coordinating disaster response activities and directing emergency medical services throughout the County
    • Proficiency in Microsoft Word, Excel, Power Point, and Outlook to produce high-quality documents

    Leadership | Managing Performance
    • Adapting leadership style to a variety of work situations
    • Resolving staff conflict in a constructive manner to minimize negative program impact
    • Developing and presenting work performance evaluation, and providing performance feedback to staff effectively
    • Encouraging and facilitating staff cooperation and fostering commitment and team spirit to achieve program goals
    • Fostering inclusion and collaboration amongst team

    Strategic Thinking & Perspective | Project Management
    • Developing effective strategies and techniques for effective planning, implementing, and evaluating program changes
    • Evaluating the impact of change in processes, procedures, leadership, and program culture
    • Monitoring EMS programs performance and services provided and implementing change when necessary
    • Managing program integration effectively and resolving issues accordingly
    • Being adaptable and flexible while maintaining a strong focus on program quality of care and services
    • Formulating effective resolutions by being consistent with the Agency's Mission and Vision

    Oral & Written Communication
    • Communicating effectively both orally and in writing
    • Expressing ideas and recommendations clearly
    • Partnering with all program staff and stakeholders, including other Counties, State and Federal Agencies or Departments to build strategic working relationships to achieve common goals

    Innovative Problem Solving | Delivering Results
    • Anticipating and identifying potential program problems and proactively generating alternative solutions
    • Researching, implementing, and identifying issues in relation to County's Point of Distribution systems to conduct mass vaccination in the event of health emergencies
    • Producing quality work within tight and demanding deadlines
    • Making effective policy decisions


    MINIMUM QUALIFICATIONS
    Please click here for the minimum qualifications for Health Services Manager, Senior as well as the physical & mental requirements and the environmental conditions.

    RECRUITMENT PROCESS
    Human Resource Services (HRS) will screen all applications to identify qualified candidates. After screening, qualified applicants will be referred to the recruitment process. All applicants will be notified via email of their status in the process.

    Application Screening (Refer/Non-Refer)
    Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step.

    Veterans Employment Preference
    The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here(Download PDF reader) to review the policy.

    Structured Oral Interview (Weighted 100%)
    Applicants will be interviewed and rated by a panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job.

    Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified via e-mail of any changes in the selection procedure.

    Eligible List
    Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies.

    ADDITIONAL INFORMATION

    E-MAIL NOTIFICATION
    E-mail is the primary form of notification during the recruitment process. Please ensure your correct e-mail address is included in our application and use only one e-mail account.
    Candidates will be notified regarding their status as the recruitment proceeds via e-mail through the GovernmentJobs.com site. Please check your e-mail folders, including spam/junk folders, and/or accept e-mails ending with "governmentjobs.com" and "ocgov.com." If your e-mail address should change, please update your profile at www.governmentjobs.com.

    NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply.

    For detailed information on how to apply, click here.

    FREQUENTLY ASKED QUESTIONS
    Click here for additional Frequently Asked Questions.

    For more information regarding this recruitment, please contact Mariah Cuellar at (714) 834-3179 or mcuellar@ochca.com.

    EEO INFORMATION

    Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply.

    Administrative Management *
    In addition to the County's standard suite of benefits -- such as a variety of health plan options, sick and vacation time and paid holidays -- we also offer an excellent array of benefits such as:
    • Retirement: Benefits are provided through the Orange County Employees' Retirement System (OCERS). Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits.
      http://www.ocers.org/active-member-information.
    • Paid Leave: Twelve holidays per year plus sick and vacation time
    • Health & Dependent Care Reimbursement Accounts
    • Dental Insurance: County pays 100% of employee and dependent premiums
    • Paid Life Insurance: $100,000 life insurance policy
    • Paid Accidental & Death and Dismemberment Insurance: $100,000 AD&D insurance policy
    • Paid Short & Long Term Disability insurance programs
    • 457 Defined Contribution Program


    *Effective 07/01/20, management employees who are sworn Public Safety Managers receive health insurance benefits through the AOCDS Medical Benefit Plans.

    Click here for information about benefits offered to County of Orange employees.

    Closing Date/Time: Continuous

    Please mention you found this employment opportunity on the CareersInGovernment.com job board.

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Government Paramedic Jobs and Firefighter Careers: Your Complete Guide

Government Paramedic Jobs and Firefighter Careers: Your Complete Guide

Emergencies happen every day, requiring the swift and professional response of highly trained paramedics and firefighters. These government employees are essential in handling life-threatening situations, providing treatment, and making split-second decisions that save lives. If you’re interested in a career in emergency services, this guide offers a clear roadmap for becoming a paramedic or firefighter, detailing the necessary skills and key responsibilities involved in these essential roles.

 

Becoming a Government Paramedic

Step 1: Education Requirements

To become a government paramedic, you’ll need a high school diploma or GED. This foundational education is required to proceed with further training and certification.

Step 2: Dive into Emergency Medical Services (EMS)

Before jumping directly into EMT training, consider exploring introductory courses in EMS. Many community colleges offer these, providing a solid overview of the field. These courses help you understand the day-to-day duties of paramedics, from patient treatment to the use of essential medical supplies.

Step 3: EMT-Basic Certification

Your first formal training will be to become an Emergency Medical Technician (EMT-Basic). This certification typically takes 3-6 months and includes classroom learning and hands-on training. EMTs provide essential emergency care, from performing CPR to administering basic life support (BLS) during critical situations.

Step 4: Obtain State Licensure (Round 1)

After completing your EMT-Basic training, the next step is to pass the National Registry of Emergency Medical Technicians (NREMT) exam. This certification is required in most states and allows you to work as an EMT, gaining the experience needed to become a paramedic.

Step 5: Gaining Field Experience

After becoming certified, most aspiring paramedics work as EMTs for 6-12 months. This experience is crucial for developing the ability to respond to high-pressure medical emergencies. During this time, you’ll refine your skills and decide whether this career is right for you.

Step 6: Enroll in Paramedic Training

Next, you’ll enter a paramedic training program, typically taking 1-2 years to complete. This advanced training covers a range of subjects, including anatomy, physiology, advanced life support techniques, and medication administration. Programs often include certification courses in basic life support (BLS) and advanced life support through organizations like the American Heart Association.

Step 7: Obtain State Licensure (Round 2)

Upon completing paramedic training, you must pass another NREMT exam to become a fully licensed paramedic. State licensure requirements vary, so please check your local regulations to ensure you comply.

Step 8: Pursue an Associate’s Degree

While not always required, earning an associate’s degree in Emergency Medical Services or a related field can boost your career prospects. Many government paramedic positions prefer candidates with this additional education, as it indicates a deeper understanding of emergency care.

Step 9: Continuous Learning and Advanced Certifications

Emergency medicine constantly evolves, and paramedics must stay updated with new techniques. Consider earning additional certifications like Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) to stand out in the job market and ensure you can handle various emergencies.

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Becoming a Firefighter

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Step 1: Meeting Basic Requirements

Firefighting is a demanding job, both physically and mentally. First, you must be at least 18 years old, have a high school diploma or GED, and hold a valid driver’s license. A clean criminal record and excellent physical condition are also required.

Step 2: EMT Certification

Many fire departments require firefighters to be EMT-certified. This certification means firefighters can assist with medical emergencies as part of their job duties, often being the first to respond to accidents or medical calls.

Step 3: Fire Science Education

While not always mandatory, pursuing an associate’s or bachelor’s degree in Fire Science can give you a competitive edge when applying for firefighter positions. These programs cover fire prevention, safety protocols, and hazardous materials handling.

Step 4: Gaining Experience

Many aspiring firefighters begin by volunteering at local fire departments or working as EMTs. This hands-on experience is invaluable and allows you to develop a strong foundation in emergency services, understand the equipment and supplies used, and learn how to manage them effectively during real-life incidents.

Step 5: Applying for Firefighter Positions

Once you’ve met the basic requirements and gained some experience, it’s time to start applying for firefighter positions. These jobs are typically available in city or county fire departments, and the application process often includes background checks and multiple rounds of physical testing.

Step 6: Pass the Candidate Physical Ability Test (CPAT)

The CPAT is a standardized physical test that measures a candidate’s ability to perform the demanding tasks required of a firefighter. This test includes activities such as carrying equipment, dragging hoses, and performing simulated rescue operations.

Step 7: Fire Academy Training

If hired, you will attend a fire academy for 12-16 weeks of intensive training. The program teaches essential skills such as firefighting techniques, emergency medical procedures, and hazardous materials management. Firefighters must also learn fire prevention and safety education to reduce the risk of fires in their communities.

Step 8: Ongoing Training and Certifications

Like paramedics, firefighters must continuously train throughout their careers. This includes staying updated with new firefighting methods, maintaining your EMT certification, and participating in regular physical training to stay prepared for the job’s demands.

 

Exploring Government Paramedic and Firefighter Jobs

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Government paramedic and firefighter jobs are available nationwide in various cities, including San Rafael. These positions often involve responding to emergencies and working with teams to deliver life-saving care or handle dangerous fires. Employees in these roles are highly valued for their commitment to serving the public, and they receive continuous training and access to the latest supplies and technologies to ensure they can perform their duties effectively.

 

Are You Ready for the Challenge?

Becoming a government paramedic or firefighter is not easy—it requires extensive training, dedication, and the ability to think quickly in stressful situations. Whether you provide critical treatment as a paramedic or respond to fire emergencies as a firefighter, your impact is significant.

Both careers offer the satisfaction of helping others in their most vulnerable moments. If you're ready to step into a role where your work saves lives and helps protect communities, becoming a paramedic or firefighter may be the right path.

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Final Thoughts

Government paramedic and firefighter careers are rewarding but demanding. With the proper training, certifications, and continuous learning, you can enter a field that challenges you physically and mentally while offering the opportunity to make a real difference. Whether delivering basic life support or extinguishing fires, these careers place you at the heart of your community’s emergency response team.

Unlock Government Opportunities with Careers in Government

Elevate your career or find the ideal government talent on Careers in Government! Explore and shape the future with us.

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