Reports To: Regional Training Coordinator (Clinical) and Regional General Manager (Operational)

Status: Full-time / Hourly

Location: Assigned Region

Position Summary

The Lead FTO supports the Regional Training Coordinator by guiding the region’s FTO team and helping manage daily training needs. The role combines direct field training, coaching, and clinical oversight while still functioning as a working FTO. The Lead FTO serves as the primary contact for training support in the region and helps ensure providers follow H2H protocols, documentation standards, and performance expectations.

Key Responsibilities

Training & Field Development

• Supports the RTC in planning and coordinating orientation, field training, and competency assessments.
• Provides hands-on instruction for new and current providers within their certification level.
• Conducts skill refreshers, targeted remediation, and return-to-work validations when requested.
• Reviews trainee performance during ride time and completes required evaluation tools.
• Acts as a field resource for clinical questions and protocol guidance.

FTO Team Leadership

• Serves as the working lead for all FTOs in the region and supports task assignments.
• Helps onboard new FTOs and provides mentorship to strengthen consistency across the team.
• Reviews FTO documentation and supports the RTC in ensuring accuracy and completeness.
• Assists in maintaining regional training materials and training records.

Clinical & Documentation Standards

• Reinforces adherence to H2H Protocols, ODEMSA guidelines, and OEMS requirements.
• Supports accurate and complete documentation practices in Traumasoft.
• Elevates concerns related to clinical care, performance, or professionalism to the RTC or Director of Clinical Operations.

Operational Responsibilities

• Functions as a working FTO providing direct patient care and transport.
• Serves as a liaison between crews, the RTC, and the GM for operational and training issues.
• Assists with coverage for training needs when staffing or orientation demands increase.
• Helps coordinate regional skills days, CE opportunities, and local training events.

General Expectations

• Maintains current knowledge of H2H protocols and training standards.
• Models professionalism and positive training culture.
• Maintains confidentiality around personnel and performance matters.
• Other duties as assigned.

Required Qualifications

• Current Virginia EMS certification at the appropriate provider level.
• At least 2 years of EMS experience; prior FTO experience preferred.
• Strong working knowledge of H2H operations, documentation, and protocols.
• Effective communication, coaching, and evaluation skills.
• Valid driver’s license and clearance to operate an H2H vehicle.
• Maintains clearance to practice under the H2H Medical Director.

Preferred Qualifications

• Previous leadership, training, or precepting experience.
• Familiarity with QA/QI processes and training documentation.
• Experience with Traumasoft and regional protocol interpretation.

Physical Requirements

• Ability to meet the physical demands of EMS work, including lifting, carrying, pushing, pulling, and patient movement.
• Ability to complete training and evaluation duties while functioning as a field provider.