In-Home Paramedic

• Hourly pay: $28 - 30/hr based on experience

• Benefits package for full-time employees: health, dental, vision insurance; paid time off; 401(k)/retirement; disability. 

• Mileage stipend, company-supplied devices / technology, onboarding / community paramedic academy training. 
   

Total Care Connect (TCC) is a mobile integrated health organization delivering in-home clinical and preventive care to members across Ohio and surrounding regions. We support health plans, health systems, and value-based organizations by reaching members where they are — in their homes and communities — to improve access, close care gaps, and reduce avoidable utilization. 

As a tech-enabled, field-based care delivery organization, our teams provide a range of services including preventive care, chronic condition support, transition-of-care visits, member engagement, and navigation. We operate with a focus on high-quality member experience, operational excellence, and coordinated care across clinical, administrative, and remote teams. 

The Community Paramedic will deliver in-home clinical care under established protocols, focusing on prevention, follow-up, and gap-closure in patient care. This role operates outside the typical EMS transport model. You will assess health needs, provide treatment, prevent readmissions, coordinate with patients’ care teams, and help patients navigate both clinical and non-clinical barriers to wellness. You will work with autonomy, using Total Care Connect’s electronic patient care record system, following physician-led protocols. 

• Perform patient assessments in the home environment: vital signs, health history, home safety, risk factors, etc.

• Provide in-home follow-up care post-hospitalization or after urgent care visits to prevent complications and readmissions. 

• Deliver patient education on disease management, medication adherence, lifestyle improvements, and social determinants of health (e.g. nutrition, housing, etc.).

• Work under clinical protocols to treat/manage health issues, escalate when necessary, consult virtually with advanced providers (NPs, RNs, physicians). 

• Coordinate care: schedule or facilitate follow-ups, referrals, community resources, and linkages with other health or social services.

• Document all care, assessments, and patient encounters thoroughly, using the organization’s mobile electronic patient care record (ePCR) system. 

• Participate in internal meetings, trainings, and continuous quality improvement activities.

• Maintain all required licenses, certifications, and compliance with relevant regulations.
   

• Valid Paramedic certification/license in the applicable state, in good standing. 

• Minimum of 2-5 years paramedic / prehospital experience; experience in community paramedicine or similar mobile health / MIH models is strongly preferred.

• BLS certification required; ACLS and PALS preferred where applicable. 

• Excellent clinical assessment, problem-solving, and decision-making abilities.

• Strong verbal and written communication skills.

• Ability to work independently in the field, manage time well, adapt to changing schedules, and problem-solve in diverse home settings.

• Valid driver’s license, reliable transportation, required insurance, ability to drive to patient homes.

• Comfort with technology: mobile devices for documentation, telehealth interfaces, etc.

• Non-transport, in-home care settings. You will travel between patient homes.

• Flexible scheduling: shifts may vary (4-hour up to 12-hour shifts), include evenings or weekends depending on patient needs. 

• Field work: exposure to varied home environments, potential hazards, issues like pets, clutter, or limited lighting.

• Use of company-issued technology. Mileage or travel stipend provided in many cases. 
   

• Opportunity to practice at the top of your license in a progressive MIH / community paramedicine model.

• Impactful work: helping patients stay healthier, avoid hospital readmissions, stay in their homes.

• Flexibility in scheduling; more autonomy than many EMS or fixed-facility roles.

• Part of a multidisciplinary clinical team committed to whole-person care, using data and outcomes to guide improvement.