The EMT Paramedic (EMT-P) serves as the onboard medical authority while providing advanced life-support care, preventative health screening, and emergency response throughout at-sea operations. This position exists to safeguard the health and readiness of all embarked personnel by ensuring continuous medical coverage in a remote, maritime environment. The EMT-P manages medical inventories, maintains health records, and coordinates with a remote medical director for telemedicine guidelines, ensuring compliance with HIPAA and the client’s safety standards. The role's ultimate purpose is to keep the client mission ready and medically self-sufficient during all phases of operation.

This position performs all duties and responsibilities in accordance with the Mission, Vision, and Core Values of Cayuse.

• The EMT Paramedic provides continuous medical readiness, emergency response, and preventative health support. Responsible for safeguarding the health of all embarked personnel, the EMT-P ensures medical preparedness before, during, and after each mission, delivering Advanced Life Support (ALS) care in compliance with our client and HIPAA/PII standards.
• Perform pre-mission medical screenings, record medical histories, and maintain protected health documentation.
• Deliver acute and emergent care for all crew and embarked personnel following Advanced Cardiac Life Support protocols.
• Maintain all prescription medications, consumables, and medical equipment required for underway operations
• Coordinate with the contracted medical director to provide 24/7 telemedicine and reach-back medical consultation.
• Participate in pre-underway safe way briefings and at-sea safety drills, briefing crew on medical response procedures.
• Monitor crew health daily, observing conditions and fitness to support mission success.
• Operate and maintain onboard medical equipment such as AEDs, EKGs, and trauma kits to ensure operational readiness.
• Generate medical documentation and reports, including Medical Incident Reports and Post-Mission Trip Reports, in accordance with the client’s requirements.
• Inventory all medical supplies pre- and post-mission; recommend restock levels and in-port medical kit requirements.
• Ensure compliance with the client’s medical privacy regulations and maintain strict control of patient information.
• Support the Officer in Charge (OIC) in emergencies by establishing medical treatment areas and coordinating potential medical evacuations.
• Review medical Standard Operating Procedures (SOPs) for accuracy and recommend updates as required.
• Other duties as assigned.

• Must hold a current State of Hawaii Emergency Medical Technician - Paramedic (EMT-P) license or National Registry certification at the Paramedic level
• Must maintain all credentials required to practice under the applicable Hawaii or federal authority throughout the contract period.
• Must possess valid Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Advanced Trauma Life Support (ATLS) certifications.
• Minimum 10 years of experience as a working Paramedic; 15 years preferred, with demonstrated competence in emergency medical services in remote, maritime, or expeditionary requirements.
• Experience supporting austere or at-sea operations, coordinating with flight/shipboard evacuation or telemedicine providers, strongly desired.
• Proficiency in Advanced Life Support (ALS) and trauma management, including airway control, IV/IO therapy, intubation, cardiac monitoring, defibrillator, and medication administration.
• Ability to manage and track controlled substances, medical supplies, and consumables per Government standards.
• Skilled in maintaining and operating shipboard medical equipment such as EKGs, AEDs, oxygen systems, and portable monitors.
• Competence in HIPAA and Personally Identifiable Information (PII) protection, recordkeeping, and medical documentation management.
• Capable of independent decision-making in remote settings, maintaining communication with a medical director 24/7 telemedicine support.
• Working knowledge of USCG emergency-response requirements and ability to integrate with crew drills.
• Must be physically fit to serve aboard a vessel at sea for up to 21 consecutive days.
• Must pass pre-employment background check and meet maritime medical-fitness standards.
• Must be able to pass a background check. May require additional background checks as required by projects and/or clients at any time during employment.

Minimum Skills:

• Exceptional interpersonal skills with the ability to communicate in a clear, professional, and articulate manner.
• Exceptional verbal and written communication skills.
• Excellent organizational, analytical, and problem-solving skills with high-level attention to detail.
• Proven ability to multitask and prioritize in a fast past environment with changing priorities; adaptable to change and a quick learner.
• Must be self-motivated and able to work well independently as well as on a multi-functional team.
• Ability to handle sensitive and confidential information appropriately
• Proficient in MS Office, Word, Outlook, PowerPoint, and Excel.

Desired Qualifications:

• CPR/AED Instructor certification desirable
• Familiarity with Government safety, emergency-response, and reporting protocols preferred.
• Experience supports austere or at-sea operations, coordination with flight/shipboard evacuation or telemedicine providers, strongly desired.
• SECRET clearance is not required but preferred.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities, and activities may change at any time with or without notice.

Cayuse is an Equal Opportunity Employer.  All employment decisions are based on merit, qualifications, skills, and abilities. All qualified applicants will receive consideration for employment in accordance with any applicable federal, state, or local law.