EMS Director Jobs in Tennessee
EMS Director jobs in Tennessee are concentrated in Nashville, Memphis, and Knoxville, where large healthcare systems and county emergency services agencies maintain active director-level openings across prehospital operations, EMS program administration, and regional system oversight. Well-established employers with ongoing demand include Vanderbilt University Medical Center, Regional One Health, and AMR Tennessee. The market is strongest for candidates with operational leadership experience in community paramedicine and quality improvement. See the openings below and apply to the ones that match your experience.
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Paramedic
Emergency Medical Services Overview:
Position Summary:
- Works hand-in-hand with a virtual RN to manage the care of patients in their homes as part of the Hospital-at-Home program.
- Communicates with other members of the interdisciplinary team, including other MIH team members, management, and outside agencies.
- Collaborates seamlessly with the network of partners that make this possible including patients, their families, public safety agencies, training institutions, hospital personnel, and others as needed.
- Ensure Patient Care Reports (PCRs) and other documentation is complete and timely, as per company policy.
- Manages all aspects of CP/MIH vehicles and clinical equipment.
- Cleans and maintains vehicles and facilities daily.
- Manages supply inventory and ensures the team has adequate supplies on-hand to successfully conduct operations. Ensures daily narcotic logs are in order and vehicle checks (on-board supplies/equip.) are completed.
- Facilitates scheduling needs, equipment and supply maintenance, and other daily operational support functions as assigned by the CP/MIH Manager. (Supply counts, vehicle maintenance/record keeping, making a schedule, etc.)
- Support other programs and divisions within the Covenant EMS System, including acting as the primary (attending) provider for transports with the Covenant Health EMS interfacility transport system.
- Remains up-to-date on all regulatory training (clinical, non-clinical, CME, etc.) and ensures that all certifications are uploaded into the appropriate systems. Coordinates and works with the CP/MIH Manager and/or EMS Medical Director to develop specific and deliberate training plans as needed.
- Prepares reports and manages projects as assigned by the CP/MIH Manager.
- Works with CP/MIH Manager and/or EMS Medical Director to ensure all lab compliance rules are adhered to (i.e., CLIA, etc.).
- Coordinates with CP/MIH Manager, the EMS Director and the Covenant Health IT Team to facilitate and manage all aspects of IT including, but not limited to, computer maintenance and any and all pertinent systems account setup for team members.
- Responsible for complying with all local, state, and federal employment laws (i.e., Americans with Disability Act, Affirmative Action Plan, etc.).
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Minimum Experience:
Licensure Requirement:
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Find EMS Director JobsEMS Director Jobs by City in Tennessee
Where Tennessee roles are concentrated, by current openings.
EMS Director Job Market in Tennessee
A snapshot from current Tennessee openings, updated as new roles post.
Who's Hiring


What Tennessee Employers Look For
The qualifications that appear most often in EMS director jobs across Tennessee.
- Current Tennessee EMS licensure at the paramedic or higher certification level required
- Bachelor's degree in emergency medical services, healthcare administration, or a related field
- Minimum five years of progressively responsible EMS field and supervisory experience
- National Registry of Emergency Medical Technicians certification maintained and current
- Demonstrated experience managing EMS budgets, personnel, and regulatory compliance programs
- Strong knowledge of Tennessee Department of Health EMS rules and regional trauma protocols
EMS Director Jobs in Tennessee: Frequently Asked Questions
How do you become a ems director in Tennessee?
To become an ems director in Tennessee, you typically need an active Tennessee EMS license at the paramedic level, issued through the Tennessee Department of Health Division of Emergency Medical Services, combined with a bachelor's degree in emergency services or healthcare administration. Most Tennessee employers expect several years of field experience followed by supervisory or operations management roles before a director appointment is realistic.
Which companies hire ems directors in Tennessee?
Employers hiring ems directors in Tennessee right now include Covenant Health, TriStar Health, and Hamilton County, based on current listings on Migrate Mate as of July 2026. Tennessee's mix of large academic medical centers, county EMS agencies, and private ambulance companies creates consistent director-level demand across the state.
Which Tennessee cities have the most ems director jobs?
The Tennessee cities with the most ems director openings are Tazewell, Hamilton County, and Nashville. Nashville leads because of its concentration of large hospital systems and the Metro Nashville Fire and EMS infrastructure, while Memphis is driven by major regional medical centers and Shelby County emergency services, and Knoxville reflects strong demand from the University of Tennessee Medical Center and surrounding county agencies.
Are there remote ems director jobs in Tennessee?
Yes, but they're rare. EMS director roles are operationally intensive and almost always require on-site leadership of field personnel, equipment, and agency compliance. About 0% of ems director openings tied to Tennessee are remote or hybrid as of July 2026, and those positions tend to cover administrative or consulting functions such as policy development, training program oversight, or multi-county system coordination rather than day-to-day operations.
How can I get hired as a ems director in Tennessee with little or no experience?
The most realistic entry path is moving from a field paramedic role into a field supervisor or EMS coordinator position at a Tennessee county agency or large hospital-based EMS service, then building toward a director seat over several years. Employers like Vanderbilt University Medical Center and county EMS agencies across Middle Tennessee regularly promote supervisors who hold a bachelor's degree and Tennessee paramedic licensure. Completing the National EMS Management Association leadership certificate also signals readiness for director-level responsibility to Tennessee hiring managers.
Where can I find and apply to ems director jobs in Tennessee?
You can find and apply to ems director jobs in Tennessee on Migrate Mate, which lists current Tennessee openings from employers across the state. Search the listings for roles that match your experience level and target location, then apply directly to the ones that fit.
See All 6 EMS Director Jobs in Tennessee
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