Title
Human Resources Department recommending the Board:
1) Approve revising and retitling the Emergency Medical Services Supervisor to Emergency Medical Services Coordinator; and
2) Adopt and authorize the Chair to sign Resolution 182-2026 to:
a) Retitle the Emergency Medical Services Supervisor class to Emergency Medical Services Coordinator; and
b) Delete 1.0 vacant full-time equivalent (FTE) Medical Billing Technician allocation and add 1.0 FTE Administrative Technician allocation in the Chief Administrative Office.
FUNDING: County Service Areas 3 and 7 special tax and benefit assessment revenue and ambulance fees.
Body
DISCUSSION / BACKGROUND
Human Resources worked with the Chief Administrative Office’s Emergency Medical Services (EMS) Division to update the EMS Supervisor class specification to reflect current program duties and operational needs. The recommended title, EMS Coordinator, more accurately reflects the position’s emphasis on coordinating pre-hospital clinical programs and working with the EMS Medical Director, EMS Manager, and community partners. The retitle is also intended to improve recruitment by using a title more commonly recognized within California EMS agencies.
Human Resources also reviewed the Ambulance Billing Program’s staffing needs and recommends replacing one vacant Medical Billing Technician allocation with an Administrative Technician allocation. The assigned work includes technical account reviews, compliance review, and coordination with the billing contractor that require greater independent judgment than the Medical Billing Technician classification. The change will align the allocation with the duties and consolidate technical work currently performed by higher-level staff. There is no net change in authorized FTEs.
ALTERNATIVES
The Board could decline the recommended actions and retain the existing class specification, title, and allocations.
PRIOR BOARD ACTION
N/A
OTHER DEPARTMENT / AGENCY INVOLVEMENT
El Dorado County Employees’ Association, Local 1, AFSCME Council 57
CAO RECOMMENDATION
Approve as recommended.
FINANCIAL IMPACT
The approximate annual cost for the addition and deletion of the positions is $13,992 with the cost for the remainder of FY 2026-27 totaling approximately $8,127. It is anticipated that this increased cost will be offset by savings in Salaries and Benefits.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Upon Board adoption and approval, please provide a copy of the executed Resolution to Heather Andersen in Human Resources.
STRATEGIC PLAN COMPONENT
Workforce Excellence
Priority: Enhance Employee Retention
Action Item: Attract and retain the best employees by providing competitive compensation, training, and advancement opportunities, and creating a positive and thriving culture
CONTACT
Joseph Carruesco, Director of Human Resources