Position is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA), Veterans Transportation Services (VTS), Ambulance Service, at the Central Iowa (Des Moines) VA Medical Center (VAMC) with an emergency room, acute care or urgent care clinic, or other similar departments performing basic and advanced life support procedures. To qualify for this position, applicants must meet all requirements by the closing date of this announcement. This position has four Selective Placement Factors that will be used to screen out ineligible candidates: Must maintain certification as a National Registered Emergency Medical Technician (Paramedic). Must possess and maintain current Basic Life Support Provider certification. Must possess and maintain current Advanced Cardiac Life