Virtual Care Long-Term

Dr. John Kosmeh, PhD, MS, BS, EMT-P

Rutherfordton, NC 910-***-**** ************@*****.***

https://www.linkedin.com/in/drjohnkosmeh

EXECUTIVE PROFILE

Visionary healthcare executive, emergency response leader, and paramedic with 20+ years of frontline and C-suite experience across hospital, prehospital, offshore, and federal systems. Proven innovator in virtual care, holding a U.S. patent and a pending patent for advanced virtual healthcare systems that achieved a 98% reduction in unnecessary ER transports for long-term care populations. Renowned for commanding multi-agency incident responses, spearheading HAZMAT, CBRNE, and infectious-disease operations, and developing Hospital Emergency Response Teams that safeguard thousands of patients and staff. Nationally recognized educator and policy advocate, having briefed U.S. Senate and Congressional offices on virtual healthcare, emergency preparedness, and sustainable reimbursement strategies. Author of COVID-19 Safety Policies and Procedures for Leading Hotels of the World, extending emergency management expertise beyond healthcare into global business resilience. Expert at leading cross-disciplinary teams of 200+, managing multi-million-dollar budgets, and transforming care delivery through innovative leadership.

CORE COMPETENCIES

• Executive Healthcare Leadership

• Virtual Health Systems & Remote Care Innovation

• Government Relations & Legislative Briefings

• Healthcare Policy Advocacy

• FEMA, HICS, CBRNE Instructional Programs

• Emergency & Disaster Response Leadership

• HAZMAT & Infectious Disease Preparedness

• Global Pandemic Policy Development

• Offshore Medical & HSE Operations

• Team Development & Organizational Culture

• Strategic National Stockpile & POD Logistics

• Cross-Industry Emergency Preparedness

• Risk Assessment & Incident Investigation

• Clinical Training & Education Design

• Multi-Million-Dollar Budget Management

PROFESSIONAL EXPERIENCE

Chief Executive Officer — Advanced Virtual Healthcare, LLC Rutherfordton, NC

Apr 2024 – Present

• Founded and scaled a national virtual care company delivering emergency medical consults to long-term care facilities.

• Designed a patent-pending Advanced Virtual Healthcare system that achieved a 98% reduction in unnecessary ER transports.

• Developed virtual clinical protocols and workflows adopted across multiple states.

• Led all contract negotiations, fiscal planning, and compliance oversight.

• Directed cross-disciplinary teams of physicians, advanced practice providers, and support staff.

President — Senior Virtual Health, LLC Naples, FL Jan 2023 – Apr 2024

• Directed development of virtual urgent care services for seniors in residential and skilled- nursing environments.

• Established onboarding systems, clinical policies, and documentation standards from inception.

• Collaborated with regional operators, state agencies, and technology vendors for seamless integration.

• Created clinician training programs ensuring regulatory compliance and operational excellence.

President — RemoteER New Orleans, LA

May 2022 – Jan 2023

• Piloted advanced telemedicine protocols focused on ER diversion in post-acute and SNF populations.

• Spearheaded strategic discussions with CMS advocating for sustainable virtual acute care reimbursement.

• Led grant writing and operational planning for national expansion.

• Built systems ensuring 24/7 physician coverage and streamlined escalation pathways. Director of Virtual Health, Training & Education — RemoteMD New Orleans, LA

Mar 2020 – May 2022

• Designed CAPCE and USCG-certified training programs credentialing virtual care providers.

• Partnered with long-term care organizations to develop emergency virtual triage systems.

• Managed compliance, remote diagnostic protocols, and field deployment support for high-risk sites.

Indirect Trainer (CBRNE / WMD) — FEMA / DHS – Center for Domestic Preparedness Anniston, AL

Feb 2010 – Present

• Deliver national training on chemical, biological, radiological, nuclear, and explosive event response.

• Teach hospital decontamination, responder safety, and incident command strategy.

• Developed national curricula for FEMA and HICS programs.

• Briefed U.S. Senate and Congressional offices on virtual health policy, emergency preparedness, and sustainable reimbursement models. Emergency Response Director / ER Paramedic — Rutherford Regional Medical Center Rutherfordton, NC

Apr 2016 – Jun 2022

• Co-led ER decontamination teams for regional mass-casualty and bioterrorism events.

• Developed and conducted full-scale exercises and tabletop training across departments.

• Provided advanced life support in a high-volume emergency department.

• Acted as liaison to local and state emergency services. Paramedic / HSE Lead — RemoteMD / Offshore Operations Gulf of Mexico Feb 2013 – Apr 2016

• Provided sole-source emergency medical care aboard oil rigs and vessels for crews exceeding 200 personnel.

• Managed safety drills, conducted audits, and ensured OSHA/MSHA compliance.

• Led risk assessments and coordinated medevac operations in critical emergencies. Paramedic / Medical Coordinator — Transocean Offshore Houston, TX May 2009 – May 2013

• Oversaw all onboard medical care and health-related training for offshore rig crews.

• Managed infection control, surveillance, and emergency evacuation protocols. Medical Contractor — KBR, Inc. – Operation Iraqi Freedom Iraq 2008 – 2009

• Provided advanced life support and stabilization for combat injuries in high-risk zones.

• Managed forward aid-station setup and battlefield casualty transport in collaboration with military medevac units.

ADDITIONAL EXPERIENCE

• Paramedic — New Hanover Regional Medical Center

• Paramedic/Firefighter — Buncombe County EMS / Enka-Candler Fire & Rescue

• Instructor — Isothermal College

• Presenter — NC OEMS Emergency Management Expo

• Authored COVID-19 Safety Policy and Procedures for Leading Hotels of the World, a global hospitality organization with hotels in multiple countries EDUCATION

• Ph.D., Health Science (Nutrition & Fitness) — Belltown University

• M.S., Nutrition Science (Dietetics) — Belltown University

• B.S., Health Education & Promotion — Belltown University

• A.S., Fire Science — Keiser University

CERTIFICATIONS & TRAINING

• Paramedic Certification — State of North Carolina

• Hazwoper Trainer — API Safety Council

• Hospital Emergency Response Team Trainer — FEMA

• Weapons of Mass Destruction Awareness Trainer — FEMA

• Radiological Emergency Response Trainer — FEMA

• POD Essentials Trainer — FEMA / CDC

• ICS 100-800 Series — FEMA

• Emergency Responder Hazmat Technician (CBRNE) — FEMA

• Occupational Safety Specialist — API Safety Council

• TOPSET Lead Accident Investigator — TopSet Corp

• Advanced Cardiac Life Support (ACLS) — AHA

• Pediatric Advanced Life Support (PALS) — AHA

• Pre-Hospital Trauma Life Support (PHTLS) — NAEMT

• Helicopter Transport & Underwater Escape — AB Tech / Louisiana Tech

• Firefighter I/II, Arson, and Sprinkler Systems — Various NC Colleges

• ISO & Emergency Response Compliance Training (over 15 modules) PATENTS

• U.S. Patent Pending — Advanced Virtual Healthcare System

• U.S. Patent Granted — Safety Overpack Drum

AWARDS & AFFILIATIONS

• Bronze-Level Indirect Trainer Award — DHS / CDP

• Heroic Act Awards Recipient

• Planning Lead — World Equestrian Games 2018

• Member — HIMSS, ATA, NAB, AHCA/NCAL, CTEL, Emergency Management Associations

• Presenter — AHCA/NCAL and Leading Age National Conferences

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