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18D Jobs (NOW HIRING)

UG Solutions

Austere Medic

SOCM, 18D, SOIDC/SARC, PJ/Pararescue • Advanced Providers: Physician Assistants (PA), Nurse Practitioners (NP), or Physicians (DO/MD) All candidates must have significant tactical/operational field ...

Phoenix Defense

INSTRUCTOR OPERATOR

Fort Stewart, GA · On-site

A former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) graduate). * A former Navy Enlisted Classification (NEC) 8404 or Navy Independent Duty Corpsman E-6 or above. * A former ...

Valbin XCTC

Medical Instructor

Lakehurst, NJ · On-site

Army MOS 18D, Special Operations Medical Sergeant. * Maintain a current National Registry of Emergency Medical Technicians (NREMT) certification or equivalent nationally recognized credential in good ...

Valbin XCTC

Army MOS 18D, Special Operations Medical Sergeant. * Maintain a current National Registry of Emergency Medical Technicians (NREMT) certification or equivalent nationally recognized credential in good ...

ACLC

SOCMID Medical Instructor

Adamsville, AL · On-site

Experience in career fields such as Pararescue (PJ), Special Operations Combat Medic graduates (18D/68WW1), Special Operations Independent Duty Corpsman (SOIDC), or Special Operations-Independent ...

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How much do 18d jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for 18d in the United States is $67.39, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $129.57 per hour, depending on experience, location, and employer.

What is an 18D?

An 18D, or Special Forces Medical Sergeant, is a highly trained medic in the U.S. Army Special Forces (Green Berets). They provide advanced medical care in combat and austere environments, including trauma management, surgical procedures, and disease treatment. 18Ds also train foreign forces in medical techniques and are skilled in field medicine, veterinary care, and dentistry. Their extensive training includes the Special Operations Combat Medic Course (SOCM) and other specialized medical instruction. This role is critical to the success and survival of Special Forces teams operating in remote or hostile areas.

What are the key skills and qualifications needed to thrive as an 18D, and why are they important?

To thrive as an 18D, or Special Forces Medical Sergeant, you need advanced medical training, strong tactical skills, and completion of the Special Forces Qualification Course. Proficiency with field medical equipment, trauma management, and military communication systems is essential, as well as certifications like NREMT-Paramedic. Exceptional problem-solving skills, calmness under pressure, and the ability to lead and work well in small teams are highly valued soft skills. These abilities are critical to providing lifesaving care in challenging, austere environments and ensuring the operational effectiveness of Special Forces teams.

What kind of environments and work schedule can I expect as an 18D?

As an 18D, you will often work in dynamic and unpredictable environments, from deployed field missions in remote locations to garrison settings for training and preparation. Your schedule can be highly irregular and may involve long periods away from home, including extended training exercises and deployments. You’ll be an integral part of a small Special Forces team, collaborating closely with others not only in medical care but also in mission planning and execution. Flexibility and readiness to adapt to rapidly changing conditions are key aspects of the role. This diverse experience can open doors to a wide array of advancement opportunities in both military leadership and specialized medical fields.

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Infographic showing various 18D job openings in the United States as of August 2026, with employment types broken down into 70% Full Time, 28% Part Time, and 2% Temporary. Highlights an 100% Physical job distribution, with an average salary of $140,169 per year, or $67.4 per hour.

Austere Medic

UG Solutions

Remote

Contractor

Re-posted 28 days ago

Job description

About UG Solutions LLC
UG Solutions is a fast-moving, mission-driven private security company with global reach and a strong operational backbone. Headquartered in the greater Charlotte area, we operate in high-stakes environments and support government, humanitarian, and commercial clients.
If you do not meet these requirements, please see the UG Solutions' job requisite for Critical Care Medical Provider.
Overview
We are seeking an elite, highly capable Austere Medical Provider to serve as the primary medical authority for remote, tactical, and cross-cultural operational missions. Candidates must bring a proven track record of delivering advanced medical care in austere, resource-limited, and high-risk environments, with the confidence and competence to manage complex medical scenarios independently.
Qualified applicants include:
• SOF-level medics: SOCM, 18D, SOIDC/SARC, PJ/Pararescue
• Advanced Providers: Physician Assistants (PA), Nurse Practitioners (NP), or Physicians (DO/MD)
All candidates must have significant tactical/operational field experience and a demonstrated ability to integrate into diverse cultural environments.
Travel may be required up to 75% of the time.
Key Responsibilities
• Serve as the senior medical authority, providing comprehensive medical oversight and decision-making during
operations.
• Deliver advanced clinical, trauma, and surgical-level interventions with limited equipment or external support.
• Conduct diagnostics and patient management without monitors, labs, imaging, or specialty consultation.
• Perform suturing, complex wound care, incision and drainage, abscess management, burn care, and other
common field procedures.
• Assess and treat a full spectrum of clinical complaints including tropical medicine, dermatological conditions,
gastrointestinal issues, infectious diseases, and prolonged illness in the field.
• Execute prolonged field care, stabilization, and advanced trauma management under resource-constrained
conditions.
• Operate cross-culturally and collaborate through interpreters and local medical partners when required.
• Provide mission-specific medical planning, risk assessments, and medical intelligence for assigned locations.
• Ensure high levels of readiness, supply management, and sustainment of austere medical kits, pharmaceuticals,
and equipment.
• Train and mentor team members in trauma response, medical readiness, and health preservation.
• Maintain strict confidentiality, professionalism, and ethical patient care standards in all environments.
Required Qualifications
• Must be one of the following:
o SOCM / 18D / SOIDC / SARC / PJ
o PA, NP, DO, or MD
• Proven operational medical experience in austere, tactical, humanitarian, or cross-cultural environments.
• Demonstrated ability to operate independently as the sole provider, making complex medical decisions without
higher medical support.
• Extensive knowledge in:
o Emergency and trauma medicine
o Prolonged field care
o Clinical medicine (broad-spectrum)
o Tropical and infectious diseases
o Dermatology and environment-specific medical conditions
o Minor surgical and procedural medicine
• Mastery of suturing, wound care, field procedures, and improvisational medicine.
• Strong leadership with low ego, humility, and an unwavering commitment to the team and mission.
• Clear ability to work with interpreters and foreign partners while respecting cultural norms.
• Current, valid licensing/certifications applicable to role and scope of practice.
Preferred Qualifications
• Prior deployments or extended field experience in conflict zones, remote regions, or humanitarian/crisis-response
missions.
• Experience teaching or mentoring medics, host-nation personnel, or partner forces.
• Additional certifications in:
o TCCC/TECC
o Wound care
o Tropical medicine courses
o Emergency ultrasound (even if limited-use)
• Demonstrated ability to create medical SOPs, care pathways, and operational medical protocols.

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