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County Ems Jobs in Texas (NOW HIRING)

Cooke County

EMT and Paramedic

Gainesville, TX · On-site

Cooke County EMS is currently accepting applications for Part-Time Paramedics and EMTs to join our team! Cooke County EMS is the sole provider of 911 emergency medical services throughout Cooke ...

Cooke County Texas

EMT and Paramedic

Gainesville, TX · On-site

$18.27 - $20.72/hr

Cooke County EMS is currently accepting applications for Part-Time Paramedics and EMTs to join our team! Cooke County EMS is the sole provider of 911 emergency medical services throughout Cooke ...

Cooke County Texas

EMT and Paramedic

Gainesville, TX · On-site

$18.27 - $20.72/hr

Cooke County EMS is currently accepting applications for Part-Time Paramedics and EMTs to join our team!Cooke County EMS is the sole provider of 911 emergency medical services throughout Cooke County ...

Cooke County Texas

EMT and Paramedic

Gainesville, TX · On-site

Cooke County EMS is currently accepting applications for Part-Time Paramedics and EMTs to join our team! Cooke County EMS is the sole provider of 911 emergency medical services throughout Cooke ...

Gfoat

Fire Chief

Paris, TX · On-site

$90 - $140/hr

Paris/Lamar County EMS is a stand‑alone third city service operating under the direction of the Fire Chief. This position interacts regularly with other City departments, other public agencies ...

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County Ems information

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How much do county ems jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for county ems in Texas is $14.52, according to ZipRecruiter salary data. Most workers in this role earn between $13.41 and $16.59 per hour, depending on experience, location, and employer.

What is a County EMS?

County EMS (Emergency Medical Services) are public or government-operated organizations responsible for providing emergency medical care and transportation to residents within a county. Their primary duties include responding to 911 medical emergencies, providing pre-hospital care, and transporting patients to hospitals when necessary. County EMS teams are staffed by trained professionals such as EMTs and paramedics who are equipped to handle a range of medical situations, from minor injuries to life-threatening emergencies. They play a vital role in the community by ensuring prompt and reliable emergency medical response.

What are the key skills and qualifications needed to thrive as a County EMS professional?

To thrive as a County EMS professional, you need a solid understanding of emergency medical procedures, patient assessment, and pre-hospital care, typically supported by EMT or paramedic certification. Familiarity with medical equipment, ambulance operation, and electronic patient care reporting systems is essential. Strong communication, problem-solving, and the ability to remain calm under pressure are standout soft skills in this field. These skills are vital for delivering effective, timely care in emergencies and ensuring positive outcomes for patients in critical situations.

What are some common challenges faced by County EMS professionals and how can they prepare for them?

County EMS professionals often encounter high-stress situations, unpredictable work hours, and the need to make quick decisions in emergencies. They may also face challenges such as working in diverse environments, from rural areas with limited resources to urban settings with heavy call volumes. To prepare, applicants should focus on building strong communication skills, resilience, and adaptability, as well as staying current with ongoing training and certifications. Teamwork is essential, as EMS personnel regularly collaborate with law enforcement, fire departments, and hospital staff.

What is the difference between County Ems vs Emergency Medical Technicians?

AspectCounty EmsEmergency Medical Technicians
CertificationsEMT certification, advanced trainingEMT certification, basic to advanced levels
Work EnvironmentAmbulances, hospitals, community eventsAmbulances, emergency scenes, clinics
Employer & IndustryCounty government, public health agenciesPrivate ambulance services, hospitals, fire departments

County Ems typically refers to emergency medical services provided by county-run agencies, often involving a range of certifications and advanced training. Emergency Medical Technicians (EMTs) are trained professionals who deliver pre-hospital emergency care. While both roles work in similar environments and require EMT certification, County Ems may encompass a broader scope of responsibilities and organizational structure.

What are the most commonly searched types of County Ems jobs in Texas?

The most popular types of County Ems jobs in Texas are:

What are popular job titles related to County Ems jobs in Texas?

For County Ems jobs in Texas, the most frequently searched job titles are:

What job categories do people searching County Ems jobs in Texas look for?

The top searched job categories for County Ems jobs in Texas are:

What cities in Texas are hiring for County Ems jobs?

Cities in Texas with the most County Ems job openings:

County Ems jobs near you
Infographic showing various County Ems job openings in Texas as of August 2026, with employment types broken down into 67% Full Time, 29% Part Time, and 4% Contract. Highlights an 100% In-person job distribution, with an average salary of $30,193 per year, or $14.5 per hour.

EMT and Paramedic

Cooke County

Gainesville, TX • On-site

Part-time

Medical, Dental, Vision, Retirement

Posted 19 days ago

Job description

Cooke County EMS is currently accepting applications for Part-Time Paramedics and EMTs to join our team!

Cooke County EMS is the sole provider of 911 emergency medical services throughout Cooke County, responding to approximately 6,000 calls for service each year. Our department serves a population of approximately 40,000 residents across 874 square miles and is committed to providing high-quality, compassionate emergency medical care to our community.

Cooke County EMS operates five stations throughout the county, with one staffed MICU at each station. In addition, Station 1 houses a rescue truck staffed by the Shift Captain, providing additional resources and support for emergency responses.

We are a shift-based department operating on a 48-hours-on/96-hours-off schedule, providing our team members with a consistent schedule and opportunities for work-life balance.

If you are a motivated EMS professional looking for an opportunity to serve your community while working alongside a dedicated team, we encourage you to apply and become part of Cooke County EMS!

Part-time positions also provide an opportunity to be considered for future full-time employment with Cooke County EMS. Full-time employees enjoy a comprehensive benefits package, including excellent retirement benefits through TCDRS, as well as County-paid medical, dental, and vision insurance for the employee.

Apply online at https://cocooketx.applicantpro.com/jobs/4175264.  Please attach a copy of your state certification in the resume/documents section when you apply.    

Cooke County is an Equal Opportunity Employer.

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