1

County Paramedic Jobs (NOW HIRING)

Houston County Paramedic

Lexington, TN ยท On-site

$21 - $26/hr

The Paramedic, under supervision of the Lead Paramedic and/or the E.M.S. Director, is responsible for the pre-hospital ALS care of patients which are in need of care as a result of accident or ...

Houston County Paramedic

Lexington, TN ยท On-site

$21 - $26/hr

The Paramedic, under supervision of the Lead Paramedic and/or the E.M.S. Director, is responsible for the pre-hospital ALS care of patients which are in need of care as a result of accident or ...

Houston County Paramedic

Lexington, TN ยท On-site

$21 - $26/hr

The Paramedic, under supervision of the Lead Paramedic and/or the E.M.S. Director, is responsible for the pre-hospital ALS care of patients which are in need of care as a result of accident or ...

Firefighter/Paramedic

Dunedin, FL ยท On-site

$25.55/hr

Pinellas County Licensed Paramedic Incentive Pay: Candidates who hold a current Pinellas County paramedic certification at time of employment will be awarded the Pinellas County Certified Paramedic ...

Paramedics

Azusa, CA ยท On-site

$35 - $38/hr

Must be a Licensed Paramedic in CaliforniaValid California Driver's LicenseBLS, ACLS, PALS or PEPPAmbulance Driver's CertificateLA County Paramedic AccreditationAcceptable driving record per company ...

Paramedic

Redwood City, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Richmond, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Oakland, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Burlingame, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Oakland, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Pacifica, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Moss Beach, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

Richmond, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

San Francisco, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

Paramedic

El Centro, CA ยท On-site

$21.68 - $35.71/hr

Imperial County Paramedic License * CA Ambulance Driver's License * BLS, ACLS from American Heart Association * Driving record compliant with company policy * Pass Physical Agility Test * Some work ...

Paramedic

El Centro, CA ยท On-site

$21.68 - $35.71/hr

Imperial County Paramedic License * CA Ambulance Driver's License * BLS, ACLS from American Heart Association * Driving record compliant with company policy * Pass Physical Agility Test * Some work ...

Paramedic

San Francisco, CA ยท On-site

$37.04/hr

SAN FRANCISCO COUNTY Paramedic IMMEDIATELY HIRING PARAMEDICS! We're hiring Paramedics that are passionate about delivering compassionate, high-quality service and basic, as well as advanced, patient ...

next page

Showing results 1-20

County Paramedic information

See salary details

$14

$26

$37

How much do county paramedic jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for county paramedic in the United States is $26.36, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $29.33 per hour, depending on experience, location, and employer.

What is a county paramedic?

County paramedics are licensed healthcare professionals who provide emergency medical care and transportation to individuals experiencing medical emergencies within a county jurisdiction. They respond to 911 calls, assess patients' conditions, administer life-saving interventions, and transport patients to hospitals or other medical facilities. County paramedics often work for county-run emergency services or EMS agencies and may collaborate with fire departments, law enforcement, and hospitals to ensure comprehensive emergency care for the community.

What are the key skills and qualifications needed to thrive as a county paramedic, and why are they important?

To thrive as a County Paramedic, you need a strong understanding of emergency medical procedures, advanced life support, and pre-hospital patient care, typically supported by state licensure and completion of a paramedic training program. Familiarity with emergency medical equipment, ambulance technologies, and electronic patient care reporting systems is crucial. Outstanding soft skills include the ability to stay calm under pressure, communicate clearly, and demonstrate compassion in high-stress situations. These skills and qualities are vital to ensure effective, timely care and positive patient outcomes during emergencies.

What are some common challenges faced by county paramedics in rural versus urban settings?

County Paramedics often encounter different challenges depending on whether they serve rural or urban areas. In rural settings, they may face longer response and transport times due to greater distances and limited resources, requiring strong problem-solving skills and autonomy. Urban environments can present higher call volumes, more frequent multi-patient incidents, and increased traffic congestion, demanding swift decision-making and coordination with other emergency services. Regardless of the setting, adaptability and effective communication are essential for providing high-quality patient care under pressure.

What is the difference between County Paramedic vs Emergency Medical Technician (EMT)?

AspectCounty ParamedicEmergency Medical Technician (EMT)
Required CertificationsParamedic license, advanced life support (ALS) certificationBasic life support (BLS) certification
Work EnvironmentAmbulances, emergency scenes, hospitalsAmbulances, emergency scenes, public events
Employer & IndustryCounty EMS services, hospitals, fire departmentsCounty EMS, private ambulance services, fire departments

County Paramedics have advanced training and certifications, allowing them to perform complex medical procedures, while EMTs provide basic emergency care. Both roles work in similar environments but differ in scope of practice and certification requirements.

What cities are hiring for County Paramedic jobs?

Cities with the most County Paramedic job openings:

What states have the most County Paramedic jobs?

States with the most job openings for County Paramedic jobs include:

What are popular job titles related to County Paramedic jobs?

For County Paramedic jobs, the most frequently searched job titles are:

Infographic showing various County Paramedic job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 20% Part Time, 1% Temporary, and 3% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $54,832 per year, or $26.4 per hour.

Houston County Paramedic

Lexington, TN โ€ข On-site

$21 - $26/hr

Full-time

Re-posted 8 days ago


Job description

Position General Summary:

The Paramedic, under supervision of the Lead Paramedic and/or the E.M.S. Director, is responsible for the pre-hospital ALS care of patients which are in need of care as a result of accident or illness, and is responsible for the overall direction of that patient care in the pre-hospital setting. The Paramedic delivers care based on age appropriate needs for the infant, pediatric, adolescent, adults, and geriatric patients. He/she demonstrates an interest in patient centered approach to total pre-hospital care. Demonstrates cooperation, flexibility, and resourcefulness when dealing with patients, visitors, physicians, and other healthcare providers. The Paramedic shall be responsible for assisting with planning, supervising and evaluating the pre-hospital care of patients and for correlating emergency medical care and transportation.

The position is considered an Essential position at this facility to ensure efficient operations and patient care. Employees hired into an Essential position are expected to report to work for their scheduled shifts regardless of the environmental weather and road conditions that may exist.

Position Duties and Responsibilities:

  • Maintains sound professional confidentiality at all times.
  • Operates ambulance in a safe manner.
  • Participate in Performance improvement activities.
  • Utilizes the authorized emergency medical service standard of care protocols to oversee and provide age specific patient care.
  • Utilizes downtime to ensure all equipment is at a constant state of readiness and reports any equipment that is out of service and in need of repair.
  • Ensures all company-wide educational initiatives are current. (Advanced Learning Center)
  • Ensure that every patient contact is directly reflected on a Patient Care Report. This report shall accurately reflect the contact from initial contact until delivery at the hospital. It shall document all aspects of the assessment and all treatments performed on the patient while in EMS care.
  • Provides courteous Customer Service to patients, co-workers, physicians, and any other person they come in contact with during their shift.

Facility General Responsibilities:

  • Attend facility new hire orientation as scheduled by HR
  • Complete Department Orientation Initial Competency within 7 days of hire date
  • Complete Department Initial Skills Competency within 90 days of hire date
  • Follow facility and OSHA safety rules and procedures
  • Respect cultural and religious practices of patients from all backgrounds
  • Follow HIPAA regulations at all times
  • Be punctual and dependent for assigned shifts
  • Dress within the dress code requirements of the department
  • Identifies all patients using at least two identifiers verbally (name and DOB).
  • Follows Hospital Wide and Department Specific policies and procedures
  • Must interact with physicians, guest, staff, and patients pleasantly, cooperatively, and effectively
  • Attends all educational opportunities and provides a copy of their education file to the service.

Knowledge, Skills, and Abilities:

  • Has knowledge of human growth and development.
  • Displays ability to verbally interact with patients of all ages.
  • Demonstrates competency and knowledge of age appropriate equipment.
  • Demonstrates appropriate awareness for suspected abuse/neglect to patient and takes measures to report them according to protocol.
  • Identifies and assesses need for additional safety/ support resources on scene.
  • Accurately assesses patient's needs.
  • Accurately develops a plan of care on scene and continues throughout transport.
  • Displays ability to discuss treatment and provide education to patient/family or significant other when necessary.
  • Demonstrates the ability to transfer a patient to another facility.
  • Involves family and/or guardian in the assessment, Initial treatment, and continuing care of their patient.

Position Requirements: Education, Work Experience, Licensure, Certifications;

Must possess a current TN Paramedic License from an accredited school and exhibit proficiency in pre-hospital care and oral communication skills.

No pre-hospital experience is required but is desired

License to practice as a Paramedic in the State of Tennessee. CPR Healthcare Provider through an approved institution and a valid Class D TN driver's license with an F endorsement are required

ACLS Certification required

PALS or PEPP ALS Certification required

Salary ranges from $21-$26/hr depending on experience. Additional pay rates available for Critical Care Paramedics.

Working Conditions:

The position requires around the clock coverage, so working hours include days, nights, weekends, and holidays. The Paramedic spends a considerable amount of time walking, bending, stretching, standing, and assisting in patient transfers in all types of environmental conditions. Must also be willing to work outdoors in all types of weather conditions, i.e. rain, sleet, snow, storms, and so forth. Must follow proper body mechanics to guard against injury. The Paramedic must be able to work accurately around frequent distractions on scene. Paramedics may also face hazards from exposure to chemicals and infectious diseases. In addition, Paramedics treat patients that may be confused, irrational, agitated, and/or uncooperative and therefore must be able to maintain composure while dealing with these patients.

Physical Requirements / Demands:

  • Ability to assist in the movement of patients by various techniques from various positions.
  • Moving, lifting, or transferring of patients may involve lifting of up to fifty (50) pounds, push /pull up to 100 lbs frequently, occasionally higher amounts.
  • Ability to stand and walk for extended periods.
  • Ability to bend, lean, and stoop without hindrance; requires a full range of body motion
  • Fine motor skills
  • Visual acuity; normal range of hearing
  • Working in all outdoor conditions and weather

The physical demands described here are representative of those that must be met by an employee to successfully perform the minimal functions of this job. The minimal requirements for this position require an employee to be able to safely drive an ambulance in all weather conditions and over most all terrain. While performing the duties of this job, the employee is regularly required to stand, talk, and hear. The employee is frequently required to walk and reach forward with hands and arms. The employee is occasionally required to sit, stoop, kneel, or crouch. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Statement of Non-Inclusivity:

This job description has been designed to indicate the general nature and level of work being performed by the employee within this classification. It is not designed to contain or be interpreted as a comprehensive list of all duties, skills, responsibilities, and qualifications which may be required of or given to any employee assigned to the position. The skills, duties, requirements, and responsibilities outlined in this job description may be changed or added to when deemed appropriate and necessary by the company or the person who is designated to be managerially responsible for this position. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind. Employment with the company is an at-will relationship.