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Entry Level Paramedic Jobs in Texas (NOW HIRING)

Elios AI

Paramedic (EMT-P / LP)

Houston, TX · On-site

Paramedic (EMT-P / LP) Location: Greater Houston, TX | Type: Full Time | Setup ... Onsite | Experience: Entry level welcome | Pay: Competitive About the Role You'll run as the ...

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How much do entry level paramedic jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for entry level paramedic in Texas is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.31 per hour, depending on experience, location, and employer.

What is an entry level paramedic?

Entry level paramedics are healthcare professionals who have recently completed their paramedic training and are beginning their careers in emergency medical services. They provide advanced pre-hospital care, including assessing patient conditions, performing life-saving interventions, and safely transporting patients to medical facilities. Entry level paramedics work under protocols and guidance from medical directors, and may collaborate with other emergency responders such as EMTs, firefighters, and police officers. Their responsibilities focus on delivering critical care in urgent situations while gaining experience in the field.

What are the key skills and qualifications needed to thrive as an entry level paramedic, and why are they important?

To thrive as an Entry Level Paramedic, you need a solid understanding of emergency medical procedures, patient assessment, and life support techniques, generally backed by completion of an accredited paramedic program and state certification. Familiarity with ambulance equipment, cardiac monitors, and electronic patient care reporting systems is typically required. Strong communication, emotional resilience, and teamwork are essential soft skills for interacting with patients and collaborating with other first responders. These skills and qualities ensure effective emergency response, patient safety, and the ability to perform under high-pressure situations.

What are some common challenges faced by entry level paramedics during their first year on the job?

Entry level paramedics often encounter challenges such as adapting to high-pressure situations, managing emotional stress from emergency calls, and gaining confidence in their clinical decision-making skills. Working long shifts, adjusting to irregular hours, and collaborating effectively with more experienced team members can also be demanding. However, most agencies provide mentorship and ongoing training to help new paramedics build resilience and competence as they gain experience in the field.

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

AspectEntry Level ParamedicEmergency Medical Technician (EMT)
Required CertificationsParamedic license, advanced certificationsEMT certification, basic life support
Work EnvironmentAmbulances, hospitals, emergency scenesAmbulances, public safety settings
Employer & Industry UsageAmbulance services, hospitals, EMS agenciesAmbulance services, fire departments, EMS agencies

Entry Level Paramedics have advanced training and certifications compared to EMTs, allowing them to perform more complex medical procedures. EMTs provide basic emergency care and support. Both roles operate in similar environments but differ in scope of practice and responsibilities.

How easy is it to get hired as an entry level paramedic?

Getting hired as an entry-level paramedic can be competitive, as many employers seek candidates with EMT certification, some experience, and strong clinical skills. Job availability depends on regional demand, healthcare needs, and the candidate's certification and training level.

How to get started as an entry level paramedic?

To start as an entry-level paramedic, you need to complete a state-approved paramedic training program and obtain certification, such as the National Registry of Emergency Medical Technicians (NREMT) certification. Additionally, you should acquire basic EMT certification, gain experience in emergency medical services, and meet any state-specific licensing requirements. Strong communication skills, the ability to work under pressure, and familiarity with medical equipment are also important for success in this role.

Is 25 too late to become an entry level paramedic?

Entry level paramedics can start their careers at age 25 or older, as there is no maximum age limit for entry into the profession. Candidates typically need to complete EMT training, obtain certification, and meet physical and background requirements, which are accessible to adults of various ages.

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

The most popular types of Paramedic jobs in Texas are:

What cities in Texas are hiring for Entry Level Paramedic jobs?

Cities in Texas with the most Entry Level Paramedic job openings:

Entry Level Paramedic jobs near you
Infographic showing various Entry Level Paramedic job openings in Texas as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $51,084 per year, or $24.6 per hour.

Paramedic (EMT-P / LP)

Elios AI

Houston, TX • On-site

Other

Medical, Dental, Vision

Posted 2 days ago

New

Job description

Paramedic (EMT-P / LP)


Location: Greater Houston, TX | Type: Full Time | Setup: Onsite | Experience: Entry level welcome | Pay: Competitive


About the Role

You'll run as the highest level of clinical care on your unit, delivering ALS and critical care during interfacility and emergency transports across the Houston metro. That means MICU runs, vent-dependent patients, drips and monitoring equipment moving bedside to bedside, and you making the call on patient care under the medical director's protocols.


The client is a Houston-area medical transportation company running BLS, ALS, MICU, and critical care transports for major hospital systems and skilled nursing facilities. They're also building their own AI-native dispatch and clinical platform in house, and it's genuinely aimed at making the medic's job lighter: faster documentation, fewer clerical steps, less friction on prior auth, and the information you need surfaced at the bedside instead of buried.


If you've spent shifts fighting an ePCR that was clearly designed by someone who has never lifted a stretcher, this is the opposite of that. When a medic says something is slow or clunky, it gets fixed. Crew feedback actually shapes the roadmap.


What You'll Do

  • Provide advanced life support care on emergency and interfacility transports
  • Handle MICU and ventilator-dependent transports within scope and per protocol
  • Run thorough patient assessments, establish and manage IV/IO access, advanced airways, cardiac monitoring, and medication administration
  • Maintain continuity of care for complex patients, including drips, vents, and monitoring equipment, from sending facility to receiving
  • Operate the ambulance safely and in compliance with local, state, and federal regulations
  • Complete accurate, timely ePCR documentation that holds up for clinical quality and medical necessity
  • Communicate clearly with patients, families, facility staff, dispatch, and receiving providers
  • Lead the crew during patient care and mentor your EMT partner
  • Inspect, stock, and maintain unit readiness, equipment, and controlled substance accountability every shift
  • Share feedback on the platform so the tools keep getting better


Qualifications

Required

  • Current Texas DSHS certification or licensure as a Paramedic (EMT-P or LP)
  • Current AHA BLS and ACLS (PALS preferred, or obtained within 90 days)
  • Valid Texas driver's license with an acceptable driving record
  • Ability to pass a background check, drug screen, and pre-employment physical / lift assessment
  • Strong assessment, documentation, and communication skills

Nice to Have

  • National Registry (NREMT-P) certification
  • Critical care credentials such as CCEMT-P, FP-C, or CCP-C
  • Ventilator and IV pump transport experience
  • EVOC or equivalent emergency vehicle operations training
  • Prior interfacility or mobile healthcare experience

Physical Requirements

Lift, carry, push, and pull in excess of 100 lbs with assistance for stretcher operations. Bend, kneel, and work in confined spaces. Sit or stand for extended periods and work in variable weather and patient care environments.


Benefits

Health, dental, and vision insurance. Flexible scheduling with day, night, and overnight shifts available.


Why Join Us

This is a crew-first operation. They invest in training, skills verification, and continuing education, and they promote from within the ranks rather than around them. The hospital systems they serve run high transport volumes and expect real clinical standards, so the work is steady and the bar is high.


You'll also be one of the people shaping the tools you use every day, which is not something most ambulance services can offer.

Apply