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Extreme Terrain Jobs (NOW HIRING)

Rochester Regional Health

Paramedic

Rochester, NY · On-site

$28.75 - $34.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic - CCT

Potsdam, NY

$29.75 - $35.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic

Rochester, NY · On-site

$28.75 - $34.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic

Gouverneur, NY · On-site

$28.75 - $34.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic

Gouverneur, NY · On-site

$28.75 - $34.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic - CCT

Potsdam, NY

$29.75 - $35.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic - CCT

Cheboygan, MI · On-site

$29.75 - $35.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

Rochester Regional Health

Paramedic - CCT

Potsdam, NY · On-site

$29.75 - $35.25/hr

Lift and move patients, often in challenging environments, such as extreme terrain or temperatures. * Participate in continuous education to stay current with medical protocols and enhance skills.

CEI Services

Equipment Operator-Heavy

Nacogdoches, TX · On-site

$28 - $31.50/hr

May build level and/or extreme terrain and excavate land surfaces, using various pieces of construction equipment listed above * Drive and maneuver equipment equipped with blades in successive passes ...

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Extreme Terrain information

What is an extreme terrain specialist?

Extreme Terrain jobs refer to positions that involve working in challenging outdoor environments such as mountains, deserts, forests, arctic regions, or other rugged landscapes. These roles can include activities like guiding tours, conducting scientific research, performing search and rescue operations, or maintaining infrastructure in remote areas. Employees in these jobs must be skilled in survival techniques, navigation, and often require specialized training to handle the physical and environmental demands. Working in extreme terrain typically requires a high level of physical fitness, adaptability, and problem-solving abilities.

What skills and qualifications are needed to thrive as an extreme terrain specialist?

To thrive as an Extreme Terrain Specialist, you need in-depth knowledge of off-road vehicle mechanics, navigation, and terrain analysis, often backed by relevant certifications or training in vehicle recovery and wilderness survival. Familiarity with GPS systems, mapping software, and specialized off-road equipment is typically required. Strong problem-solving skills, adaptability, and effective communication are crucial for managing unexpected challenges and coordinating with teams in demanding environments. These abilities ensure safety, efficiency, and successful navigation in unpredictable and often hazardous terrain.

What are common challenges faced by extreme terrain specialists and how can they be addressed?

Extreme Terrain specialists often encounter unpredictable weather, remote locations, and challenging physical conditions. Preparation is key—thorough planning, risk assessment, and teamwork all help mitigate hazards. Collaborating closely with safety teams and staying updated on the latest equipment and protocols ensures smoother operations. Building physical endurance and adaptability is also crucial for thriving in this demanding environment.

What is the difference between Extreme Terrain vs Off-Road Vehicle Technician?

AspectExtreme TerrainOff-Road Vehicle Technician
CertificationsNone required, but certifications in vehicle repair or off-road driving are beneficialASE certifications or manufacturer-specific training often required
Work EnvironmentOutdoor, rugged terrains, off-road locationsRepair shops, service centers, or outdoor off-road events
Industry UsageAdventure, recreation, off-road sportsAutomotive repair, vehicle customization, off-road vehicle maintenance

Extreme Terrain involves navigating and exploring rugged outdoor environments, often focusing on adventure and recreation. Off-Road Vehicle Technicians specialize in repairing and maintaining off-road vehicles used in similar terrains. While both roles are connected through off-road activities, Extreme Terrain emphasizes outdoor exploration, whereas Off-Road Vehicle Technicians focus on vehicle service and repair within the industry.

More about Extreme Terrain jobs

What states have the most Extreme Terrain jobs?

States with the most job openings for Extreme Terrain jobs include:

What job categories do people searching Extreme Terrain jobs look for?

The top searched job categories for Extreme Terrain jobs are:

Extreme Terrain jobs near you
Infographic showing various Extreme Terrain job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Paramedic

Rochester Regional Health

Rochester, NY • On-site

$28.75 - $34.25/hr

Part-time

Re-posted 27 days ago

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 220 frontline employees who took The Breakroom Quiz

303rd of 898 rated healthcare providers

Job description

Job Title: Paramedic
Department: Emergency Medical Services
Location: Massena
Hours Per Week: per diem
Schedule: 12 hour shift
SUMMARY:
The Paramedic is a frontline healthcare professionals who will provide emergency medical care in pre-hospital settings. They respond to calls from dispatch and assess patients, administer life-saving interventions, and transport patients to medical facilities.
RESPONSIBILITIES:
  • Responds to emergency calls, assess patients' conditions, and determine appropriate medical interventions, coordinating with dispatch as necessary.
  • Safely transport patients to medical facilities, monitoring their condition and providing necessary care during transit
  • Provide advanced life support (ALS), including airway management, intravenous therapy, defibrillation, and drug administration.
  • Communicate with emergency dispatchers, firefighters, law enforcement, and healthcare professionals.
  • Maintain accurate and detailed patient care reports, documenting assessments, treatments, and patient responses.
  • Ensure the cleanliness and readiness of emergency vehicles and medical equipment.
  • Educate and reassure patients and their families in crisis situations.
  • Adhere to legal, ethical, and safety protocols.
  • Interpret oral, written and diagnostic form instructions, including calculating weight and volume ratios.
  • Lift and move patients, often in challenging environments, such as extreme terrain or temperatures.
  • Participate in continuous education to stay current with medical protocols and enhance skills.
  • Ability to maintaining composure and professionalism in high-pressure situations.

Working Conditions and Physical Requirements (Expanded):
  • Work in a variety of uncontrolled and potentially hazardous environments (indoor/outdoor, inclement weather, confined spaces).
  • Maintain physical readiness to assist in lifting/moving patients using stretchers (up to 250 lbs with partner assist), medical equipment, and gear.
  • Walk, kneel, crawl, and climb over uneven terrain or in emergency conditions.
  • Transport essential medical equipment (e.g., EKG monitor, ALS/med bags) without assistance.
  • Remain calm and focused in high-stress, emotionally charged situations.

REQUIRED QUALIFICATIONS:
  • Current NYS Licensed Paramedic
  • BLS, ACLS, and PALS - if not AHA, must obtain AHA credentials within 3 months of hire
  • Valid Driver's license

PREFERRED QUALIFICATIONS:
  • 3 years' experience in 911 and inter-facility transport
  • Experience with critical care transports

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
H - Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Requires constant walking, standing or squatting.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$28.75 - $34.25
CITY:
Massena
POSTAL CODE:
13662
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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