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Firefighter Paramedic Jobs in Rochester, NY (NOW HIRING)

Rochester Regional Health

Paramedic

Rochester, NY · On-site

$28.75 - $34.25/hr

Paramedic Department: Emergency Medical Services Location: Massena Hours Per Week: per diem ... Communicate with emergency dispatchers, firefighters, law enforcement, and healthcare professionals.

Rochester Regional Health

Paramedic

Rochester, NY · On-site

$28.75 - $34.25/hr

Paramedic Department: Emergency Medical Services Location: Massena, NY Hours Per Week: 40 scheduled ... Communicate with emergency dispatchers, firefighters, law enforcement, and healthcare professionals.

Rochester Regional Health

Paramedic

Rochester, NY · On-site

$28.75 - $34.25/hr

Paramedic Department: Emergency Medical Services Location: Gouverneur Hours Per Week: 40 scheduled ... Communicate with emergency dispatchers, firefighters, law enforcement, and healthcare professionals.

Rochester Regional Health

Paramedic - CCT

Rochester, NY · On-site

$29.75 - $35.25/hr

Job Title: Paramedic - CCT Department: EMS Location: St Lawrence Hours Per Week: 40 Schedule ... Communicate with emergency dispatchers, firefighters, law enforcement, and healthcare professionals.

Rochester Regional Health

Paramedic - CCT

Rochester, NY · On-site

$29.75 - $35.25/hr

Paramedic - CCT Department: EMS Location: St Lawrence Hours Per Week: 40 Schedule: variable SUMMARY ... Communicate with emergency dispatchers, firefighters, law enforcement, and healthcare professionals.

ZOLL LifeVest

Patient Service Representative

Rochester, NY · On-site

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary ...

ZOLL LifeVest

Patient Service Representative

Rochester, NY · On-site

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary ...

ZOLL Medical

Patient Service Representative

Rochester, NY · On-site

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary ...

ZOLL LifeVest

Patient Service Representative

Rochester, NY · On-site

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary ...

ZOLL LifeVest

Patient Service Representative

Rochester, NY · On-site

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary ...

All JobsFirefighter Paramedic JobsFirefighter Paramedic Jobs in Rochester, NY

Firefighter Paramedic information

See Rochester, NY salary details

$28.1K

$58.8K

$98.7K

How much do firefighter paramedic jobs pay per year?

As of Sep 1, 2026, the average yearly pay for firefighter paramedic in Rochester, NY is $58,812.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,900.00 and $68,100.00 per year, depending on experience, location, and employer.

What is a firefighter paramedic?

Firefighter Paramedics are emergency responders who are trained both as firefighters and as paramedics. They respond to fires, accidents, and medical emergencies, providing advanced life support, rescuing people from dangerous situations, and extinguishing fires. Their dual training allows them to address a wide range of emergencies, making them valuable members of fire departments and emergency medical services. Firefighter Paramedics must complete specialized education and obtain certifications in both firefighting and paramedicine. They often work in high-stress environments and require strong problem-solving and teamwork skills.

What skills and qualifications are needed to be a firefighter paramedic?

To thrive as a Firefighter Paramedic, you need a solid background in emergency medical care, firefighting techniques, and incident response, typically supported by EMT-Paramedic certification and fire academy training. Familiarity with lifesaving equipment, fire suppression tools, and communication systems such as radios and dispatch software is crucial. Outstanding teamwork, emotional resilience, and problem-solving skills help you perform effectively in high-pressure, unpredictable situations. These skills ensure rapid, coordinated responses that protect lives and property during emergencies.

How do firefighter paramedics balance emergency medical responsibilities with firefighting duties during a shift?

Firefighter Paramedics often face the challenge of seamlessly switching between firefighting and medical roles, sometimes within the same call. During a shift, they may respond to medical emergencies, perform patient assessments, administer advanced life support, and then quickly transition to firefighting tasks such as search and rescue or fire suppression. Teamwork and clear communication are essential, as Firefighter Paramedics coordinate closely with fellow firefighters and EMS personnel to prioritize tasks and ensure both fire and medical needs are met efficiently. This dynamic environment requires adaptability, strong time management, and the ability to perform under pressure.

What is the difference between Firefighter Paramedic vs Firefighter Emergency Medical Technician?

AspectFirefighter ParamedicFirefighter Emergency Medical Technician
CertificationsEMT-Paramedic license, Firefighter certificationEMT-Basic or EMT-Intermediate, Firefighter certification
Work EnvironmentResponds to fires, medical emergencies, rescue operationsPrimarily responds to medical emergencies, fire suppression roles
Job ResponsibilitiesAdvanced medical care, fire suppression, rescueBasic life support, fire suppression, rescue

Firefighter Paramedics have advanced medical training and provide comprehensive emergency medical care, while Firefighter Emergency Medical Technicians focus on basic life support. Both roles work in fire departments and respond to emergencies, but Paramedics handle more complex medical procedures.

Can you be a firefighter and a paramedic?

Firefighter Paramedics are trained to perform both firefighting and emergency medical services, often requiring certification in firefighting and paramedic skills. Many departments hire individuals who are cross-trained or who complete both certifications, allowing them to respond to a wide range of emergencies. This dual role demands physical fitness, quick decision-making, and the ability to handle diverse emergency situations.

Do firefighter paramedics get paid more?

Firefighter paramedics typically earn higher salaries than standard firefighters due to their advanced medical training and responsibilities. Their pay can vary based on experience, certifications, and location, but they generally receive higher compensation because of their dual roles in firefighting and emergency medical services.

Is being a firefighter paramedic worth it?

Firefighter paramedics perform emergency medical care and fire suppression, often working long shifts in high-stress environments. The role offers a sense of community service, job stability, and opportunities for advancement, but it also involves physical risk, irregular hours, and emotional challenges.

What are popular job titles related to Firefighter Paramedic jobs in Rochester, NY?

For Firefighter Paramedic jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Firefighter Paramedic jobs in Rochester, NY look for?

The top searched job categories for Firefighter Paramedic jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Firefighter Paramedic jobs?

Cities near Rochester, NY with the most Firefighter Paramedic job openings:

Firefighter Paramedic jobs near you
Infographic showing various Firefighter Paramedic job openings in Rochester, NY as of August 2026, with employment types broken down into 50% Part Time, and 50% Contract. Highlights an 100% In-person job distribution, with an average salary of $58,812 per year, or $28.3 per hour.

Paramedic

Rochester Regional Health

Rochester, NY • On-site

$28.75 - $34.25/hr

Part-time

Re-posted 24 days ago

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 219 frontline employees who took The Breakroom Quiz

303rd of 896 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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