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Senior Paramedic Jobs in Raleigh, NC (NOW HIRING)

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Senior Paramedic information

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How much do senior paramedic jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for senior paramedic in Raleigh, NC is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $26.15 per hour, depending on experience, location, and employer.

What is a senior paramedic?

Senior Paramedics are highly trained emergency medical professionals who provide advanced pre-hospital care to patients during medical emergencies. They often supervise and mentor junior paramedics and emergency medical technicians (EMTs), make critical decisions in high-pressure situations, and may coordinate with other emergency services. Their responsibilities include administering medications, performing advanced life support procedures, and ensuring the safety and well-being of patients during transport to medical facilities. Senior Paramedics typically have several years of experience and advanced certifications in emergency medical services.

What are the key skills and qualifications needed to thrive as a senior paramedic?

To thrive as a Senior Paramedic, you need advanced clinical skills, emergency medical knowledge, and a paramedic license, often supported by several years of field experience. Familiarity with pre-hospital care protocols, advanced life support equipment, and electronic patient care reporting systems is important. Leadership, decision-making under pressure, and strong interpersonal communication are essential soft skills for managing emergency scenes and mentoring junior staff. These competencies ensure effective, timely patient care and coordination in high-stress, life-critical situations.

What are some common challenges faced by senior paramedics, and how can they be addressed?

Senior Paramedics often encounter challenges such as managing high-stress emergency situations, navigating complex patient care decisions, and leading less experienced team members in the field. Effective communication, strong clinical judgment, and the ability to remain calm under pressure are crucial for overcoming these challenges. Additionally, ongoing training and participation in debrief sessions can help Senior Paramedics continuously improve their leadership and clinical skills, ensuring better outcomes for both patients and their teams.

What is the difference between Senior Paramedic vs Paramedic?

AspectSenior ParamedicParamedic
CertificationsEMT-Paramedic license, advanced certificationsEMT-Paramedic license
Work EnvironmentAdvanced pre-hospital emergency care, leadership rolesBasic pre-hospital emergency care
ResponsibilitiesSupervising teams, complex patient care, decision-makingProviding emergency medical care, patient assessment

The main difference between a Senior Paramedic and a Paramedic is experience and responsibility. Senior Paramedics typically have advanced certifications, take on leadership roles, and handle more complex cases. Paramedics focus on providing emergency care and patient assessment. The Senior Paramedic role involves greater responsibility and oversight in pre-hospital emergency services.

What are the most commonly searched types of Paramedic jobs in Raleigh, NC?

The most popular types of Paramedic jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Senior Paramedic jobs?

Cities near Raleigh, NC with the most Senior Paramedic job openings:

Respiratory Therapist II - Critical Care Transport

UNC Health

Durham, NC

$31.04 - $44.62/hr

Per diem

Re-posted 23 days ago


UNC Health rating

7.0

Company rating: 7.0 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

Description

Position qualifies for our inpatient Respiratory Care Incentive Program:

This position qualifies for a $10,000 commitment incentive bonus for a two (2) year commitment or a $15,000 commitment incentive bonus for a three (3) year commitment, relocation assistance (relocation amounts based on location distance), and participation in our employee referral program ($3,000 referral bonus to employees who refer other Respiratory Therapists).

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Respiratory Therapist for the Pediatric Ground and Flight Transport Team opportunity!

"Carolina Air Care is a CAMTS accredited critical care and emergency transportation agency serving North Carolina and surrounding areas since 1986. Our assets are comprised of four helicopters as well as a fleet of ambulances dispatched by our communications center "Flightwatch" all operating 24 hours a day.

Helicopter bases are located in Burlington, Aberdeen, Goldsboro, and Rocky Mount. Rotor wing aircraft are staffed with one nurse and one paramedic. They respond to both emergency scene requests as well as interfacility transfers of critically ill patients Our ground assets are located throughout the Triangle.

In addition to the Critical Care Transport teams for the majority of our missions, we also have two dedicated Neonatal Specialty Care Teams, which care for our smallest patients.

Along with our Medical Directors, the Education Team ensures that the high standards of Carolina Air Care are maintained through continuing education, evidence-based medicine, equipment training, high fidelity simulations, research studies, and new hire assessments."

Summary:
Under the direction of department management and according to policies and procedures as defined in the Department Policy and Procedure Manuals, the Respiratory Therapist, Senior demonstrates an advanced level of knowledge in respiratory care and assigned patient care areas. The Respiratory Therapist II administers competent care of patients through airway management, mechanical ventilator management, oxygen therapy, aerosol therapy, respiratory care procedures and treatments designed to assess, prevent, stabilize or remedy patients respiratory dysfunction.

Responsibilities:
1. Administers standard Respiratory Care including but not limited to, aerosol medication delivery, basic bedside pulmonary function testing, breathing exercises, oxygen therapy, (Not included in Per Diem Job) and arterial punctures. Provides for all aspects of airway management including aspiration of established airways, tracheostomy care, tracheostomy tube changes, endotracheal intubations and extubations.
2. Carolina Air Care - When working with Carolina AIr Care may Transport pediatric and neonatal patients from referral hospitals per UNC Air Care Protocol. May perform respiratory care and advanced practice procedures per UNC Air Care Protocol. These procedures include UAC, UVC, IV insertion, intraosseous insertion, Chest Tube insertion, Needle Decompression, ABG's, Blood Glucose monitoring, Intubations and others as deemed necessary by the medical control officer.
3. MayPerform all aspects of ventilator care to include, but not limited to setting up the ventilator and verifying function using specialized ventilator modes to manage the patients disease process. Provide for an appropriate monitoring of these patients and provide appropriate weaning techniques.
4. Maintains and improves job knowledge and skills. Functions independently with minimal supervision. Serves as resource to other staff reflective of experience level.

Prior to Hire - Must have American Heart Association, ACLS, PALS and NRP certifications. Three (3) years RT NICU and or PICU experience preferred.

Other Information

Other information:
Education Requirements:
Graduation from an accredited Respiratory Therapy program.
Licensure/Certification Requirements:
Licensed as a Respiratory Care Practitioner by the North Carolina Respiratory Care Board. Must be registered (RRT) by the National Board of Respiratory Care. Note: Current teammates with active Certified Respiratory Therapist (CRT) certification by the NBRC and a minimum of 15 years of experience as a CRT and are ineligible for the RRT board exam with demonstrated proficiency in all aspects of respiratory care also qualify for this role. Dependent upon population served and regardless of if RRT or CRT, all teammates must have at least one of the following depending upon practice area: Advanced Cardiac Life Support (ACLS) Adult Care , Neonatal Resuscitation Program (NRP) - NICU, Pediatric Advanced Life Support (PALS) - PICU/Rex, Certified Pulmonary Function Technologist (CPFT), or advanced practice certificate to administer moderate sedation in Bronchoscopy Lab. All certifications must be maintained as required by the certifying body.
Professional Experience Requirements:
Two (2) years of experience as a Respiratory Therapist
Knowledge/Skills/and Abilities Requirements:
Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members, and other staff. Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical situations.


Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: RDU Ground

Work Type: Full Time

Standard Hours Per Week: 36.00

Salary Range:$31.04 - $44.62 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Variable

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No


This is a State position employed by UNC Health Care System.


Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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