Advanced Practice Paramedic

County of Wake, NC • Raleigh, NC

4d • $35 - $56 • Onsite

About The Position

Wake County EMS is hiring for its Advanced Practice Paramedic program, part of a mobile integrated health system. The role responds to a wide range of calls, providing on-scene leadership, clinical management, and patient-care assistance for high- and low-acuity conditions, mental health needs, and substance use disorders. Advanced Practice Paramedics help reduce barriers to care by helping patients navigate the healthcare system and coordinating with community partners to improve outcomes and reduce EMS utilization. They may transport mental health and substance use disorder patients to appropriate alternate care facilities.

The position is based at the Public Safety Center in Raleigh, North Carolina. The work schedule consists of shifts, typically 12 hours, and may be adjusted based on system needs. The hiring range is 34.91–45.38, and the market range is 34.91–55.85; the posting does not specify a currency or pay period.

The assessment center will establish a promotional eligibility list for Advanced Practice Paramedic vacancies. The list is expected to remain in effect through April 30, 2027, though the department may end it earlier if it is exhausted or operational needs change. Candidates will be considered in assessment-center performance order, and an additional interview may be conducted. Placement on the list does not guarantee promotion. Candidates must continue to meet the position’s minimum qualifications and county and department requirements. A candidate may be removed from the list for separating from county employment, no longer meeting minimum qualifications, receiving disciplinary action at or above written warning, or declining a promotion offer.

Requirements

• Associate's degree or equivalent in Emergency Medical Services or a related field; equivalent education and experience are accepted.
• Three years of experience as a medically cleared paramedic in a transporting 911 EMS agency.
• Valid driver's license and a safe driving record.
• North Carolina Paramedic certification or eligibility for such certification.
• Successful completion of the Wake County EMS System Academy and release to practice within one year if not already medically cleared in the Wake County EMS System.
• Successful completion of a Wake County EMS System Mobile Integrated Health Academy within one year.
• Excellent written and verbal communication skills.
• Ability to interact and communicate effectively with individuals at all organizational levels with tact and diplomacy.
• Ability to maintain social, ethical, and organizational norms and adhere firmly to codes of conduct and ethical principles.
• Ability to function in a physically demanding environment requiring strength, flexibility, and endurance.

Nice To Haves

• Bachelor’s degree in Emergency Medical Services or equivalent.
• Two or more years of experience as a Wake County Field Training Officer.

Responsibilities

• Work effectively as an individual and, when needed, as a team leader.
• Integrate with other emergency responders and provide advanced patient care beyond the function of a regular paramedic, including on-scene clinical management at high-acuity calls.
• Perform advanced life support skills using liberal standing-order protocols and advanced decision-making to guide patient care.
• Perform post-dispatch follow-up for specialty patients in collaboration with community partners and healthcare agencies.
• Apply specific criteria and protocols to provide appropriate care and treatment for patients in crisis from substance use disorders.
• Visit specialty patients as part of department and division initiatives to ensure appropriate follow-up, resources, and education.
• Refer potential high-volume utilizers to teams within the division and department.
• Help patients overcome barriers to care and navigate the healthcare system in coordination with community partners.
• Transport mental health and substance use disorder patients to appropriate alternate care facilities when appropriate.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree