Paramedic Jobs

About The Position

Requirements

• High School Diploma or GED equivalent
• At least two (2) years’ experience as a paramedic in a progressive 911 system.
• Current Paramedic certification or licensure in the State of Texas in good standing; completion of an accredited Paramedic program.
• Must successfully complete the Transitional In-Charge Paramedic Program within ninety (90) days of assignment to the role.
• Current American Heart Association BLS, ACLS, and PALS certifications.
• NIMS ICS-100, 200, 700, 800 required; ICS-300 and ICS-400 preferred
• Valid Texas Driver’s License with an acceptable driving record.
• Knowledge of Texas Administrative Code 157 and applicable EMS rules, regulations, and clinical standards.
• Demonstrated ability to make sound decisions, and remain calm in high-pressure, dynamic, and potentially life-threatening situations.
• Effective communication and interpersonal skills with the ability to build relationships and interact with other employees, partner agencies, and the public.
• Ability to perform prolonged physical and mental tasks, maintain situational awareness, and operate effectively in stressful environments.
• Basic computer proficiency and familiarity with electronic documentation systems; knowledge of local geography and roadways.
• Must not be excluded from participation in federally funded healthcare programs (OIG).

Nice To Haves

• SPO, MPO, FACPE, or other relevant credentialing preferred.
• Additional requirements as determined by the Office of the Medical Director.

Responsibilities

• Participates in and successfully completes the Transitional In-Charge Paramedic Academy, including all classroom, simulation, and field components required to develop the competencies necessary for independent In-Charge Paramedic practice.
• Functions under the direction of assigned FTOs and instructional staff, applying feedback to progressively build proficiency in clinical decision-making, leadership, and operational responsibilities.
• Provides ALS care in accordance with established clinical protocols, scope of practice, medical direction, and training level, with FTO oversight as required.
• Responds to assigned calls in a timely manner, supporting compliance with response time standards and system performance expectations.
• Serves as a supervised team leader of patient care, scene management, and Attendant coordination, demonstrating growth toward full In-Charge team leadership responsibilities.
• Assesses patient condition, initiates appropriate treatment, and contributes to transport decisions under the mentorship of the FTO, ensuring alignment with clinical protocols and patient needs.
• Utilizes triage principles during routine and multi-patient incidents, practicing prioritization strategies appropriate for eventual In-Charge responsibilities.
• Operates and maintains medical equipment ensuring readiness and proper use.
• Communicates patient care information to receiving facilities and medical control in a professional, clear manner, with feedback and coaching from FTOs.
• Completes patient care reports and required documentation accurately and in accordance with regulatory, clinical, and organizational standards, incorporating coaching to reach full ICP documentation proficiency.
• Maintains continuous readiness of assigned unit, including vehicle condition, equipment functionality, and supply levels, with guidance to achieve ICP operational standards.
• Ensures compliance to all clinical protocols, operational policies, and applicable local, state, and regulatory requirements, seeking clarification and training as needed.
• Actively engages in performance evaluations, scenario assessments, and competency checks required to progress through the Transitional ICP program.
• Participates in required training, continuing education, and organizational initiatives to maintain licensure and support advancement toward full In-Charge Paramedic status.
• Maintains confidentiality of patient and organizational information in accordance with applicable laws and standards.
• Performs other duties as assigned that support clinical development, operational readiness, and advancement toward the In- charge Paramedic role.