Advanced Practice Paramedic

County of Wake, NC; Raleigh (NC); On-site; USD 48,000 - 63,000; Full time

Job summary

Wake County EMS is seeking an Advanced Practice Paramedic to join the program in Raleigh, NC. You will lead on-scene clinical management, provide advanced life support, and work to route patients to the right care settings, collaborating with community partners to improve outcomes.

The role emphasizes leadership, critical thinking, and compassionate patient care across high-acuity calls, with regular 12-hour shifts and a promoting eligibility process.

Qualifications

• Associate's degree or equivalent in Emergency Medical Services or related field.
• Three years as medically cleared paramedic in a transporting 911 EMS agency.
• Valid Driver's License and "safe" driving record.
• Certification as a North Carolina Certification as a North Carolina Paramedic or eligibility for such certification.
• Successful completion of the Wake County EMS System Academy and Release to Practice if not already medically cleared in the Wake County EMS System within one year.
• Successful completion of a Wake County EMS System Mobile Integrated Health Academy within one year.
• Equivalent education and experience are accepted

Responsibilities

• Respond to a wide variety of calls for on scene leadership, clinical management and assistance with patient care.
• Reduce barriers to care and help patients navigate the healthcare system.
• Redirect patients to appropriate alternate care facilities to seek the care and treatment this population needs
• Work to integrate the needed care to improve patient outcomes and reduce EMS utilization.

Skills

On-scene leadership

Advanced patient care

Advanced decision-making

Team collaboration

Education

Associate's degree or equivalent in Emergency Medical Services

Three years as medically cleared paramedic in a transporting 911 EMS agency

Valid Driver's License and safe driving record

Certification as a North Carolina Paramedic or eligible

Wake County EMS System Academy and Release to Practice

Wake County EMS System Mobile Integrated Health Academy

Equivalent education and experience accepted

Job description

What You'll Be Doing

Wake County EMS is hiring for our AdvancedPractice Paramedic program. As an industry leader in mobile integrated health,we are looking for individuals who demonstrate adaptability, problem-solvingskills, strong clinical proficiency, and high levels of compassion and empathyfor our most vulnerable populations.

• Respond:As an Advanced Practice Paramedic,you will be responding to a wide variety of calls for on scene leadership,clinical management and assistance with patient care. These calls include highand low acuity conditions, mental health needs and substance use disorders.
• Reduce:You will work to reduce barriers to careand help patients navigate the healthcare system. Working with a variety ofcommunity partners, you will work to integrate the needed care to improvepatient outcomes and reduce EMS utilization.
• Redirect:At Wake County EMS, we believethat it is paramount to get patients to the right place, at the right time, forthe right care. Our Advanced Practice Paramedics are empowered to transportmental health and substance use disorder patients to appropriate alternate carefacilities to seek the specific care and treatment this populations needs.

Essential Functions:

• Work effectively both as an individual and whenneeded as a team leader
• Integrate with other emergency respondersand provide advanced patient care (beyond the function of a regularparamedic) and on scene clinical management on the scene of high acuitycalls
• Perform advanced life support skillsutilizing liberal standing order protocols as well as advanceddecision-making skills to guide patient care
• Perform post-dispatch follow up forspecialty patients in cooperation and collaboration with communitypartners and healthcare agencies
• Apply specific criteria andprotocols to provide the most appropriate care and treatment for patientswho are in crisis from substance use disorders
• Assist Department and Division initiatives by performing visits with specialty patients to ensure appropriate follow up, resources and education
• Refer potential high-volume utilizers to teams within the division and department

Important Note: At the conclusion of this assessment center, theEMS Department will establish a promotional eligibility list of candidates whohave successfully completed the assessment center. This list will be used tofill vacancies for Advanced Practice Paramedic position(s) that occur after theinitial selections from this process are made. It will not be used to fillvacancies for any other position. This list will remain in effect through April 30, 2027.Vacancies occurring after that date will be filled through a new assessmentcenter process. The department may end the list before that date if it isexhausted or if operational needs change. The department will consider candidates on the list in order ofperformance in the assessment center process. The department may conduct anadditional interview prior to selection. Placement on the list does notguarantee promotion. To remain eligible, candidates must continue to meet theposition’s minimum qualifications and all county and department requirements atthe time of selection. A candidate may be removed from the list if they:separate from county employment; no longer meet minimum qualifications; received disciplinary action at or above written warning; or decline a promotion offer from the list.

About Our Team

Wake County EMS is a cutting-edge emergency medical services system that is responsible for providing EMS services throughout Wake County including within each of the county's 12 local municipalities. We responded to over 140,000 requests for 911 EMS services in 2025. The Division of Medical Affairs, which includes the quality improvement activities of Wake County EMS, includes two full-time EMS physicians and our Advanced Practice Paramedic program. We greatly value the enrichment we receive through diversity in our staff, and we are continuously working to enhance that diversity and create spaces where all employees can thrive.

The Basics (Required Education and Experience)

• Associate's degree or equivalent in Emergency Medical Services or related field
• Three years as medically cleared paramedic in a transporting 911 EMS agency
• Valid Driver's License and "safe" driving record
• Certification as a North Carolina Certification as a North Carolina Paramedic or eligibility for such certification
• Successful completion of the Wake County EMS System Academy and Release to Practice if not already medically cleared in the Wake County EMS System within one year
• Successful completion of a Wake County EMS System Mobile Integrated Health Academy within one year
• Equivalent education and experience are accepted

Beyond the Basics (Preferred Education and Experience)

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

How Will We Know You're 'The One'

• Excellent written and verbal communication skills
• Ability to interact and communicate effectively with individuals at all levels of the organization with tact and diplomacy
• Ability to maintain social, ethical and organizational norms, firmly adhering to codes of conduct and ethical principles
• Ability to function in a physically demanding environment, requiring strength, flexibility, and endurance

About This Position

Location: Public Safety CenterRaleigh, NC 27601

Employment Type: Regular

Work Schedule: Shifts, typically 12 hours, but may be adjusted depending on system needs

Hiring Range: 34.91 - 45.38

Market Range: 34.91 - 55.85

Posting Closing Date: 7:00 pm on 11/20/2026

What Makes Wake Great

Consistently ranked high among the best places to live and work in America, Wake County is the proud home to NC State University, Research Triangle Park, and the two-time Stanley Cup Champion Carolina Hurricanes, winners in 2006 and 2026. In addition to being Wake County's seat of government, Raleigh is also the center of state government, with the Capitol Building, legislature and many state government offices located in Raleigh. With an estimated population of just over 1.2 million residents, Wake County is North Carolina's most populous county. Entertainment, recreation, and art and culture abound with the North Carolina Museum of Art, JC Raulston Arboretum, and the Neuse River Trail all in the heart of Wake County. Wake County uses the Council/Manager form of government. Currently, the seven members of the Board of Commissioners are elected by district on a partisan basis and serve four-year terms. Starting in fall 2026, the Wake County Board will have seven commissioners elected by voters in their districts and two at-large commissioners elected by the whole County. The County is regarded as a fiscally responsible and well-managed government, enjoying a AAA bond rating. The County's FY2027 General Fund budget is approximately $2.28 billion, and the County has more than 5,000 full time employees. Wake County Government came in at #2 on the Healthiest Employers list for 2024. This year, US News & World Report ranked Raleigh #5 on its list of Best Places to Live, and the Milken Institute ranked Raleigh #1 on its 2025 list of Best-Performing Cities.

Equal Opportunity Statement

Wake County provides equal employment opportunities (EEO) to all employees and applicants foremployment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Background Check Statement

Position may require a background check that mayinclude: criminal, credit, motor vehicle, education, and sexual offender registry or others based on jobrequirements. Unless required by state law, a record of conviction will not automatically exclude you fromconsideration for employment. Wake County Government is an Equal Opportunity Employer.

Emergency Service Worker Statement

In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected.Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, duringand after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.