Community Paramedic

Buncombe County; Woodfin (NC); On-site; USD 33,000 - 40,000; Full time

Job summary

Buncombe County Government is hiring a Community Paramedic in the Emergency Medical Services department to provide non-traditional pre-hospital care for patients affected by substance abuse, mental health issues, or chronic health needs.

The role requires paramedic certification, several years of EMS experience, and completion of a Community Paramedic program within six months. A driver’s license is required, and RN licensure is preferred.

Qualifications

• High school diploma or equivalent with EMS coursework and 3+ years paramedic experience, including 1 year with Buncombe County EMS.
• Completion of a Community Paramedic education program within 6 months of hire; Crisis Intervention Training preferred.
• North Carolina Paramedic certification; valid NC driver’s license; RN license preferred.

Responsibilities

• Respond to overdose, mental health crises, or high-utilizer EMS calls.
• Examine, screen, treat and coordinate health services for patients.
• Participate in Post Overdose Response Teams (PORT) to connect patients with services.

Skills

EMT-Paramedic

Patient assessment

Emergency vehicle operation

Crisis intervention

Education

High school diploma

Paramedic certification

RN license (preferred)

Tools

Emergency equipment

Job description

Job posting expires at 11:59PM on November 18, 2026. No applications can be submitted after 11:59PM on November 18, 2026.

Job Title: Community Paramedic

Department: Emergency Medical Services

External Hiring Range: $24.09 - $28.98

Compensation Grade: 2006

Posted Internally and Externally

Purpose of the position:

The primary purpose of this position is to provide non-traditional pre-hospital care to patients affected by substance abuse/overdose, mental health disorders, and/or with chronic health care needs.

Minimum Education, Training and/or Experience (required at time of hire):

Graduation from high school or equivalent, supplemented by required course work in emergency medical techniques and a minimum of three (3) years of experience as a paramedic including at least one (1) year with Buncombe County EMS, preferred; or an equivalent combination of experience and training. Must be 21 years of age or older.

Additional Training and Experience:

Completion of an approved Community Paramedic education program within 6 months of hire. Crisis Intervention Training preferred.

License to practice as a Registered Nurse in North Carolina, or comparable pre-hospital experience is preferred.

License or Certification Required by Statute or Regulation:

Certification as a Paramedic by the North Carolina Office of EMS and the Medical Care Commission. Possession of a valid driver's license issued by the state of residence.

Essential Functions of the position:

• Perform all essential functions as listed for EMT-Paramedic I.
• Respond to calls for overdose, mental health crisis, or high utilizers of the EMS system.
• Examine, screen, treat and coordinate health services for patients.
• Function as a part of the Post Overdose Response Teams (PORT) to provide access to services for patients experiencing substance abuse issues.
• Conduct post-hospital release follow-up care including, but not limited to, monitoring medication, dressing changes, and checking vital signs.
• Observe, record, and report to physician, patient’s conditions and reactions to drugs, treatments, and significant incidents.
• Conduct patient education, including diabetes prevention/treatment, hypertension, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), falls assessment, injury evaluation, geriatric frailty visits, and nutrition.
• Administer patient care consistent with department protocols and physician orders.
• Coordinate appointments and follow-up with physicians and hospitals.
• Develop and complete appropriate reports and templates for the Community Paramedic Program.
• Attend meetings as requested and available.
• Collect, communicate, and accurately document information about the medical care to further quality patient care deliver; complete and timely report to partnering agencies and assure patient privacy.
• Assist in the inspection and maintenance of vehicles and medical equipment.
• Perform other related duties as assigned.

Knowledge, Skills, Abilities, and Other Abilities:

• Knowledge of basic and advanced emergency medical procedures and techniques.
• Knowledge of equipment and supplies employed in the emergency care of patients and victims of accidents.
• Knowledge of procedures in extrication, movement of patients, rescue techniques, transportation, and psychological needs of a patient.
• Knowledge of life support techniques of patients in the field.
• Knowledge of County geography and of the location of roads and streets within the County.
• Knowledge of principles and practices of pre-hospital and Community Para-medicine.
• Knowledge of the role of various community health care providers, and social service and advocacy agencies within the community and the ability to effectively refer clients.
• Skill in diagnosing a victim's condition and applying emergency medical care.
• Ability to respond quickly and calmly to emergency situations.
• Ability to operate an emergency vehicle in a safe manner.
• Ability to lift substantial weight.
• Ability to deal tactfully, courteously, and firmly with the general public.

Buncombe County Government realizes the importance of a diverse professional workforce and the need to foster a responsive and innovative organizational culture, one that fully engages all of our employees, honoring and building on each employee's unique experiences, opinions, and perspective. It is the policy of Buncombe County to provide equal employment opportunities (EEO) to all persons regardless of race, natural hair or hairstyles, ethnicity, creed, color, sex, sexual orientation, gender identity or expression, national origin or ancestry, marital or familial status, pregnancy, veteran status, religious belief or non-belief, age, or disability or any other legally protected class under federal or NC State law. EEO practices and employment decisions regarding recruitment, hiring, assignment, promotion and compensation shall not be based on any of these protected classes. In addition, the County expressly prohibits any form of workplace harassment or discrimination.

Contact [e-mail] with any questions.

Buncombe County Government offers a first in class benefits package which promotes employee health and well-being.