EMS Community Paramedic
Salary
$59,167.00 Annually
Location
Nashville, NC
Job Type
Full Time
Job Number
2026-00048
Department
Emergency Services
Division
Emergency Medical Services
Opening Date
05/28/2026
Closing Date
6/4/2026 11:59 PM Eastern
General Statement of Duties
Performs community health outreach, medication compliance, illness and injury prevention activities; facilitate patient use of alternative transportation methods (non-ambulance) and alternative treatment options (besides the hospital emergency department). Responds to substance abuse and mental health scenes to provide treatment and other resources to patients and families. Provide additional assistance to high acuity calls for service, allowing for better quality of care for the most critical patients.
Possession of advanced clinical knowledge and skills, response to and provide leadership at the most critical EMS calls, application of advanced clinical competencies, utilization of alternate health care delivery pathways facilitated by superior interpersonal communication and education skills. When not responding to emergency calls, undertake activities to reduce the need for chronically ill patients to call 911 through improved compliance with prescribed treatment regimens, conduct home visits to reduce the incidence of traumatic injuries, and attend non-critical calls in the assigned district to promote, encourage, and facilitate use of health care services more appropriate to the needs of the patient other than the hospital emergency department.
Work is subject to both inside and outside environmental conditions, extremes in temperatures, noise, and vibration, hazards associated with emergency medical work including exposures to fumes, odors, dusts, mists, gases, poor ventilation, and oils. Because of the nature of the work, the employee is exposed to human blood and is subject to OSHA requirements on blood borne pathogens. Work is performed of general supervision of the Emergency Services Director and the Assistant Director of Emergency Medical Services and is evaluated through conferences, observations, reports and feedback from citizens and staff.
Essential Duties and Tasks
Advanced Patient Care and Assists with On-scene Direction of High Acuity Medical Calls - Integrates with other emergency responders and provide assistance and/or direction on the scene of high acuity calls; perform advanced life support skills utilizing liberal standing order protocols as well as advance decision making skills to guide patient care; interview and assess patients for injury and illness; lift and carry equipment, stretchers, and patients; complete documentation utilizing a computer based reporting system.
Community Health Outreach and Injury Prevention- Respond to citizens homes to provide patient education directly related to medical conditions and evaluate living spaces for hazards to include but not limited to falls, poisoning, blood glucose checks, blood pressure checks, etc. Community Paramedics will be required to develop plans to assist patients (or clients) with improving health status, such as residential fall prevention plans, medication compliance plans, and follow-up visit plans. These plans will be in the nature of patient care plans developed by nurses and social workers.
Response Readiness and Emergency Response - Daily evaluation of assigned emergency vehicle and equipment response worthiness, inventory and restocking of medical supplies. Operate an emergency vehicle in emergency mode (lights and sirens) and in non-emergency mode during all hours of the day and night in all types of traffic and weather conditions.
Training, Presentations, and Quality Assurance - Daily review of equipment, protocols and procedures;Continuing education training classes. Assist with presentation to both medical professionals as well as the general public. Perform daily quality assurance reviews of critical cases and cases where patients were referred to alternative destinations and alternative transportation modalities.
Additional Job Duties
The Community Paramedic performs case reviews and participates in quality assurance activities to ensure high standards of care. The role involves daily follow-up with patients directed to alternative healthcare pathways, monitoring the EMS systems status, and facilitating improved PORT team deployment strategies. Conduct routine inspections on emergency vehicles and medical equipment. Additionally, they engage in community outreach, including school and public relations initiatives, and education projects to promote health and safety.The role includes supporting specialized EMS teams and participating in committees and special assignments as needed.
Performs related duties as required or as delegated by EMS administrators.
Knowledges, Skills and Abilities
Considerable knowledge of procedures and techniques for administering emergency medical care
Considerable knowledge of anatomy and physiology
Considerable knowledge of training techniques and adult learning
Considerable knowledge of equipment and materials utilized in providing emergency medical care
Ability to communicate effectively and tactfully with a wide variety of personnel
Ability to accurately record services provided
Ability to administer necessary medical care under stressful conditions
Ability to establish and maintain accurate records of program activities
Ability to maintain confidentiality of patients and students
Ability to work independently
Possess leadership skills
High level of experience with high acuity calls
Excellent decision-making skills
Desirable Education and Experience
The ideal candidate for the Community Paramedic position must possess a high school diploma or GED and a minimum of two years of experience as a certified Paramedic, demonstrating proficiency in emergency medical services. Candidates must have completed NIMS courses 100, 200, 700, and 800 to support effective emergency management and coordination. Internal candidates must have a performance evaluation from their most recent review that meets or exceeds expectations, reflecting strong professional competence, leadership, and reliability in high-pressure environments.
Candidates must hold a current North Carolina Paramedic certification and have the ability to obtain additional certifications and training, including the completion of credentialed Community Paramedic Training Program, and CIT course completion within county-specified time frames. A valid North Carolina driver's license is required.
INSURANCE PROGRAMS
Nash County offers cafeteria-style benefits including:
and more!
FINANCIAL PROGRAMS
Retirement
Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.
NC401(k)
The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.
457 Deferred Compensation
The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.
Special Separation Allowance
The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.
125 Flexible Benefit Plan
Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.
Direct Deposit
Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.
LEAVE PROGRAMS
Vacation Leave
For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit.
Sick Leave
For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.
Holidays
The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year.
The following holidays are observed:
Military Leave
Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year.
Active Duty - Reserves and National Guard - Ten paid workdays upon activation.
Civil Leave
Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.
Family Medical Leave Act
Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.
OTHER PROGRAMS
Employee Assistance Program (EAP)
The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.
Wellness Center and Telemedicine
We believe that staying healthy is inclusive of exercising regularly and taking care of your physical body. Nash County has a Wellness Center, which consists of various exercise equipment and videos, open to all full and part-time employees.
All full-time employees also have access to telemedicine through Teladoc. Teladoc treats conditions like allergies, sore throats, asthma, and more. Doctors are available by phone or video 24/7 from wherever you are. They are available to diagnose symptoms and send a prescription if needed.
NOTICE OF PRIVACY PRACTICES
The benefits offered by Nash County are subject to change. In the event there is a conflict between the above contents and Nash County policies and/or a State or Federal statute, the policy/statute shall control. Plan documents will govern benefits plans should there be a conflict with this information. They are not held out to any employee as part of any contractual agreement. Benefits, policies, and procedures are subject to change or termination at any time.
Information provided on this site is for informational purposes only. Actual provisions of each plan will be provided on the certificate of coverage as part of the Summary Plan description.
Nash County is an Equal Opportunity Employer/Provider
In accordance with Federal civil rights law and the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).
Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDAs Target Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint filing cust.html and any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.
To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
fax: (202) 690-7442; or
email: program.intake@usda.gov
USDA is an equal opportunity provider, employer, and lender.
01
How many years experience do you have an EMT-Paramedic?
02
Please describe which National Incident Management System (NIMS) courses you have completed below.
03
Have you completed an approved community paramedic training course?
Required Question
Employer Nash County
Address 120 W. Washington Street
Nashville, North Carolina, 27856
Phone 252-459-9853
Website http://www.nashcountync.gov