EMT Jobs in Texas
EMT jobs in Texas concentrate in emergency medical services, fire-based EMS systems, and hospital-based transport, with demand running from entry-level basic EMT through paramedic-level roles across one of the country's most active markets. The heaviest hiring sits in Houston, Dallas-Fort Worth, and San Antonio, where major employers like ACLS Medical Training, Houston Methodist, and American Medical Response maintain large EMS operations. High-demand specialties include critical care transport, fire suppression-integrated EMS, and event medical services tied to Texas's large sports and entertainment venues. Find a role that fits below and apply directly.
Find EMT Jobs in TexasOverview
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Summary: Functions independently, once credentialed by the EMS Director/Chief, providing exceptional pre-hospital clinical medicine based on the Department’s Protocols and Scope of Care. Must be able to utilize electronic communication including portable and mobile radios, electronic patient care records and have excellent written and verbal communication skills. Once cleared to independent duty, EMT-Basics are required to manage medical and trauma patients, direct to independent duty, EMT-Basics are required to manage medical and trauma patients, direct co-workers, first responders and bystanders. Must be able to maintain and trouble shoot medical equipment as well as keep equipment and vehicle clean and response ready.
Essential Duties and Responsibilities include the following:
- Report for duty on time and when assigned
- Maintain good physical condition and personal hygiene
- Ability to assess emergency scenes
- Lift 150 pounds with assistances
- Operate EMS vehicles under normal and emergency conditions
- Operate standard equipment; such as stretchers, cardiac monitors and standard diagnostic equipment
- Assist in extrication of persons from vehicles, bend and lift and perform CPR for extended periods of time
- Be able to stand for extended periods of time
- Work regularly assigned shifts, overtime when required and attend all mandatory in-service training
- Must be able to provide emergency care at the EMT-Basic level
Supervisory Responsibilities: This job has no supervisory responsibilities.
Competencies: To perform the job successfully, an individual should demonstrate the following competencies-
- Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance.
- Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions.
- Written Communication - Writes clearly and informatively; able to read and interpret written information.
- Leadership – Exhibits confidence in self and others; accepts feedback from others.
- Quality Management - Looks for ways to improve and promote quality; demonstrates accuracy and thoroughness.
- Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values.
- Judgment- Displays willingness to make decisions; exhibits sound and accurate judgment.
- Planning/Organizing – Prioritizes and plans work activities; uses time efficiently.
- Professionalism - Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions.
- Quality – Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality.
- Quantity – Meets productivity standards; completes work in timely manner.
- Adaptability - Adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
- Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent.
- Dependability- Follows instructions, responds to management direction; takes responsibility for own actions.
- Initiative - Volunteers readily; Undertakes self-development activities; looks for and takes advantage of opportunities; asks for and offers help when needed.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: High school diploma or general education degree (GED). Must possess thorough knowledge of current principles and practices of emergency care at the basic level. Prefer 1 year 911 experience.
Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Must demonstrate excellent written communication skills.
Mathematical Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 1O's and 1OO's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
Reasoning Ability: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Computer Skills: To perform the job successfully, an individual should have knowledge of internet software and word processing software. Willing to learn Patient care report software.
Certificates, Licenses, Registrations: Valid Texas Driver License in good standing. Must be certified or licensed by the Texas Department of State Health Services as an EMT-Basic (must not have state sanctions or disciplinary restrictions). Prefer TCFP FF Certification.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Environmental Factors:
- May work in inclement weather, including extreme heat and cold
- Be able to report for duty in dangerous and sever weather such as ice storms, wind storms and flooding events
- Be able to work with and under the direction of other agencies during regional emergency response incidents
- Evening and weekend and holiday hours as required
See All 161+ EMT Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find EMT Jobs in TexasEMT Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
EMT Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Biolife Plasma Services41

- Acadian Ambulance Service41

- Allegiance Mobile Health13

- Grifols7

- CHRISTUS Health6

Top Industries Hiring
- Healthcare & Medical Services
- Biotechnology & Pharmaceuticals
What Texas Employers Look For
The qualifications that appear most often in EMT jobs across Texas.
- Active Texas Department of State Health Services EMT certification at Basic, Advanced, or Paramedic level
- Current CPR and Basic Life Support certification from an accredited provider
- Valid Texas driver's license with a clean driving record
- Ability to lift and transfer patients weighing up to 125 pounds with a partner
- High school diploma or GED equivalent required by most Texas EMS agencies
- Completion of a state-approved EMT training program from a Texas community college or EMS academy
EMT Jobs in Texas: Frequently Asked Questions
How do you become a emt in Texas?
To become an emt in Texas, you must complete a Texas Department of State Health Services-approved EMT training program, pass the National Registry of Emergency Medical Technicians cognitive and psychomotor exams, then apply for certification through the Texas DSHS EMS Certification Program. Texas community colleges such as Austin Community College and Houston Community College offer approved programs, and certification must be renewed every two years through continuing education.
Which companies hire emts in Texas?
Employers hiring emts in Texas right now include Biolife Plasma Services, Acadian Ambulance Service, and Allegiance Mobile Health, based on current listings on Migrate Mate as of August 2026. Texas's size and population density support a wide range of employers, from large private EMS contractors and hospital-based transport teams to county EMS districts and fire departments operating across major metro regions.
Which Texas cities have the most emt jobs?
Houston, San Antonio, and Austin lead Texas for emt openings, driven by the scale of their emergency medical infrastructure. Houston's vast hospital network and high call volume anchor demand there, while Dallas-Fort Worth's sprawling suburban growth pushes ongoing hiring across dozens of municipal and private EMS agencies, and San Antonio's large military-affiliated population and trauma center activity keep that market consistently active.
Are there remote emt jobs in Texas?
Yes, but they're rare. About 9% of emt openings tied to Texas are remote or hybrid as of August 2026, reflecting how fundamentally hands-on the role is. The portions of emt work most likely to appear in remote or reduced on-site formats involve EMS education, billing and compliance support, or dispatch coordination rather than field response.
How can I get hired as a emt in Texas with little or no experience?
The most realistic entry path is completing a Texas DSHS-approved EMT-Basic program and applying directly to county EMS districts or private agencies like American Medical Response, which routinely hire newly certified basics for third-service and IFT roles. Many large Texas hospital systems and fire departments offer ride-along observer programs that convert to hire. Lateral entry from emergency room technician, hospital patient transporter, or firefighter trainee positions is common and gives candidates a measurable edge.
Where can I find and apply to emt jobs in Texas?
You can find and apply to emt jobs in Texas on Migrate Mate, which lists current openings from Texas employers in emergency medical services, hospital transport, and related fields. Find roles that fit your certification level and preferred region, then apply directly to the employer through the listing.
See All 161+ EMT Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find EMT Jobs in Texas