EMT Jobs in Texas
EMT jobs in Texas are among the most active in the country, with strong demand from emergency medical services agencies, hospital-based EMS systems, and private ambulance companies at every level from new EMT-Basic through paramedic-certified senior crews. Houston, Dallas, and San Antonio anchor most of the hiring, with large employers like ACADIAN Ambulance, AMR (American Medical Response), and Houston Fire Department consistently maintaining rosters. The most in-demand specialties are critical care transport, 911 response, and event medical services. Find a role that fits below and apply directly.
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Description
Summary:
The Emergency Medical Technician EMS is responsible for administering appropriate emergency medical treatment to people who have been injured in accidents or have other medical conditions, and assists in rendering advanced emergency medical treatment. Ability to operate an advanced life support ambulance to administer care. Routinely assists with the inspection of the ambulance and related equipment to ensure proper operation and sanitary cleanliness.
Responsibilities:
- Responds to the site of life-threatening situations, emergency medical situations and non-emergency calls.
- Assists in coordinating response activities with physicians to develop a plan of care based upon the assessment of the patient.
- Assists in leading a team of responders by coordinating activities to conduct triage, develop treatment plans, administer medical care and prepare patient for transport to medical facility.
- Insures the proper functioning of all emergency medical equipment and vehicles through regular checks; makes sure there is an adequate inventory supply maintained aboard emergency vehicles through regular checks.
- Assists in the cleaning of station location.
- Interacts with firefighters, law enforcement and other non-medical personnel at emergency scenes.
- Performs related administrative tasks and all detailed documentation in compliance with Federal, State, and local regulations.
- Handles hazardous materials, and ensures appropriate disposal in hazardous materials containers.
- Ensures compliance to all OSHA regulations for Infection Control, Hazardous Materials Standards, and all job duties.
- Responds to multiple casualty incidents and disasters and assists in providing appropriate medical oversight, triage, care, and transport in coordination with other responders.
- Participates in periodic in-service training, or on an as needed basis, for any certified and non-certified updates relating to Emergency Medical Services and federal, State, and local EMT-B requirements.
- Operates and utilizes an ambulance and related medical care response equipment and tools needed in response situations.
- Makes decisions that conform to the norms, policies, and values of Champion EMS and adhere to federal, state, and local compliance and policy requirements.
- Other duties as assigned.
- Integrity and Ethics - Treat people with respect and individuality; do what you say; be a good steward of company resources; actively contribute toward employees' success and the company's goals; and uphold organizational values.
- Patient Focus/Patient Orientation - Proactively seek opportunities to help patients and co-workers. Demonstrate compassion when working with patients; protect the dignity of others. Be courteous, calm, creative, and effective with difficult patients. Earn positive feedback from patients and co-workers.
- Safety and Risk Management - Put safety first by anticipating and performing actions necessary to avoid hazardous work-related conditions which could result in injury, harm, or loss.
- Adaptability/Flexibility - Effectively manage competing demands and able to change course when new information becomes available.
- Attention to Detail - Demonstrate thoroughness and accuracy in work activities through concern for all areas involved. Accurately complete necessary paperwork and patient care forms.
- Listening - Listen carefully and thoughtfully, and ask for clarification. Avoid interrupting and show ability to remain fully focused, especially in the midst of crisis.
- Tolerance for Stress - Is able to work productively in a high-pressure or unpredictable work environment, bringing a positive approach to challenges.
- Collaboration - Work effectively with others to achieve the shared goal of excellence in patient care. Approach and receive others in a tactful manner; react well under pressure; treat patients and employees with respect and consideration.
- Conflict Management - Focuses on resolving conflict in a sensible, fair, and efficient manner, without blaming.
- Decision Making/Decisiveness/Judgment - Gather and analyze information skillfully and develop reasoned, alternative approaches.
- Respect and Confidentiality - Maintain the confidentiality of each patient and the organization. Do not disclose protected health information (PHI) or other private information inappropriately. Comply with all HIPAA and confidentiality laws and regulations.
- Learner Attitude - Demonstrate commitment to continuous learning and self-improvement. Look for and readily take advantage of learning opportunities; seek increased responsibilities; ask for and offer help when needed. Demonstrate persistence and be able to overcome obstacles.
- Communications/Public Relations - Perform with a high level of trustworthiness, diplomacy, courtesy and tact.
Job Requirements:
Work Schedule:
24 HOURS
Work Type:
Full Time
See All 110+ EMT Jobs in Texas
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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
- Acadian Ambulance Service69

- Houston Methodist17

- CHRISTUS Health10

- CommonSpirit Health2

- Cook Incorporated2

Top Industries Hiring
- Healthcare & Medical Services105
- Biotechnology & Pharmaceuticals2
- Consulting & Professional Services2
- Non-Profit & Social Services2
- Law & Legal Services1
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 or reciprocity
- Current CPR and Basic Life Support certification from an accredited provider
- Valid Texas driver's license with clean driving record for emergency vehicle operation
- Completion of a state-approved EMT training program or equivalent coursework
- Ability to pass criminal background check and pre-employment drug screening
- Physical fitness to lift, carry, and assist patients in demanding field conditions
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 exam, and apply for certification through DSHS. Programs are offered at community colleges, fire academies, and hospital-based training centers statewide. Once NREMT-certified, you submit your application to DSHS to receive your Texas EMS certification before you can practice.
How much do EMTs make in Texas?
EMTs in Texas earn a median of about $37,260 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $30,320 for the lowest 10% to over $52,160 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire emts in Texas?
Employers hiring emts in Texas right now include Acadian Ambulance Service, Houston Methodist, and CHRISTUS Health, based on current listings on Migrate Mate as of June 2026. Texas's size and its mix of large urban EMS systems, private ambulance services, and hospital-based critical care transport programs means hiring is consistent across both major metros and smaller regional markets throughout the year.
Which Texas cities have the most emt jobs?
Houston, Beaumont, and Cypress have the most emt openings in Texas. Houston leads because of its sheer population size and the density of hospital systems, trauma centers, and private EMS operations concentrated there, while Dallas and San Antonio generate steady volume through their large municipal fire-based EMS programs and regional medical campuses that run their own transport units.
Are there remote emt jobs in Texas?
Yes, but they're rare. About 2% of emt openings tied to Texas are remote or hybrid as of June 2026, which reflects the hands-on, field-based nature of most emt work. The exceptions tend to be EMS educator, quality improvement coordinator, or dispatch-support roles where part of the work can be done off-site.
How can I get hired as a emt in Texas with little or no experience?
The most realistic entry path is applying for EMT-Basic positions with private ambulance companies like AMR or Acadian Ambulance, which regularly hire newly certified candidates for non-emergency medical transport before moving them to 911 response roles. Large Texas hospital systems such as UT Health and Baylor Scott and White also run EMS residency-style orientations for new hires. Getting your Texas DSHS certification and NREMT card in place before applying is the single strongest credential signal for entry-level candidates.
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 Texas openings updated regularly. Find roles that fit your certification level and preferred region, then apply directly to the employer through the listing.
See All 110+ EMT Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find EMT Jobs in Texas