Flight Paramedic Jobs in Texas
Flight Paramedic jobs in Texas represent one of the most active markets in the country, with demand concentrated in air medical transport services, trauma systems, and hospital-based flight programs serving both urban centers and vast rural regions, at every level from entry-level rotor-wing crew to senior critical care flight paramedic. Houston, Dallas-Fort Worth, and San Antonio anchor the majority of hiring, where employers like Air Methods, PHI Health, and CHRISTUS Health operate established Texas flight programs. The most consistent openings are in critical care transport, pediatric flight teams, and fixed-wing interfacility transfer. Find a role that fits below and apply directly.
Find Flight Paramedic JobsOverview
Showing 5 of 10+ Flight Paramedic jobs
About Us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level.
Job Summary
Provide high-quality critical care, including assessment, triage, and treatment, using BSW EMS Medical Director guidelines. Assess illness or injury to prioritize care for safe helicopter transport to the right facility. Ensure safety is the highest priority during transport.
Essential Functions of the Role
- Provides critical care interventions within scope of practice from initial contact until patient care is transferred to the accepting medical facility.
- Performs critical lifesaving care during 9-1-1 calls and inter-facility transports.
- Evaluates patient status to monitor intervention effectiveness. Revises treatment plans promptly and effectively as needed during air transport.
- Maintains Flight Paramedic proficiency in knowledge and psychomotor skills by participating in ongoing Paramedic education and clinical experiences.
- Works as a member of the critical care flight team. Provides patient care before and during the flight with the medical team on board the aircraft.
- Functions as a medical flight team member by attending pre-mission briefings and mission debriefings for patient transports.
- Assists in pre-mission liftoff checklist and assists pilot as requested, i.e. radio, navigational, and visual observation activities.
- Conducts daily/shift aircraft checklists to ensure all equipment is operational and ready for transports.
Key Success Factors
- Demonstrates high critical thinking and reasoning skills. Shows exceptional attention to detail in a fast-paced environment. Requires ability to prioritize and multi-task.
- Knowledge of medical and professional ethics and patient privacy rights.
- Must be able to communicate thoughts clearly, both verbally and in writing.
- Observe changes in patients' medical conditions and communicate them to the medical flight team.
- Interpersonal skills to interact with a wide range of constituencies.
- Critical care/911 experience within last five years.
- Flight experience highly preferred.
- General computer skills, including but not limited to: Microsoft office, information security, electronic medical documentation, and email.
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
- EDUCATION - Grad of an Accredited Program
- EXPERIENCE - 3 Years of Experience
About Us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level.
Job Summary
Provide high-quality critical care, including assessment, triage, and treatment, using BSW EMS Medical Director guidelines. Assess illness or injury to prioritize care for safe helicopter transport to the right facility. Ensure safety is the highest priority during transport.
Essential Functions of the Role
- Provides critical care interventions within scope of practice from initial contact until patient care is transferred to the accepting medical facility.
- Performs critical lifesaving care during 9-1-1 calls and inter-facility transports.
- Evaluates patient status to monitor intervention effectiveness. Revises treatment plans promptly and effectively as needed during air transport.
- Maintains Flight Paramedic proficiency in knowledge and psychomotor skills by participating in ongoing Paramedic education and clinical experiences.
- Works as a member of the critical care flight team. Provides patient care before and during the flight with the medical team on board the aircraft.
- Functions as a medical flight team member by attending pre-mission briefings and mission debriefings for patient transports.
- Assists in pre-mission liftoff checklist and assists pilot as requested, i.e. radio, navigational, and visual observation activities.
- Conducts daily/shift aircraft checklists to ensure all equipment is operational and ready for transports.
Key Success Factors
- Demonstrates high critical thinking and reasoning skills. Shows exceptional attention to detail in a fast-paced environment. Requires ability to prioritize and multi-task.
- Knowledge of medical and professional ethics and patient privacy rights.
- Must be able to communicate thoughts clearly, both verbally and in writing.
- Observe changes in patients' medical conditions and communicate them to the medical flight team.
- Interpersonal skills to interact with a wide range of constituencies.
- Critical care/911 experience within last five years.
- Flight experience highly preferred.
- General computer skills, including but not limited to: Microsoft office, information security, electronic medical documentation, and email.
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
- EDUCATION - Grad of an Accredited Program
- EXPERIENCE - 3 Years of Experience
See All 10 Flight Paramedic Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Flight Paramedic JobsFlight Paramedic Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Flight Paramedic Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in flight paramedic jobs across Texas.
- Active Texas EMS certification as a paramedic through DSHS is required
- Current National Registry of Emergency Medical Technicians paramedic certification must be maintained
- Minimum of three to five years of advanced life support field experience required
- Flight crew member certification such as CFRN, FP-C, or CCP-C strongly preferred
- Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications required
- Completion of a rotor-wing or fixed-wing crew member safety course required before flight operations
Flight Paramedic Jobs in Texas: Frequently Asked Questions
How do you become a flight paramedic in Texas?
You become a flight paramedic in Texas by first earning Texas EMS certification as a paramedic through the Texas Department of State Health Services, which requires completing an accredited paramedic program and passing the National Registry exam. From there, most Texas flight programs require several years of advanced life support field experience before hiring. Earning a flight-specific credential such as the Flight Paramedic-Certified designation from the International Board of Specialty Certification significantly strengthens your application.
How much do flight paramedics make in Texas?
Flight paramedics in Texas earn a median of about $57,500 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $41,030 for the lowest 10% to over $77,700 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire flight paramedics in Texas?
Employers hiring flight paramedics in Texas right now include Apollo MedFlight, Air Evac Lifeteam, and Med-Trans Corporation, based on current listings on Migrate Mate as of October 2026. Texas's combination of large trauma centers, extensive rural coverage zones, and major air medical operators makes it one of the most active states for flight paramedic recruitment year-round.
Which Texas cities have the most flight paramedic jobs?
Pecos, Temple, and Dalhart have the most flight paramedic openings in Texas. Houston leads because of its dense trauma network and major medical center complex, Dallas-Fort Worth reflects the scale of its regional hospital systems and air medical bases, and San Antonio's concentration of military-affiliated medical facilities and Level I trauma centers drives consistent demand outside the two largest metros.
Are there remote flight paramedic jobs in Texas?
Yes, but they're rare. About 0% of flight paramedic openings tied to Texas are remote or hybrid as of October 2026, which reflects the hands-on, on-aircraft nature of most positions in this field. The portions of the role most likely to appear in a remote or hybrid format are education coordination, quality improvement review, and program management functions within larger air medical organizations.
How can I get hired as a flight paramedic in Texas with little or no experience?
The most realistic entry path is building advanced life support experience in a high-volume Texas emergency department or 911 system before transitioning into flight. Large Texas air medical operators and hospital-based flight programs typically require field time before hiring, so starting as a ground critical care transport paramedic with services affiliated with systems like Memorial Hermann or University Health San Antonio is a practical lateral move. Pursuing your Flight Paramedic-Certified credential early signals readiness to hiring teams even before you have rotor-wing hours.
Where can I find and apply to flight paramedic jobs in Texas?
You can find and apply to flight paramedic jobs in Texas on Migrate Mate, which lists current Texas openings updated regularly. Find roles that fit your experience level and base location, then apply directly to the employer through each listing.
See All 10 Flight Paramedic Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Flight Paramedic Jobs