OPT Paramedic Jobs
Paramedic jobs on OPT are available but require careful timing, most EMS employers need state licensure before you start, and the credentialing process can take weeks. Your 90-day unemployment limit means you should begin applications and licensing steps before your program ends.
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Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.
We are seeking a paramedic with prior experience practicing in a hospital or emergency department setting.
EVENING ROTATING SHIFTS:
1p to 1a, 1a-1p, 3a-3p, 3p-3a (Part Time, 1 shift/week)
Responsibilities
Provides professional care to patients within the Emergency Department. Assesses, plans, organizes, provides, and evaluates care utilizing critical thinking skills. Makes judgments and decisions and assumes responsibility for care and documentation.
- Manages patients with individualized care by evaluating effectiveness/outcome of care, recognizing significant changes in patient condition, and modifying care based on clinical presentation.
- Provides individualized care, recognizes and takes appropriate action for significant changes in patient conditions.
- Evaluates effectiveness of care and makes necessary modifications to assist with optimal patient outcomes.
- Establishes relevant, evidence-based and safe interventions and priorities when providing care, including administering of medications.
- Collaborates effectively with patient, patient’s significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, medical students, house officers, and other health care providers.
- Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.
- Observes patient to recognize care needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.
- Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.
- Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.
- Performs other duties as required or assigned.
Qualifications
Associate’s degree with 3 years of relevant clinical paramedic experience in the field of pre-hospital emergency care or in-hospital emergency care preferred. Excellent communication skills desired with the ability to work collaboratively as member of multi-disciplinary team.
Required Licensure/Certifications
- Current National Registry of Emergency Medical Technician’s Paramedic Certification, (EMT-P)
- Current New Hampshire Paramedic License
- Current BLS
- ACLS, PALS and Moderate Sedation (within 6 months of date of hire)
- Current PHTLS, or proof of audited ATLS or audited TNCC
- AVADE Workplace Violence Prevention Training within one year of hire.
Area of Interest: Allied Health
Pay Range: $29.22/Hr. - $45.29/Hr.
FTE/Hours per pay period: 0.30 - 12 hrs/per week
Shift: Evening
Job ID: 39435
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Overview
Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.
We are seeking a paramedic with prior experience practicing in a hospital or emergency department setting.
EVENING ROTATING SHIFTS:
1p to 1a, 1a-1p, 3a-3p, 3p-3a (Part Time, 1 shift/week)
Responsibilities
Provides professional care to patients within the Emergency Department. Assesses, plans, organizes, provides, and evaluates care utilizing critical thinking skills. Makes judgments and decisions and assumes responsibility for care and documentation.
- Manages patients with individualized care by evaluating effectiveness/outcome of care, recognizing significant changes in patient condition, and modifying care based on clinical presentation.
- Provides individualized care, recognizes and takes appropriate action for significant changes in patient conditions.
- Evaluates effectiveness of care and makes necessary modifications to assist with optimal patient outcomes.
- Establishes relevant, evidence-based and safe interventions and priorities when providing care, including administering of medications.
- Collaborates effectively with patient, patient’s significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, medical students, house officers, and other health care providers.
- Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.
- Observes patient to recognize care needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.
- Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.
- Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.
- Performs other duties as required or assigned.
Qualifications
Associate’s degree with 3 years of relevant clinical paramedic experience in the field of pre-hospital emergency care or in-hospital emergency care preferred. Excellent communication skills desired with the ability to work collaboratively as member of multi-disciplinary team.
Required Licensure/Certifications
- Current National Registry of Emergency Medical Technician’s Paramedic Certification, (EMT-P)
- Current New Hampshire Paramedic License
- Current BLS
- ACLS, PALS and Moderate Sedation (within 6 months of date of hire)
- Current PHTLS, or proof of audited ATLS or audited TNCC
- AVADE Workplace Violence Prevention Training within one year of hire.
Area of Interest: Allied Health
Pay Range: $29.22/Hr. - $45.29/Hr.
FTE/Hours per pay period: 0.30 - 12 hrs/per week
Shift: Evening
Job ID: 39435
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
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Get Access To All JobsTips for Finding OPT Sponsorship in Paramedic
Start your state paramedic license early
State EMS licensure is a prerequisite at most employers and takes four to eight weeks to process. Begin your application before your OPT start date so credentialing delays do not eat into your authorized work period.
Target large hospital systems and fire departments
Major health systems and municipal fire departments have dedicated HR infrastructure and are more familiar with OPT work authorization than small private EMS agencies. Their hiring timelines also tend to be more predictable.
Clarify your STEM OPT eligibility early
Standard paramedicine programs are typically not STEM-designated, meaning you get 12 months of OPT. If your degree was in emergency health sciences or a related STEM field, confirm your program's CIP code with your DSO before applying.
Get your NREMT certification documented clearly
Employers will ask about your National Registry of Emergency Medical Technicians certification alongside your state license. Keep both certificates current and readily available to share during the hiring process to avoid delays.
Apply to employers with H-1B sponsorship history
Some paramedic employers, particularly large integrated health systems, have sponsored H-1B visas for clinical staff before. Prioritizing those employers improves your chances of long-term sponsorship after your OPT period ends.
Paramedic OPT: Frequently Asked Questions
Can I work as a paramedic on OPT?
Yes, you can work as a paramedic on OPT as long as the role is directly related to your degree field. Your employer does not need to file any petition on your behalf during the OPT period. You must have a valid EAD card before your first day and maintain state licensure throughout your employment.
Is paramedicine considered a STEM field for STEM OPT extension purposes?
Most paramedic and emergency medical services degree programs are not STEM-designated under the DHS STEM OPT list, which means graduates typically receive a 12-month OPT period rather than 36 months. If your program was in emergency health sciences, health informatics, or another STEM-designated field, verify your program's CIP code with your Designated School Official before assuming eligibility.
How do the 90-day unemployment rules affect paramedic job searching?
F-1 OPT students may not exceed 90 days of unemployment during their authorized period. Paramedic licensing and credentialing can take four to eight weeks after you receive a job offer, which means the clock is running while you wait. Starting your state license application before your OPT begins is the most effective way to reduce this gap.
Do paramedic employers typically sponsor H-1B visas?
H-1B sponsorship for paramedics is uncommon because the occupation does not always meet the specialty occupation standard, which requires a minimum of a bachelor's degree in a specific field. However, large hospital systems and integrated health networks that employ paramedics in advanced clinical or supervisory roles have sponsored H-1B petitions in some cases. You can browse employers with sponsorship history on Migrate Mate.
What documents does a paramedic employer need to verify my OPT work authorization?
Your employer will complete Form I-9 and needs to see your valid EAD card along with a List B identity document, or alternatively your unrestricted U.S. passport alone. They do not need to see your I-20 or any USCIS approval notice. Keep a copy of your EAD and confirm the authorized employment dates match the role start date before your first day.