Mid Level Paramedic Jobs
Mid level paramedic jobs go to clinicians ready to take full ownership of patient care decisions, mentor newer team members, and operate with real autonomy in high-pressure environments. Openings run predominantly on-site across Healthcare & Medical Services, Transportation & Logistics, and Consulting & Professional Services, with employers like Air Methods, PHI Air Medical, and Cone Health actively hiring at this level now.
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*$10,000 Sign On Bonus*
In Lumberton, you’ll deliver lifesaving care for the community you love and live in, soaring above North Carolina's landscapes. With 3+ years of recent critical care you’ll fly in state-of-the-art helicopters—an ICU in the sky—providing advanced care while continuing your education with our support. Ready for a new adventure?
Job Summary
This position is for dually licensed nurse/paramedics
Responsible for providing high-quality critical care, including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Base Services (CBS) Medical Director(s). You’ll assess the nature and extent of illness or injury to establish and prioritize the care needed for the safe transport of the critical patient to the appropriate facility and are responsible for carrying out the mission and goals of Air Methods CBS, assuring that safety remains the highest priority throughout the transport continuum.
Essential Functions and Responsibilities include the following:
Provides nursing care within his/her scope of practice from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation.- Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures and attends continuing education programs pertinent to his/her area of practice.
- Knowledgeable in using and maintaining all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to ensure equipment repair as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to ensure rapid response to all transport requests.
- Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completing necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure the safety of self, medical personnel, patients, and equipment and conducts aircraft safety briefings as needed.
- Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter and performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s).
- Participates in patient and referring institution follow-up and in planned outreach marketing and education activities
- Acts as a preceptor and/or participates in orientation of new employees and students as assigned and communicates program goals and objectives.
- Participates regularly in Air Methods CBS meetings, activities, projects, and committees (to include research and publishing opportunities).
- Other Duties as assigned.
Additional Job Requirements
Regularly scheduled attendance- Indicate the percentage of time spent traveling: 5%
- Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods’ employment practices and policies.
Supervisory Responsibilities
- This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the position's essential functions.
Education & Experience
Graduate of an accredited School of Nursing- Bachelor’s degree in a health-related field preferred but not required
- Minimum three (3) years of recent critical care/emergency nursing experience within the last five years or as required by state/ local EMS regulations
- Pre-hospital experience preferred
- Flight experience is not required but is a plus!
Operation and Safety Requirements:
- As a member of the Clinical Flight Crew, any person employed in this position shall maintain a weight not to exceed 225 pounds, including an empty flight suit and boots.
Skills
Skills as required to practice nursing as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards
- Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals, and the public while executing strong interpersonal skills and a high degree of collaboration at all levels
- Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast-paced environment that requires the ability to prioritize and multi-task
- Ability to work a flexible schedule, including overtime and 24/7 on-call rotation
- Dependable and self-motivated while working in a frequently changing environment
- Excellent communication and presentation skills, both written and verbal
Computer Skills
Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook
Certificates, Licenses, Registrations
Current RN license(s) for states of practice (NC)- Paramedic License for North Carolina
- Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA, ARC, or ASHI only courses if state or county required) and TPATC/TNCC/ITLS/PHTLS advanced provider (if state or county required)
- If you do not have a current trauma certification, Air Methods will provide the TPATC online course to be completed prior to new hire orientation
Other certification requirements:
- Specialty certification (CFRN or CEN) are required within 24 months of hire
- Advanced Trauma Course requirement: One (1) of the following certifications are acceptable: TPATC, TNCC, ATCN, TNATC, or CAMTS-approved advanced trauma course before completion of third-rider training
- NRP certification before completion of the third-rider orientation
- NIMS Training IS 100, 200, 700, 800, and HazMat before completion of third-rider training
Benefits
Air Methods is proud to offer a comprehensive benefits package created with the diverse needs of our teammates in mind:
- Health, Dental and Vision
- Competitive 401(k) Retirement Plan
- Flexible Spending Account Benefit Plans
- Tuition Reimbursement
- Full Company-Paid Life Insurance
- AD&D Insurance
- Short-Term and Long-Term Disability Insurance
- Business Travel Accident Insurance
- Voluntary Legal
- Relocation Assistance
- Employee Assistance and Benefit Concierge Service Programs
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Who's Hiring
- Air Methods32

- PHI Air Medical10

- Cone Health4

- International SOS4

- Atrium Health2

Top Industries Hiring
- Healthcare & Medical Services74
- Transportation & Logistics8
- Consulting & Professional Services4
- Education2
- Non-Profit & Social Services2
Mid Level Paramedic Jobs: Frequently Asked Questions
How do I get a mid level paramedic job?
Position yourself around clinical ownership rather than task execution. Highlight complex calls you managed independently, protocols you helped refine, or training you delivered to junior staff. Employers at this level want evidence that you make sound decisions without supervision. Tailor your resume to show patient volume, acuity range, and any specialty certifications like FP-C, CCP-C, or TPATC that signal depth beyond the basics.
Which companies hire mid level paramedics?
Companies hiring mid level paramedics right now include Air Methods, PHI Air Medical, and Cone Health, based on current listings on Migrate Mate as of August 2026. Hiring at this level comes from a mix of regional EMS agencies, hospital-based transport programs, fire departments with ALS units, and private mobile integrated health providers looking for clinicians who can work with limited oversight.
Are there remote mid level paramedic jobs?
Yes, though options are limited compared to other healthcare roles given the hands-on nature of the work. About 3% of mid level paramedic openings are remote or hybrid as of August 2026, and these tend to be in clinical coordination, telemedicine triage, EMS education, or quality improvement roles rather than field response positions.
How do I move up to a mid level paramedic role?
Growth from entry level into mid level comes from building a consistent record of clinical complexity, not just accumulating hours. Focus on earning advanced certifications, seeking out high-acuity assignments, and taking ownership of projects like protocol audits or new-hire orientations. Demonstrating measurable impact, such as reduced scene times or improved documentation quality, is what shifts you from someone who follows protocols to someone who shapes them.
Which industries hire the most mid level paramedics?
Mid Level paramedic roles concentrate in Healthcare & Medical Services, Transportation & Logistics, and Consulting & Professional Services, based on current listings on Migrate Mate as of August 2026. These sectors drive the bulk of hiring because they operate ALS-level services at scale, require experienced clinicians who can function independently, and have the call volume that justifies dedicated mid level staffing rather than relying on rotating new graduates.