Paramedic Jobs in North Carolina
Paramedic jobs in North Carolina are consistently active, with demand concentrated across hospital-based EMS systems, county and municipal emergency services, and air medical transport operations at every level from entry-level EMT-to-paramedic transitions through senior flight paramedic roles. Charlotte, Raleigh, and Greensboro account for the greatest share of openings, where established employers like Atrium Health, WakeMed Health and Hospitals, and Cone Health maintain large pre-hospital and critical care transport programs. The most in-demand specialties across North Carolina are critical care transport, flight paramedicine, and community paramedicine. Find a role that fits below and apply directly.
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WHAT WE OFFER:
The Paramedic serves as a member of the healthcare team by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with other team members to provide care that promotes optimal health. The paramedic utilizes best scientific evidence, protocols, and compassion to assist the care of the patient during their health journey. The Paramedic accepts accountability for provision of care, as part of the RN and physician led team, in accordance with the current policies, protocols and procedures.
WHAT WE'RE LOOKING FOR:
Education: High School Diploma or GED, required.
Experience: Prefer at least one-year experience with a paid EMS provider at the Paramedic level.
Licensure/Certification: North Carolina Paramedic certification (or eligible for reciprocity). BCLS, ACLS, PALS required. ITLS or PHTLS required within 90 days of hire. Current and valid driver's license and must meet the requirements of the Medical Center’s Insurance carrier. Must meet general hospital driving requirements. EVO is required to drive during emergency situations.
WHAT WE OFFER:
The Paramedic serves as a member of the healthcare team by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with other team members to provide care that promotes optimal health. The paramedic utilizes best scientific evidence, protocols, and compassion to assist the care of the patient during their health journey. The Paramedic accepts accountability for provision of care, as part of the RN and physician led team, in accordance with the current policies, protocols and procedures.
WHAT WE'RE LOOKING FOR:
Education: High School Diploma or GED, required.
Experience: Prefer at least one-year experience with a paid EMS provider at the Paramedic level.
Licensure/Certification: North Carolina Paramedic certification (or eligible for reciprocity). BCLS, ACLS, PALS required. ITLS or PHTLS required within 90 days of hire. Current and valid driver's license and must meet the requirements of the Medical Center’s Insurance carrier. Must meet general hospital driving requirements. EVO is required to drive during emergency situations.
See All 89 Paramedic Jobs in North Carolina
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Find Paramedic JobsParamedic Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Paramedic Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Atrium Health10
- Advocate Aurora Health10
- Duke Health9
- UNC Health8
- CSL Plasma4
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in paramedic jobs across North Carolina.
- Active North Carolina EMS paramedic certification issued by the Office of EMS
- Current National Registry of Emergency Medical Technicians paramedic certification required
- Valid North Carolina driver's license with a clean driving record
- Current ACLS, PALS, and CPR certifications required at time of hire
- Minimum one to two years of field paramedic experience preferred for most positions
- Ability to lift and move patients and equipment meeting physical standards
Paramedic Jobs in North Carolina: Frequently Asked Questions
How do you become a paramedic in North Carolina?
You become a paramedic in North Carolina by completing an accredited paramedic education program, passing the National Registry of Emergency Medical Technicians cognitive and psychomotor exams, and then applying for state certification through the North Carolina Office of EMS. Community colleges across the state, including Wake Technical Community College and Central Piedmont Community College, offer accredited paramedic programs that meet the Office of EMS entry requirements.
How much do paramedics make in North Carolina?
Paramedics in North Carolina earn a median of about $57,320 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $44,730 for the lowest 10% to over $75,170 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire paramedics in North Carolina?
Employers hiring paramedics in North Carolina right now include Atrium Health, Advocate Aurora Health, and Duke Health, based on current listings on Migrate Mate as of October 2026. North Carolina's mix of large health system-based EMS operations, county 911 services, and air medical programs means hiring is distributed well beyond the major metros.
Which North Carolina cities have the most paramedic jobs?
Charlotte, Winston-Salem, and Durham have the most paramedic job openings in North Carolina. Charlotte and Raleigh lead because of their large health system campuses and dense county EMS call volumes, while Greensboro anchors the Triad region with multiple hospital-based and municipal services drawing consistent demand.
Are there remote paramedic jobs in North Carolina?
Yes, but they're rare. About 0% of paramedic openings tied to North Carolina are remote or hybrid as of October 2026, which reflects the hands-on, field-based nature of most paramedic work. The roles most likely to carry any remote component are community paramedicine coordinator positions and EMS education or training coordinator roles with administrative responsibilities.
How can I get hired as a paramedic in North Carolina with little or no experience?
The most realistic entry path is starting as an EMT-Basic or EMT-Advanced with a county EMS agency or health system while you complete your paramedic certification. Large North Carolina employers like WakeMed and Atrium Health regularly hire new-graduate paramedics into structured field training officer programs, and many county services across Mecklenburg, Wake, and Guilford counties post entry-level paramedic openings specifically designed for candidates fresh out of a state-accredited program. Holding your North Carolina Office of EMS certification and NREMT card at the time you apply gives you a clear edge.
Where can I find and apply to paramedic jobs in North Carolina?
You can find and apply to paramedic jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring across the state right now. Search the listings, find roles that match your certification level and preferred location, and apply directly to the ones that fit.
See All 89 Paramedic Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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