Paramedic Jobs in South Carolina
Paramedic jobs in South Carolina are concentrated in the Columbia, Charleston, and Greenville markets, where demand is strong at every level from entry-level EMT-to-paramedic transitions to flight and critical care specialists. MUSC Health, Prisma Health, and Palmetto Health anchor much of the hiring, alongside county emergency medical services across the Lowcountry and Upstate regions. The most consistent openings are in 911 response, critical care transport, and hospital-based mobile integrated health programs. Scan the live roles below and apply to whichever ones fit.
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Showing 4 of 46+ Paramedic jobs
Description
The purpose of this job is to provide emergent, nonemergent, and preventative healthcare by engaging with high-risk individuals in the community often outside of traditional Emergency Medical Services response situations. The responsibilities of this class include advanced patient assessment, chronic disease management, medication adherence checks, and connecting patients to necessary social services. The goals of this class are to specifically work with patients who are unsheltered and or dependent on opioids or other illicit substances.
This position works under close to general supervision according to set procedures but determines how or when to complete tasks.
Duties
ESSENTIAL JOB FUNCTIONS
Provides advanced life support and emergency care to the sick and injured; determines nature and extent of injuries or illnesses; assists in lifting and carrying patients in and out of ambulance; and transports patients to appropriate medical facility.
Drives emergency vehicles in response to emergency calls; requests additional resources for the control of incidents as required; ensures safety at the scene; and serves as incident commander until relieved by higher authority.
Inspects vehicles and equipment daily to ensure cleanliness, sanitation, decontamination if needed, proper condition of equipment, and an adequate inventory of supplies; reports any discrepancies of required equipment and tools necessary to perform job; cleans and sanitizes vehicles; and notifies proper personnel of equipment/vehicle maintenance needs.
Performs such procedures as immobilization and bandaging, Cardiopulmonary Resuscitation (CPR), intubation, cardiac activity monitoring, preventing shock, administering medications, electrical cardioversion and/or defibrillation, IV therapy, and others as permitted according to certification; maintains constant awareness of patient condition; identifies and relays diagnostic signs to medical personnel while in route to medical facility; and reports verbally and in writing to emergency room personnel upon arrival.
Reviews the work of assigned crew for completeness and accuracy; evaluates and makes recommendations as appropriate; offers training, advice and assistance as needed; and relays needs of crew to supervisor.
Assists with extrication and other rescue procedures as necessary.
Works in conjunction with other first responders such as firefighters and law enforcement, hospital staff, and physicians.
Actively identifies and contacts high-risk individuals in the community, including those with chronic conditions like illicit drug abuse, diabetes, heart failure, or asthma, to conduct wellness checks and provide education.
Performs basic and advanced health assessments, including vital signs checks, medication reviews, and basic lab screenings, to monitor patient status and identify potential issues.
Provides education and support for managing chronic conditions, including medication adherence, lifestyle modifications, and self-care strategies.
Connects patients with necessary community resources like social services, transportation assistance, and primary care providers to address social determinants of health.
Educates patients and their families about condition, medications and/or disease process.
Performs follow-up visits with patients’ post-hospital discharge to monitor progress and prevent readmission.
Works closely with primary care providers, hospitals, and other healthcare professionals to ensure coordinated patient care.
Maintaining detailed patient records and documenting interventions to track the effectiveness of community paramedicine programs
Ensures crew compliance with infection control procedures.
Performs general housekeeping duties as required.
Receives and responds to public inquiries, complaints and requests for assistance in areas of responsibility.
Performs general clerical work as required including, but not limited to, preparing reports, copying and filing documents, entering and retrieving computer data, answering the telephone, etc.
Keeps abreast of new technology, methods and regulations for emergency medical assistance operations; attends meetings, training and continuing education classes as required and/or appropriate to enhance job knowledge and skills and maintain certifications.
May need to be available 24 hours per day, seven days per week, for emergency response as assigned.
Performs other related job duties as assigned.
Qualifications
Minimum Education and Experience Requirements:
Requires High School graduation or GED equivalent supplemented by specialized courses/training equivalent to completion of one (1) year of college.
Two years of EMT Paramedic or related experience or an equivalent combination of education and experience.
Additional Requirements
- Must possess and maintain a valid state driver’s license with an acceptable driving history.
- Must possess and maintain the following medical certifications:
- State and National Registry of EMT’s certification in Emergency Medical Technician (EMT-Paramedic)
- Completion of a South Carolina approved Community Paramedic Program
- Cardiopulmonary Resuscitation (CPR)
- Advanced Cardiac Life Support (ACLS)
- International Trauma Life Support (ITLS)
- Pediatric Advanced Life Support (PALS)
- Must be released to practice as a Community Paramedic by the EMS Medical Director
- Must possess strong clinical skills and knowledge of advanced life support procedures
- Must complete a minimum of 60 hours continued education (CEUs) per year.
Unavoidable Hazards (Work Environment):
Work is performed in a dynamic environment that requires sensitivity to change and responsiveness to changing goals, priorities and needs.
Dorchester County has the right to revise this job description at any time. This description does not?represent?in any way a contract of employment.
Position Type and Expected Hours of Work
This is a full-time position; typical work hours and days?are?Monday through Friday, 8:30 a.m. to 5:00?p.m.??Some flexibility in hours is allowed, but employees must be available during the “core” work hours?are?9:00 a.m. – 4:00 p.m.?Must work 40 hour each week to?maintain?full-time status.?
E.O.E. Dorchester County does not discriminate based on race, color, national origin, gender, religion, age, disability or military service in employment or the provision of services.
https://www.dorchestercounty.net/index.aspx?page=227
(Full-time employees)
www.eip.sc.gov/
http://www.retirement.sc.gov/
In addition, county employees may be eligible for other benefits, such as holidays, annual leave, and sick leave.
Note: The above benefits are available to most county employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some, or none of these benefits based on the benefits associated with each position. For these positions, please contact the hiring agency to determine what benefits may be available for the particular position.
Description
The purpose of this job is to provide emergent, nonemergent, and preventative healthcare by engaging with high-risk individuals in the community often outside of traditional Emergency Medical Services response situations. The responsibilities of this class include advanced patient assessment, chronic disease management, medication adherence checks, and connecting patients to necessary social services. The goals of this class are to specifically work with patients who are unsheltered and or dependent on opioids or other illicit substances.
This position works under close to general supervision according to set procedures but determines how or when to complete tasks.
Duties
ESSENTIAL JOB FUNCTIONS
Provides advanced life support and emergency care to the sick and injured; determines nature and extent of injuries or illnesses; assists in lifting and carrying patients in and out of ambulance; and transports patients to appropriate medical facility.
Drives emergency vehicles in response to emergency calls; requests additional resources for the control of incidents as required; ensures safety at the scene; and serves as incident commander until relieved by higher authority.
Inspects vehicles and equipment daily to ensure cleanliness, sanitation, decontamination if needed, proper condition of equipment, and an adequate inventory of supplies; reports any discrepancies of required equipment and tools necessary to perform job; cleans and sanitizes vehicles; and notifies proper personnel of equipment/vehicle maintenance needs.
Performs such procedures as immobilization and bandaging, Cardiopulmonary Resuscitation (CPR), intubation, cardiac activity monitoring, preventing shock, administering medications, electrical cardioversion and/or defibrillation, IV therapy, and others as permitted according to certification; maintains constant awareness of patient condition; identifies and relays diagnostic signs to medical personnel while in route to medical facility; and reports verbally and in writing to emergency room personnel upon arrival.
Reviews the work of assigned crew for completeness and accuracy; evaluates and makes recommendations as appropriate; offers training, advice and assistance as needed; and relays needs of crew to supervisor.
Assists with extrication and other rescue procedures as necessary.
Works in conjunction with other first responders such as firefighters and law enforcement, hospital staff, and physicians.
Actively identifies and contacts high-risk individuals in the community, including those with chronic conditions like illicit drug abuse, diabetes, heart failure, or asthma, to conduct wellness checks and provide education.
Performs basic and advanced health assessments, including vital signs checks, medication reviews, and basic lab screenings, to monitor patient status and identify potential issues.
Provides education and support for managing chronic conditions, including medication adherence, lifestyle modifications, and self-care strategies.
Connects patients with necessary community resources like social services, transportation assistance, and primary care providers to address social determinants of health.
Educates patients and their families about condition, medications and/or disease process.
Performs follow-up visits with patients’ post-hospital discharge to monitor progress and prevent readmission.
Works closely with primary care providers, hospitals, and other healthcare professionals to ensure coordinated patient care.
Maintaining detailed patient records and documenting interventions to track the effectiveness of community paramedicine programs
Ensures crew compliance with infection control procedures.
Performs general housekeeping duties as required.
Receives and responds to public inquiries, complaints and requests for assistance in areas of responsibility.
Performs general clerical work as required including, but not limited to, preparing reports, copying and filing documents, entering and retrieving computer data, answering the telephone, etc.
Keeps abreast of new technology, methods and regulations for emergency medical assistance operations; attends meetings, training and continuing education classes as required and/or appropriate to enhance job knowledge and skills and maintain certifications.
May need to be available 24 hours per day, seven days per week, for emergency response as assigned.
Performs other related job duties as assigned.
Qualifications
Minimum Education and Experience Requirements:
Requires High School graduation or GED equivalent supplemented by specialized courses/training equivalent to completion of one (1) year of college.
Two years of EMT Paramedic or related experience or an equivalent combination of education and experience.
Additional Requirements
- Must possess and maintain a valid state driver’s license with an acceptable driving history.
- Must possess and maintain the following medical certifications:
- State and National Registry of EMT’s certification in Emergency Medical Technician (EMT-Paramedic)
- Completion of a South Carolina approved Community Paramedic Program
- Cardiopulmonary Resuscitation (CPR)
- Advanced Cardiac Life Support (ACLS)
- International Trauma Life Support (ITLS)
- Pediatric Advanced Life Support (PALS)
- Must be released to practice as a Community Paramedic by the EMS Medical Director
- Must possess strong clinical skills and knowledge of advanced life support procedures
- Must complete a minimum of 60 hours continued education (CEUs) per year.
Unavoidable Hazards (Work Environment):
Work is performed in a dynamic environment that requires sensitivity to change and responsiveness to changing goals, priorities and needs.
Dorchester County has the right to revise this job description at any time. This description does not?represent?in any way a contract of employment.
Position Type and Expected Hours of Work
This is a full-time position; typical work hours and days?are?Monday through Friday, 8:30 a.m. to 5:00?p.m.??Some flexibility in hours is allowed, but employees must be available during the “core” work hours?are?9:00 a.m. – 4:00 p.m.?Must work 40 hour each week to?maintain?full-time status.?
E.O.E. Dorchester County does not discriminate based on race, color, national origin, gender, religion, age, disability or military service in employment or the provision of services.
https://www.dorchestercounty.net/index.aspx?page=227
(Full-time employees)
www.eip.sc.gov/
http://www.retirement.sc.gov/
In addition, county employees may be eligible for other benefits, such as holidays, annual leave, and sick leave.
Note: The above benefits are available to most county employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some, or none of these benefits based on the benefits associated with each position. For these positions, please contact the hiring agency to determine what benefits may be available for the particular position.
See All 46 Paramedic Jobs in South Carolina
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Find Paramedic JobsParamedic Jobs by City in South Carolina
Where South Carolina roles are concentrated, by current openings.
Paramedic Job Market in South Carolina
A snapshot from current South Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What South Carolina Employers Look For
The qualifications that appear most often in paramedic jobs across South Carolina.
- Active South Carolina paramedic license issued by the South Carolina DHEC Office of EMS
- Current National Registry of Emergency Medical Technicians certification at the paramedic level
- Valid CPR and Advanced Cardiac Life Support certification from an accredited provider
- Minimum two years of field experience in a 911 or critical care transport environment
- Valid state driver's license with a clean driving record and ability to operate emergency vehicles
- Completion of an accredited paramedic education program at the associate degree level or higher
Paramedic Jobs in South Carolina: Frequently Asked Questions
How do you become a paramedic in South Carolina?
You become a paramedic in South 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 licensure through the South Carolina Department of Health and Environmental Control Office of EMS. Most programs are offered through technical colleges across the state, including Midlands Technical College and Trident Technical College, and range from certificate to associate degree formats.
How much do paramedics make in South Carolina?
Paramedics in South Carolina earn a median of about $53,550 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $40,710 for the lowest 10% to over $67,180 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire paramedics in South Carolina?
Companies currently hiring paramedics in South Carolina include MMT Ambulance, Prisma Health, and AMR, per current listings on Migrate Mate as of October 2026. County EMS agencies, hospital systems like MUSC Health and Prisma Health, and private critical care transport companies together make up the majority of steady paramedic hiring across the state.
Which South Carolina cities have the most paramedic jobs?
The cities with the most paramedic openings in South Carolina are North Charleston, Charleston, and Seneca. Columbia's concentration of hospital systems and a large county EMS operation drives the most volume, while Charleston's growth as a regional medical hub and Greenville's expanding Upstate health corridor keep both cities among the most active markets for paramedic hiring.
Are there remote paramedic jobs in South Carolina?
Yes, but they're rare. About 0% of paramedic openings tied to South 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 have any remote component are positions in EMS education, quality improvement, or medical communications dispatch, where administrative duties can be handled off-site.
How can I get hired as a paramedic in South Carolina with little or no experience?
The most realistic entry path is completing your National Registry certification and applying directly to county EMS agencies, which in South Carolina regularly hire new paramedic graduates for 911 response positions and provide structured field training. Prisma Health and MUSC Health both run new-graduate orientation tracks for paramedics entering hospital-based or critical care transport roles. Starting as an EMT-Basic or EMT-Advanced with a South Carolina agency and progressing internally is also a well-established route, since many county systems promote from within once you hold a full paramedic license.
Where can I find and apply to paramedic jobs in South Carolina?
You can find and apply to paramedic jobs in South Carolina on Migrate Mate, which lists current openings from employers actively hiring in the state. Search the roles that fit your experience level and specialty, and apply directly to the ones that match.
See All 46 Paramedic Jobs in South Carolina
Find roles in South Carolina that match your experience and apply in just a few clicks.
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