Paramedic Jobs in Tennessee
Paramedic jobs in Tennessee are consistently active, with strong demand concentrated in emergency medical services, hospital-based transport, and fire-integrated EMS systems at every level from new EMT-to-paramedic graduates through senior flight and critical care paramedics. The heaviest hiring is in and around Nashville, Memphis, and Knoxville, where employers like Acadian Ambulance, Vanderbilt University Medical Center, and Regional One Health maintain ongoing staffing needs. The most in-demand specialties are critical care transport, flight paramedicine, and 911 ground EMS response. Find a role that fits below and apply directly.
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Position Summary
This position primarily coordinates company-wide training and assists with Emergency Management duties.
Essential Job Functions:
- Oversees and manages the daily activities of firefighters, including fire/rescue operations, ensuring compliance with laws, contracts, industry standards and city and departmental policies and procedures.
- Maintains records, reports, and shift log; makes station and equipment assignments for assigned personnel and ensures that station and equipment maintenance is performed.
- Conducts and prepares annual employee evaluations and counsels personnel as necessary.
- Responds to emergencies such as fires, medical, hazardous materials, and/or technical rescue utilizing appropriate techniques, training and procedures.
- Participates in and assists with the delivery of required and elective training conducted for firefighter personnel; ensures skills, knowledge and readiness of the company remain at a high level of proficiency through training and safe, operational practices.
- Conducts routine semi-annual fire prevention safety surveys at the company level, to commercial facilities within response district to ensure fire code compliance with applicable laws, City ordinances and standards for building fire safety.
- Interacts with appropriate facility authorities.
- Conducts fire education and training programs to the general public within the community.
- Responds to various public assistance alarms and service calls.
- Supervises and performs a variety of routine, daily and weekly duties such maintenance, daily checkout, repairs, cleaning and upkeep of all assigned fire apparatus, mounted equipment, and fire station; maintains all relevant records and reports necessary for monitoring the upkeep of the equipment.
- Performs routine inspections and maintenance of fire hydrants within immediate response zone.
- Conducts inspections as a State Certified Fire Inspector; performs fire investigation duties as part of the Fire Investigation team
Education, Experience, and Certifications:
Fire Captain- Paramedic
- Associate’s Degree in Fire Science or related field and five (5) years of experience in fire suppression or emergency services with
- Must possess Firefighter II, Fire Officer I, Vehicle Extrication Technician, and Hazardous Materials Technician certifications.
- Must have completed Basic Cause and Origin Investigation.
- Must possess a valid State of Tennessee Driver’s license.
- Must possess a current Paramedic license.
This position closes on Friday, November 6, 2026.
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Where Tennessee roles are concentrated, by current openings.
Paramedic Job Market in Tennessee
A snapshot from current Tennessee openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
- Automotive
What Tennessee Employers Look For
The qualifications that appear most often in paramedic jobs across Tennessee.
- Active Tennessee paramedic license issued or recognized by the Tennessee EMS Division
- Current National Registry of Emergency Medical Technicians certification at the paramedic level
- Valid CPR and Advanced Cardiac Life Support certification from an accredited provider
- Valid driver's license with a clean driving record and ability to operate emergency vehicles
- High school diploma or GED with completion of an accredited paramedic education program
- Ability to lift and move patients and equipment meeting physical standards for field operations
Paramedic Jobs in Tennessee: Frequently Asked Questions
How do you become a paramedic in Tennessee?
To become a paramedic in Tennessee, you must complete an accredited paramedic education program, pass the National Registry of Emergency Medical Technicians cognitive and psychomotor exams, then apply for state licensure through the Tennessee Department of Health's Emergency Medical Services Division. Tennessee issues its own EMS license based on NREMT certification, so both steps are required before you can work independently as a paramedic in the state.
How much do paramedics make in Tennessee?
Paramedics in Tennessee earn a median of about $57,690 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $41,410 for the lowest 10% to over $80,190 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire paramedics in Tennessee?
Employers hiring paramedics in Tennessee right now include Join Parachute, Vanderbilt Health, and Shoals Ambulance, based on current listings on Migrate Mate as of October 2026. Tennessee's mix of large academic medical centers, regional hospital systems, and private ambulance services means openings appear across a range of employer types statewide.
Which Tennessee cities have the most paramedic jobs?
The Tennessee cities with the most paramedic openings are Nashville, Knoxville, and Memphis. Nashville leads because of its dense concentration of hospital systems and a large metro EMS infrastructure, Memphis follows with major medical employers including its regional trauma center, and Knoxville draws volume from both university-affiliated health systems and municipal fire-based EMS operations across the broader East Tennessee region.
Are there remote paramedic jobs in Tennessee?
Yes, but they're rare. Paramedicine is inherently a hands-on, on-scene role, which limits remote or hybrid arrangements to a small share of the market. About 0% of paramedic openings tied to Tennessee are remote or hybrid as of October 2026, and those positions tend to be in EMS education, clinical quality review, or medical communications rather than field response.
How can I get hired as a paramedic in Tennessee with little or no experience?
The most realistic entry path is completing an accredited Tennessee paramedic program and applying to high-volume ground EMS services that routinely onboard new graduates, such as county EMS agencies in the Nashville and Memphis metro areas or private ambulance services that staff 911 contracts. Holding an active EMT-Basic or AEMT license before completing paramedic school strengthens a new-grad application, and some larger Tennessee hospital systems offer structured paramedic residency or field internship tracks specifically designed for candidates with limited independent experience.
Where can I find and apply to paramedic jobs in Tennessee?
You can find and apply to paramedic jobs in Tennessee on Migrate Mate, which lists current Tennessee openings across EMS agencies, hospital systems, and transport services. Find the roles that fit your experience and credentials and apply directly from the listings below.
See All 85 Paramedic Jobs in Tennessee
Find roles in Tennessee that match your experience and apply in just a few clicks.
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