Paramedic Jobs in Texas
Paramedic jobs in Texas are among the most active in the country, with strong demand from emergency medical services agencies, fire departments, hospital-based transport programs, and private ambulance companies serving a market that includes entry-level EMT-to-paramedic transitions through senior flight and critical care roles. Houston, Dallas-Fort Worth, and San Antonio drive the highest volume of openings, where established employers like ACADIAN Ambulance, AMR (American Medical Response), and Houston Fire Department maintain consistent hiring pipelines. The most in-demand specialties are critical care transport, flight paramedicine, and community paramedicine. Find a role that fits below and apply directly.
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INTRODUCTION
Full Time Days - Wednesday - Friday 7a-730p
At Houston Methodist, the Emergency Medical Technician (EMT)/Paramedic position is responsible for assisting in the delivery of patient care and services to diverse patient population and their families and performing EKGs and collecting lab specimens under direction of the licensed nurse and/or provider. This position performs patient care activities of daily living (ADL's) within unit specific defined limits and job scope. The EMT/Paramedic position demonstrates knowledge and skills necessary to communicate appropriately and carry out delegated tasks, conducting hourly rounding to ensure patient needs are met and records data established by policy and procedure, reporting observations and patient problems to the licensed nurse and/or provider. This position practices Patient and Family Centered Care in concert with Houston Methodist Experience standards.
FLSA STATUS
Non-exempt
QUALIFICATIONS
Education
High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
Completion of EMT-A, EMT-Paramedic program or licensed Paramedic, and/or currently participating in an EMT to Paramedic program with classification of an EMT-Advanced
Experience
Six months pre-hospital experience or six months hospital experience as an EMT or Paramedic
LICENSES AND CERTIFICATIONS
Required
Must have one of the following:
- LP - Licensed Paramedic - State Licensure
- EMT-A - Emergency Medical Technician-Advanced - State Certification
- EMT-P - Emergency Medical Technician-Paramedic - State Certification
and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
and
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
and
- PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 3 months
and
- NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) - Crisis Prevention Institute within 3 months
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Demonstrates and exercises judgment in interactions with physicians, interprofessional care team, patients and their families
Displays strong time management skills
Adapts to multiple ongoing priorities with minimal supervision including but not limited to organizing workflows and actively participating in problem solving
Demonstrates ability to access information both in the department and within the hospital system to support the department and interprofessional health care team as appropriate
Possesses competent computer knowledge. Operates multiple computer systems including electronic health records, e.g., Epic, and Microsoft Office (Word, PowerPoint, & Excel) to maintain patient information
Must be able to perform basic EKG interpretation skill
Applies basic knowledge of the Emergency Medical Treatment and Labor Act
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Functions as a team member, responding willingly and positively to colleagues needs for assistance and partnership. Promotes a positive work environment with the interprofessional care team. Problem-solves, assists other techs, manages several ongoing priorities with minimal supervision.
Serves as role model, using critical thinking, in several capacities; mentors new EMTs and ancillary personnel as to unit procedures, role and unit readiness as team leader, in patient decontamination operations.
Interacts with peers, staff and physicians in a supportive and respectful manner. Encourages open communication to achieve mutual understanding. Communication to promote both work efforts and problem resolution is clear and professional. Collaborates with all members of the interprofessional team by actively communicating and reporting pertinent patient care information in a clear and timely manner.
Serves as an educational resource for unit competency and validation procedures that are applicable to role.
Contributes towards improvement of department scores for employee engagement on unit-based scorecard, i.e. peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
Role models patient and family-centered care standards and provides direct patient care under the direction of a registered nurse. Documents, where applicable, comprehensive screenings, care administered, diagnostic measurements, allergies and medication lists, treatments and procedures as determined by skills, training and validation (i.e., vital signs, 12 Lead EKG, phlebotomy, ultrasound-guided I.V. catheter insertion, CPR, splinting, specimen collection, immobilization by backboard, extrication from vehicles) in accordance with established policies and procedures. Repeats vital signs according to policy.
Observes patients, making hourly rounds to ensure patient needs are met (four P’s), for condition change. Reports observations, conditions and problems of patients to the licensed nurse to achieve desired patient outcomes. Responds to the call light system, contacting nursing personnel as appropriate, and follows through with meeting patient needs.
Contributes towards improving department scores for patient satisfaction on unit-based scorecard through peer-to-peer accountability, i.e. bedside shift handoff/report.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Uses rapid assessment skills to accurately identify patients’ severity of illnesses, deterioration of conditions, and risks for adverse events, and communicates findings to licensed nurse and/or provider. Applies critical thinking skills to recognize abnormal ECGs, vital signs, and mental status to monitor high risk patients out of the department as delegated.
Manages incoming patient information by receiving pre-arrival notifications from EMS providers per unit protocols. Provides for the privacy of patients and families, keeping the safety of the patient in mind.
Reports “near misses” and inputs errors promptly into PSN to improve processes and identify trends. Supports initiatives to prevent conditions such as pressure injuries, patient falls, and hospital-acquired infections. Contributes to identification of corrective action and improvement activities, impacting quality and safety targets on the unit-based scorecard, through peer-to-peer accountability, collaborating with the interprofessional team.
FINANCE ESSENTIAL FUNCTIONS
Uses resources efficiently; does not waste supplies. Assists with patient and staffing needs (floats) across the service line or hospital as competencies allow. Self-motivated to independently manage time effectively and prioritize daily tasks, minimizing incidental overtime. Role models effective time management and coordinates colleagues to meet the overall demands of the unit.
Maintains an orderly environment that facilitates access to supplies, equipment, and resource information. Assists in the inventory, monitoring and ordering supplies and medical equipment to maintain par levels.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development, continually assisting with improving skills, performance and outcomes. Identifies own learning needs, consults with healthcare team experts and seeks continuing education opportunities to meet those needs. Fosters a positive and constructive patient care environment by engaging co-workers in learning opportunities that are valuable and in alignment with department objectives.
Offers innovative solutions through participation in performance improvement projects and shared governance activities. Completes and updates the My Development plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: No
- Other (department approved): Yes
ON-CALL
Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call No
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Sugar Land Hospital is committed to leading medicine by delivering the Houston Methodist standard of unparalleled quality, safety, service and innovation to patients in Fort Bend County and surrounding areas. Houston Methodist Sugar Land offers access to the most innovative care available, including comprehensive cancer care; neuroscience and spine care; orthopedics and sports medicine; heart and vascular care; women’s services; childbirth center with level III NICU; bariatric and digestive care; and advanced imaging — all backed by our focus on healing people today and offering hope for tomorrow.
Houston Methodist is an Equal Opportunity Employer.
See All 202+ Paramedic Jobs in Texas
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Find Paramedic JobsParamedic Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Paramedic Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Acadian Ambulance Service22

- CSL Plasma15

- Allegiance Mobile Health14

- Texas Health Resources10

- Medcor8

Top Industries Hiring
- Healthcare & Medical Services34
- Consulting & Professional Services2
- Law & Legal Services1
- Staffing & Recruiting1
- Biotechnology & Pharmaceuticals1
What Texas Employers Look For
The qualifications that appear most often in paramedic jobs across Texas.
- Active Texas Department of State Health Services paramedic license required
- Current National Registry of Emergency Medical Technicians certification required
- Valid Texas driver's license with a clean driving history required
- Current CPR and ACLS certification from AHA or equivalent required
- Minimum of one to two years of field EMS experience preferred
- Ability to pass a background check, drug screen, and physical assessment
Paramedic Jobs in Texas: Frequently Asked Questions
How do you become a paramedic in Texas?
To become a paramedic in Texas, you must complete a state-approved paramedic education program and pass the National Registry of Emergency Medical Technicians cognitive and psychomotor exams, then apply for licensure through the Texas Department of State Health Services. Most programs require you to already hold an EMT certification before enrolling. Community colleges across Texas, including many in Houston, Dallas, and San Antonio, offer accredited paramedic programs that meet state requirements.
How much do paramedics make in Texas?
Paramedics in Texas earn a median of about $57,500 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $41,030 for the lowest 10% to over $77,700 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire paramedics in Texas?
Employers hiring paramedics in Texas right now include Acadian Ambulance Service, CSL Plasma, and Allegiance Mobile Health, based on current listings on Migrate Mate as of October 2026. Texas's large geography and mix of urban, suburban, and rural communities means both private EMS contractors and county-based emergency services agencies maintain ongoing hiring needs throughout the state.
Which Texas cities have the most paramedic jobs?
Houston, Dallas, and San Antonio have the most paramedic openings in Texas right now. Houston leads because of its size, major trauma centers, and the density of hospital-based and private transport programs operating across Harris County, while Dallas-Fort Worth and San Antonio generate consistent demand through large municipal fire-EMS systems and regional hospital networks anchored by major health systems serving millions of residents.
Are there remote paramedic jobs in Texas?
Yes, but they're rare. Paramedic work is inherently hands-on and field-based, so the vast majority of openings require on-site or in-vehicle presence. About 0% of paramedic openings tied to Texas are remote or hybrid as of October 2026, and those positions tend to be in EMS education, clinical coordination, or medical billing roles that draw on paramedic credentials rather than active patient care.
How can I get hired as a paramedic in Texas with little or no experience?
The most realistic entry path is completing your Texas DSHS paramedic license and applying to new-graduate hiring cohorts at large private EMS providers like AMR or ACADIAN Ambulance, both of which staff across Texas and bring on newly licensed paramedics with structured field training programs. Volunteering with a local fire department or rural EMS district while you complete your program builds documented patient contact hours that hiring managers look for. Starting in an EMT-Basic or EMT-Advanced role at a hospital or municipal agency and requesting an internal upgrade pathway is another route that employers in Austin, Houston, and San Antonio commonly support.
Where can I find and apply to paramedic jobs in Texas?
You can find and apply to paramedic jobs in Texas on Migrate Mate, which lists current openings from employers hiring across the state. Find roles that fit your credentials and location and apply directly to each one.
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