Paramedic

Salary: $83,747.00 - $110,503.00 Annually
Location : Nashville, TN
Job Type: Full-Time Civil Service
Job Number: C14 FY23
Division: Fire
Opening Date: 08/19/2026


Position Description


This position is located with the Nashville Fire Department (NFD) and provides efficient and specialized emergency medical care to the sick, injured, and/or critically ill when required, and during transportation to medical facilities. Performs related duties as required.
***If you have applied for the Paramedic position within the last 2 years, you DO NOT need to reapply.***
Typical Duties

• Responds to incidents requiring emergency medical care.
• Determines the nature and extent of the injury or illness.
• Establishes priority for required emergency care as outlined in state regulations.
• Renders advanced emergency care.
• Lifts and moves patients as necessary for treatment and transportation to medical facilities.
• Operates emergency medical apparatus and equipment.
• Records patient information.
• Establishes radio communications with hospital emergency department personnel or on-line medical control
• Drives ambulance as needed.
• Maintains inventory of medical equipment and supplies.
• Ensures equipment is working properly.
• Keeps vehicle clean and in efficient operating condition.
• Participates in on-going training to improve knowledge and skills.

Minimum Qualifications


High School Diploma or equivalent and a State of Tennessee Paramedic License. Must meet National Fire Protection Association (NFPA) Medical Standards. Must be twenty one (21) years of age.


LICENSES REQUIRED:
Valid Driver License
Licensed by the State of Tennessee as a Paramedic
Certification in Advanced Cardiac Life Support
Certification in Basic Trauma Life Support (BLTS) or Pre-hospital Trauma Life Support (PHTLS) (within the first six (6) months of employment).


FAILURE TO MAINTAIN LICENSE OR CERTIFICATIONS WILL RESULT IN TERMINATION.

Candidates with accreditations earned in a foreign institute are encouraged to apply.

Preferred Experience, Knowledge, Skills, and Abilities

• Thorough knowledge of the rules and regulations of the Tennessee Department of Health, EMS Division
• Thorough knowledge of the principles and practices of emergency medical care
• Thorough knowledge of advanced medical procedures and specialized ambulance equipment
• Thorough knowledge of emergency medical treatment techniques
• Knowledge of local streets, and hospital locations
• Knowledge of emergency communications codes and procedures
• Skill in driving an emergency vehicle
• Ability to operate all emergency medical and related equipment
• Ability to diagnose injuries and apply proper medical treatment
• Ability to serve in a lead/senior capacity over work activities
• Ability to make quick accurate decisions concerning human life
• Ability to perform demanding physical tasks involved in providing emergency medical care
• Ability to use emergency medical and rescue equipment; including two-way radios

We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Metro Nashville is committed to selecting the most qualified candidate for each of our roles.
Metro Nashville Government respects the religious beliefs and practices of all employees and will make, on request, an accommodation for such observances when a reasonable accommodation is available that does not create an undue hardship on business operations.
Requests for ADA accommodation for the recruitment process should be directed to Human Resources at View phone number on click.appcast.io.
Metro offers a generous core benefit package to eligible employees who are regularly and consistently working 20 or more hours per week. Insurance and benefit coverage is effective the first of the month after the employee has worked 30 days. Employees can change their benefits within 60 days of an eligible change in status or during Annual Enrollment. Metro also offers optional benefits from which the employee may choose. Family members, including eligible spouses, domestic partners and children, are covered under most of our benefits programs.
CORE BENEFITS
Medical : Choice of two plans; Metro pays 75% of premium
Dental : Choice of two plans; Metro pays for single coverage
Basic Life : $50,000 basic term life coverage; Metro pays 100% of premium
Pension* : Formula-driven pension; 100% Metro funded; 10 year vesting for new employees
Paid Family Leave : Runs concurrently with time designated as FMLA leave (up to 30 days)

Longevity : Annual bonus beginning after 5 years of service; increases annually up to 20 years
Work Life/ Employee Assistance Program : Wide variety of counseling, referral and consultation services provided free
Other** : In-line-of-duty injury benefits, AD&D insurance, and Medical Disability eligibility after 10 years with Metro
Paid leave : (Full-time employees)

• Vacation: 20 vacation days a year
• Holidays: 12 holidays per year (Courts may be different)
• Sick leave: 12 days of sick leave per year
• Personal leave: 3 days per year
• Other leaves: Judicial leave, military leave, bereavement leave

* Normal Pension for Sworn- Age 53 with 22 years service; Civilian Pension - Age 60 with 25 years service
**See the Human Resources webpage for more details and optional benefits at nashville.gov/hr
01


Are you at least twenty one (21) years of age?

• Yes
• No

02


Do you have a High School Diploma or Equivalent?

• Yes
• No

03


Do you have a valid Driver License?

• Yes
• No

04


Are you currently licensed by the State of Tennessee as a Paramedic?

• Yes
• No

05


If you answered "No" to the question above and you are certified in another state, have you applied for reciprocity with the State of Tennessee?

• Yes
• No

06


What date did you apply for reciprocity and what is the status of your application? Type N/A if not applicable.
07


Do you have a certification in Advanced Cardiac Life Support?

• Yes
• No

08


Do you have a certification in Basic Trauma Life Support (BLTS) or Pre-hospital Trauma Life Support (PHTLS)?

• Yes
• No

09


Are you available to work shifts, including nights, weekends, and holidays?

• Yes
• No

10


I understand that all related work history/experience, education, certification and/or licenses must be reflected on my application for this position. I further understand that an incomplete application or missing documents may result in disqualification.

• Yes

Required Question