Paramedic - Full Time, Flex Shifts

Salary: $24.96 Hourly
Location : 292 East Crescent Square, Graham, Alamance County, NC
Job Type: Full-time
Job Number: 00038
Department: Emergency Medical Services
Opening Date: 09/11/2026
Closing Date: 10/12/2026 11:59 PM Eastern

Job Purpose
Within this position an employee works independently in providing high level of emergency care by responding to emergency calls for a variety of illnesses and injuries. Performs basic and advanced life support, stabilization procedures and emergency medical care at the Paramedic level of training and certification and performs equipment operation duties on a twenty-four hour shift providing EMS services for the county.
This posting will be used to fill both full-time and on-call positions. Applicants may be considered for either type of position based on departmental needs and availability.
Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Responsibilities
Responsibilities may include, but are not limited to the following:
Responds to emergency calls for medical illnesses, traumatic injuries, vehicle crashes, fires, and natural or man-made disasters. Responds with a partner EMT, Advanced EMT, or Paramedic to life threatening conditions, stabilizes and treats symptoms of medical illness or injuries and continuously monitors the condition of the patient until the patient is transferred to hospital personnel.
Monitors, maintains and inspects ambulance units for readiness, ensuring required equipment and related inventory are available and ready for use and that the vehicle is clean and disinfected.
Operates emergency medical vehicle to and from scene, determining most efficient route.
Records patient care data and information, obtaining demographic data from patients, information regarding medical conditions and/or illnesses, current medication use and medication allergy information. Documents patient reactions to treatment; and/or related information.
Initiates patient treatment and care utilizing initial protocol treatment based on patient condition, which may include: operating manual cardiac defibrillator, performing basic or advanced airway management; initiating intravenous or intraosseous access, administering medications, and performing other related activities.
Transports and transfers patients timely and safely by utilizing stretcher, ambulance mounted stretcher loading system, and other related patient movement devices and techniques.
Prepares patient care reports, which involves documenting medical conditions and activities applied to patients, using a mobile computer or tablet device. This includes ensuring documentation is complete for NC Office of Emergency Medical Services data collection and meeting billing documentation requirements.

Maintains contact with and communicates with dispatch personnel and/or patient receiving facilities, utilizing applicable communication equipment.
Initiates advanced and basic life support by following protocols and physician orders.
Communicates medical conditions with patients, family members and applicable medical staff.
Drives an ambulance in emergency and non-emergency situations.
Secures and disposes of biohazardous waste.
Attends continuing education and other programs to maintain clinical knowledge and certification requirements.
Performs other job-related duties as trained and assigned.
Qualifications
High School diploma or equivalent required, and some experience as a Paramedic; or an equivalent combination of education and experience.
Computer Skills: Prior experience with data entry and computers preferred. Prior Microsoft Windows usage preferred.
License/Credentials: Possession of a valid NC driver's license is required. Certification by the State of North Carolina as a Paramedic. Required to attend mandatory continuing education sessions provided by the department.
Skills & Abilities
Physical Demands
N (Not Applicable) Activity is not applicable to this position.
O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+hrs/day)
F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 -5.5+ hrs/day)
C (Constantly) Position requires this activity more than 66% of the time (5.5+hrs/day)

Physical Demands
Stand C
Walk C
Sit C
Manually Manipulate F
Reach Outward F
Reach Above Shoulder F

Climb O

Crawl O
Health Insurance - Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following 30 days of employment.
Alamance County Government currently offers three plans of medical/pharmacy benefit options including 2 Standard PPO plans and a High-Deductible Health Plan with HSA.

Dental Benefit - Alamance County offers one dental insurance (Delta Dental) plan for FT employees at no cost. The plan, if elected, would be effective the first of the month following 30 days of FT employment.

Vision Insurance - A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event.
Voluntary Benefits: Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more.

Life Insurance - Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents.

Retirement Benefits - Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed.

Time Off Accruals:
Vacation Time - Annual Leave is accrued based on years of service. Employees can accrue from 10-25 days per year.

Sick Time - All County full time employees earn 12 days of sick leave per year.

County Observed Holidays - Alamance County will observe the State of North Carolina Holiday Schedule.

Wellness Benefits & Programming:
Employee Assistance Program: There are times when everyone needs a little help or advice. The confidential Employee Assistance Program (EAP) through a local provider can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling and dependent care resources. Best of all it's free for County employees and available for your household to utilize. Utilization of the EAP is completely confidential and participation isn't recorded.
Help is available 24/7/365 by telephone.
Alamance County Employee Health Center: Available to employees and spouses who are covered under the Alamance County Insurance Plan and their covered dependents, 18 years of age and older. Retired employees under age 65 are also eligible to use the health center. Depending on insurance coverage elected, care at the clinic ranges from free to a fair market value cost.
Services Available:
Treatment of injuries or illnesses such as flu, sinus Infection, pink eye, sprains, strains or fever.
Monitor chronic conditions (Diabetes, Hypertension, Hyperlipidemia, Health Disease, Asthma, etc...)
Assistance with finding a Primary Care Provider
Health Education and Counseling
Triage and referrals to specialists when appropriate.
Alamance County provides a variety of additional benefits including bereavement pay, Paid Parental Leave, Wellness Leave to focus on work-life balance initiatives, Volunteer Time Off (paid time) opportunities to be a part of the Alamance Community, to opportunities for professional certification pay.

Employee Fitness Center:
Alamance County encourages all employees to maintain a healthy lifestyle both at home and at work. In support of this philosophy an Employee Fitness Center is available for all County employees to use at their convenience during non-work hours and is open 6:00 AM to 9:00 PM Monday-Sunday. This center includes weight training equipment, cardio equipment, a small aerobics room along with restrooms, changing room and lockers.
01

I understand that all answers to these supplemental questions must be verifiable in the 'Educational History' and 'Work History' sections of the application. Failure to provide sufficient information in these sections may result in my disqualification from the hiring process.
Yes
No

02

Educational Background (copies of any education documents listed on your application will be required upon hire): Mark the highest level of education you have completed.
High School Diploma or GED
Some College
Associate Degree
Bachelor's Degree
Advanced Degree
None of the above

03

If you have a college degree, what was your major area of study? Enter N/A if this does not apply.
04

How many years of experience do you have as a paramedic?
No experience
Less than two years of experience
Two to three years of experience
More than four years of experience

05

Please explain your experience as a paramedic. Enter N/A if this does not apply. *Please verify that any experience listed in this question is included in your Employment History section of the application in order for it to be considered.
06

Do you have a basic to intermediate functional knowledge of computers?
Yes
No

07

Are you certified by the State of North Carolina as a Paramedic or eligible for reciprocity?
Yes
No

08

Are you interested in a temporary/on-call or full-time permanent position?
Temporary/on-call
Full-time permanent
Both

09

Do you have a valid driver's license?
Yes
No

Required Question