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How to hire a paramedic

Paramedic hiring summary. Here are some key points about hiring paramedics in the United States:

  • There are a total of 172,114 paramedics in the US, and there are currently 27,896 job openings in this field.
  • The median cost to hire a paramedic is $1,633.
  • Small businesses spend $1,105 per paramedic on training each year, while large companies spend $658.
  • It takes between 36 and 42 days to fill the average role in the US.
  • It takes approximately 12 weeks for a new employee to reach full productivity levels.
  • HR departments typically allocate 15% of their budget towards recruitment efforts.
  • Kansas City, MO, has the highest demand for paramedics, with 52 job openings.

How to hire a paramedic, step by step

To hire a paramedic, you should clearly understand the skills and experience you are looking for in a candidate, and allocate a budget for the position. You will also need to post and promote the job opening to reach potential candidates. Here's a step-by-step guide on how to hire a paramedic:

Here's a step-by-step paramedic hiring guide:

  • Step 1: Identify your hiring needs
  • Step 2: Create an ideal candidate profile
  • Step 3: Make a budget
  • Step 4: Write a paramedic job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new paramedic
  • Step 8: Go through the hiring process checklist

What does a paramedic do?

A paramedic is a healthcare professional who provides advanced medical care and emergency treatment to patients in the field. Although they can work on ambulances or hospital emergency rooms, paramedics may work as part of a helicopter's flight crew to transport critically ill patients to a specialized hospital. Paramedics are required to create a patient care report and document the medical care of patients they are treating. Also, paramedics need to follow the guidelines they learned in training from their physician who supervises their work.

Learn more about the specifics of what a paramedic does
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  1. Identify your hiring needs

    The paramedic hiring process starts by determining what type of worker you actually need. Certain roles might require a full-time employee, whereas part-time workers or contractors can do others.

    Determine employee vs contractor status
    Is the person you're thinking of hiring a US citizen or green card holder?

    A paramedic's background is also an important factor in determining whether they'll be a good fit for the position. For example, paramedics from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

    The following list breaks down different types of paramedics and their corresponding salaries.

    Type of ParamedicDescriptionHourly rate
    ParamedicEmergency medical technicians (EMTs) and paramedics care for the sick or injured in emergency medical settings. People’s lives often depend on the quick reaction and competent care provided by these workers... Show more$15-28
    Certified Registered Nurse AnesthetistA Certified Registered Nurse Anesthetist administers anesthesia to patients. They work in various healthcare settings, such as operating rooms, dentists and podiatrists offices, birthing centers, and plastic surgery centers.$37-140
    Nurse ExternThe job of a nurse extern is to assist the mentor nurse in their nursing duties. They help the mentor nurse in various medical procedures such as administering medications or starting intravenous therapies... Show more$13-22
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Acls
    • CPR
    • EMS
    • BLS
    • EMT
    • Advanced Life Support
    • EKG
    • Triage
    • Medical Care
    • Customer Service
    • Medical Equipment
    • Compassion
    • PHTLS
    Check all skills
    Responsibilities:
    • Manage critically ill/injure patients effectively with rapid assessments, aggressive resuscitation, packaging and transport to appropriate definitive care emergency departments.
    • Attend safety training seminars yearly as well as Haz-Mat safety, SCBA training and OSHA regulation training.
    • Perform Phlebotomy and specimen collection duties.
    • Administer emergency medical treatment to patients including CPR, medications/drugs.
    • Provide inter-facility transport to patients who require EKG monitoring, medication infusion and/or ventilator support during transport.
    • Provide medical care for critically ill or injure patients during inter-facility transports to higher level of care facilities.
    More paramedic duties
  3. Make a budget

    Including a salary range in your paramedic job description is one of the best ways to attract top talent. A paramedic can vary based on:

    • Location. For example, paramedics' average salary in south dakota is 32% less than in massachusetts.
    • Seniority. Entry-level paramedics 44% less than senior-level paramedics.
    • Certifications. A paramedic with certifications usually earns a higher salary.
    • Company. Working for an established firm or a new start-up company can make a big difference in a paramedic's salary.

    Average paramedic salary

    $44,640yearly

    $21.46 hourly rate

    Entry-level paramedic salary
    $33,000 yearly salary
    Updated December 5, 2025

    Average paramedic salary by state

    RankStateAvg. salaryHourly rate
    1Massachusetts$54,605$26
    2California$54,154$26
    3New Jersey$53,479$26
    4Oregon$51,934$25
    5New York$50,213$24
    6Pennsylvania$49,002$24
    7Arizona$47,974$23
    8Nevada$47,197$23
    9Wisconsin$46,451$22
    10Nebraska$46,098$22
    11Virginia$45,327$22
    12Oklahoma$44,746$22
    13Kansas$43,003$21
    14Colorado$42,995$21
    15Texas$41,773$20
    16Indiana$41,752$20
    17North Carolina$41,446$20
    18New Mexico$41,361$20
    19Ohio$41,016$20
    20Missouri$40,136$19

    Average paramedic salary by company

  4. Writing a paramedic job description

    A good paramedic job description should include a few things:

    • Summary of the role
    • List of responsibilities
    • Required skills and experience

    Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of a paramedic job description:

    Paramedic job description example

    Qualifications

    The Sr. Paramedic must be able to pass a medical evaluation and a respirator fit test and wear an N95 particulate filter respirator mask in accordance with PEOSHA standards as a condition of employment. It is desirable that the Sr. Paramedic speak Spanish. The Sr. Paramedic must have at least four (4) years emergency 9-1-1 EMS paramedic experience with at least one (1) year of experience at University Hospital within the last four (4) years. (Per Diem experience is not counted towards the one (1) year of University Hospital experience). It is preferred that the Paramedic have urban EMS experience. It is preferred that the Sr. Paramedic have at least four (4) years of EMS driving experience with satisfactory driving record. It is preferred that the Sr. Paramedic possess a valid Pre-Hospital Trauma Life Support (PHTLS) or an International Trauma Life Support (ITLS) provider card.

    Credential Required:

    • Active, valid certification as a NJ Mobile Intensive Care Paramedic or NJ Mobile Intensive Care Nurse
    • Driver's license with NJ driving privileges. Driver's license must be in accordance with the DOT/MVC regulations for the type/size/weight of the vehicle(s) as assigned. Must be an authorized driver approved by Logistical Services.
    • American Heart Association (AHA) BLS for the Healthcare Provider
    • AHA Advanced Cardiac Life Support (ACLS) Provider
    • AHA Pediatric Advanced Life Support (PALS) Provider OR Pediatric Education for Pre-hospital Professionals -Advanced (PEPP-A) Provider
    • Incident Command System (ICS) Level 100 or higher
    • National Incident Management System (NIMS) Awareness (FEMA IS-700 or equivalent)
    • Hazardous Materials Awareness or higher
    • CBRNE or WMD Awareness or higher

    Primary Source Verification: For Mobile Intensive Care Paramedics: NJ Department of Health, Office of Emergency Medical Services, University Hospital's designated Background Check Company
    For Mobile Intensive Care Nurses: NJ Department of Health, Office of Emergency Medical Services AND NJ Division of Consumer Affairs, Board of Nursing, University Hospital's designated Background Check Company

    PHYSICAL DEMANDS: The Sr. Paramedic must be in excellent physical condition and will, on a routine and daily basis, be required to see colors, hear voice, phone, and radio communications, read, speak, and communicate in English, both verbally and in writing, smell, sit, stand, walk, lift, operate a motor vehicle, and operate computer, wireless, and other electronic equipment. The Sr. Paramedic will, on a routine and daily basis, reach with hands and arms and use hands to finger, handle or feel. Good manual dexterity and intermittent moderate to heavy physical exertion are required when performing job activities. The Sr. Paramedic must be able to lift a minimum of 50 lbs. frequently and up to 125 lbs. occasionally.

    WORK ENVIRONMENT: The Sr. Paramedic must be able to work in all weather and environmental conditions, including varying or extreme temperatures, and lift and move patients in all circumstances. The Sr. Paramedic must be able to perform all duties consistent with providing BLS and ALS in the pre-hospital environment. The Paramedic will be intermittently exposed to moderate or greater noise and subject to unpredictable situations and patient crises, both medical and psychiatric. The Sr. Paramedic may occasionally be exposed to patients exhibiting assaultive behaviors. There is a potential risk of exposure to blood-borne and respiratory pathogens for the Sr. Paramedic which requires the use of personal protective equipment. In certain situations, the Sr. Paramedic may be required to stoop, kneel, crouch, crawl, climb, run, or jump. The Sr. Paramedic may, in rare circumstances, be required to work under austere conditions such as disaster settings, dangerous situations or hazardous environments.

    University Hospital offers a competitive salary & comprehensive benefits package. Affirmative Action/Equal Opportunity Employer, M/F/D/V. For more information, visit www.uhnj.org/hrweb.

  5. Post your job

    To find paramedics for your business, try out a few different recruiting strategies:

    • Consider internal talent. One of the most important talent pools for any company is its current employees.
    • Ask for referrals. Reach out to friends, family members, and your current work to ask if they know any paramedics they would recommend.
    • Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level paramedics with the right educational background.
    • Social media platforms. LinkedIn, Facebook, and Twitter have more than 3.5 billion users, and they're a great place for company branding and reaching potential job candidates.
    Post your job online:
    • Post your paramedic job on Zippia to find and recruit paramedic candidates who meet your exact specifications.
    • Use field-specific websites such as healthcarejobsite, health jobs nationwide, hospitalcareers, medreps.com.
    • Post a job on free websites.
  6. Interview candidates

    Recruiting paramedics requires you to bring your A-game to the interview process. The first interview should introduce the company and the role to the candidate as much as they present their background experience and reasons for applying for the job. During later interviews, you can go into more detail about the technical details of the job and ask behavioral questions to gauge how they'd fit into your current company culture.

    It's also good to ask about candidates' unique skills and talents to see if they match your ideal candidate profile. If you think a candidate is good enough for the next step, you can move on to the technical interview.

    The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

  7. Send a job offer and onboard your new paramedic

    Once you've decided on a perfect paramedic candidate, it's time to write an offer letter. In addition to salary, it should include benefits and perks available to the employee. Qualified candidates may be considered for other positions, so make sure your offer is competitive. Candidates may wish to negotiate. Once you've settled on the details, formalize your agreement with a contract.

    It's equally important to follow up with applicants who don't get the job with an email letting them know that the position has been filled.

    After that, you can create an onboarding schedule for a new paramedic. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are created.

  8. Go through the hiring process checklist

    • Determine employee type (full-time, part-time, contractor, etc.)
    • Submit a job requisition form to the HR department
    • Define job responsibilities and requirements
    • Establish budget and timeline
    • Determine hiring decision makers for the role
    • Write job description
    • Post job on job boards, company website, etc.
    • Promote the job internally
    • Process applications through applicant tracking system
    • Review resumes and cover letters
    • Shortlist candidates for screening
    • Hold phone/virtual interview screening with first round of candidates
    • Conduct in-person interviews with top candidates from first round
    • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
    • Conduct background checks on top candidates
    • Check references of top candidates
    • Consult with HR and hiring decision makers on job offer specifics
    • Extend offer to top candidate(s)
    • Receive formal job offer acceptance and signed employment contract
    • Inform other candidates that the position has been filled
    • Set and communicate onboarding schedule to new hire(s)
    • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire a paramedic?

Before you start to hire paramedics, it pays to consider both the one-off costs like recruitment, job promotion, and onboarding, as well as the ongoing costs of an employee's salary and benefits. While most companies that hire paramedics pay close attention to the initial cost of hiring, ongoing costs are much more significant in the long run.

You can expect to pay around $44,640 per year for a paramedic, as this is the median yearly salary nationally. This can vary depending on what state or city you're hiring in. If you're hiring for contract work or on a per-project basis, hourly rates for paramedics in the US typically range between $15 and $28 an hour.

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