EMS Jobs in the Western US
Paid EMT, paramedic and other EMS jobs with fire departments, ambulance services and air medical services in Oregon and the other western states. Firefighter/EMT and firefighter/paramedic jobs are on the firefighting jobs page.
EMS jobs in Oregon
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Paramedic
Metro West Ambulance · Hillsboro, ORFull-time, nights, 12-hour shifts Pay $33.53 to $45.74 an hour Closes Open until filledAdvanced life support paramedic on 12-hour night shifts for Metro West's Hillsboro and Clackamas operations. Licensed paramedics only; starting pay depends on experience.
Requirements in the posting:
- 21 or older
- Oregon paramedic license
- BLS
- ACLS
- PHTLS
- Pediatric life support course
- Driver's license
View full posting and apply: Paramedic, Metro West Ambulance (opens in a new tab)
Source: Metro West Ambulance employment page · Posted August 28, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Paramedic
Pioneer Ambulance · Baker City, ORFull-time or part-time, 48/96 schedule Pay $50,729 to $85,106 a year Closes Open until filledPioneer Ambulance is the 911 ambulance service for the Baker and Huntington ambulance service areas. Paramedics work 48 hours on and 96 hours off; pay depends on experience.
Requirements in the posting:
- 21 or older
- Oregon paramedic license
- BLS, ACLS and PHTLS
- Pediatric course (PALS, PEPP or EPC)
- Driver's license
View full posting and apply: Paramedic, Pioneer Ambulance (opens in a new tab)
Source: Metro West Ambulance employment page (Pioneer Ambulance is one of the Metro West companies) · Posted March 3, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Single Role Paramedic
Keizer Fire District · Keizer, ORFull-time, ambulance only (not firefighting) Pay $68,259 to $87,119 a year Closes Continuous (open list)Keizer Fire District takes single-role paramedic applications on an ongoing basis and interviews as needed. Candidates are ranked on the application and supplemental questionnaire, a written exam and an oral panel interview, and stay on the eligibility list for two years; paramedic students can apply with proof of enrollment.
Requirements in the posting:
- High school diploma or GED
- Oregon paramedic license (students may apply with proof of enrollment)
- Oregon driver's license (or out-of-state, converted within 90 days)
- NFPA Driver/EVOC or equivalent
View full posting and apply: Single Role Paramedic, Keizer Fire District (opens in a new tab) Keizer Fire District in the directory
Source: Keizer Fire District careers page · Checked October 26, 2026. The posting has the full details and the final word.
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MIH Paramedic
Metro West Ambulance · Hillsboro, ORPart-time per diem, Mobile Integrated Health, at least two shifts a month Pay $27.94 to $42.39 an hour Closes Open until filledMobile Integrated Health paramedic who cares for patients in their homes, working with physicians, nurses and virtual hospital teams. Part-time per diem, at least two shifts a month.
Requirements in the posting:
- 21 or older
- Oregon paramedic license (or eligible for reciprocity)
- BLS, ACLS, PHTLS and a pediatric certification (PALS, PEPP or EPC)
- Driver's license
- Motor vehicle, background and drug and alcohol checks
View full posting and apply: MIH Paramedic, Metro West Ambulance (opens in a new tab)
Source: Metro West Ambulance employment page · Posted October 20, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
EMS jobs in Nevada
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Paramedic
REMSA Health · Reno, NVFull-time, 911 system, four 10-hour shifts a week, incentives up to $16,500 Pay See posting Closes Open until filledREMSA Health is hiring full-time paramedics for its 911 system in Reno. Experienced paramedics can receive up to $16,500 in relocation, retention and signing incentives.
Requirements in the posting:
- Paramedic
- Able to work any shift (days, nights, weekends and holidays)
View full posting and apply: Paramedic, REMSA Health (opens in a new tab)
Source: REMSA Health careers · Checked October 19, 2026. The posting has the full details and the final word.
EMS jobs in California
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Paramedic I/II
Mono County Paramedics · Mono County, CAFull-time, 48/96 shifts Pay $61,021.71 to $81,846.82 a year Closes December 1, 2026 (11:59 p.m.)Paramedic with Mono County's EMS division on a 48/96 schedule, answering medical calls, crashes, fires and backcountry rescues in the Eastern Sierra, sometimes by helicopter.
Requirements in the posting:
- Accredited paramedic school
- California paramedic license
- ICEMA paramedic accreditation
- ACLS, BLS and PALS
- Driver's license
- ICS-100, ICS-200, IS-700 and IS-800
View full posting and apply: Paramedic I/II, Mono County Paramedics (opens in a new tab)
Source: County of Mono careers (GovernmentJobs) · Posted September 1, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Single Role Paramedic
San Ramon Valley Fire Protection District · San Ramon, CAFull-time, two-year limited term, ambulance only, mostly 48/96 shifts Pay $34.89 to $44.56 an hour Closes Open until filledSingle-role paramedic on San Ramon Valley Fire's ambulances in a two-year limited-term position; the district accepts and reviews applications on an ongoing basis. Paramedics must be accredited by the Contra Costa County EMS Agency before finishing the district's EMS academy.
Requirements in the posting:
- California paramedic license by the conditional offer
- ACLS
- CPR card
- PALS or PEPP
- PHTLS or ITLS
- CPAT issued within the last 24 months
Source: San Ramon Valley Fire Protection District careers (GovernmentJobs) · Posted January 6, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Single Role Paramedic
San Ramon Valley Fire Protection District · San Ramon, CAPart-time, three-year limited term, at least 24 hours a month Pay $28.80 to $36.78 an hour Closes Open until filledPart-time single-role paramedic on San Ramon Valley Fire's ambulances in a three-year limited-term position, working at least 24 hours a month. Part-time paramedics are also expected to join the district's volunteer reserve firefighter program. The recruitment is open and continuous.
Requirements in the posting:
- California paramedic license by the conditional offer
- ACLS
- CPR card
- PALS or PEPP
- PHTLS or ITLS
- CPAT issued within the last 24 months
Source: San Ramon Valley Fire Protection District careers (GovernmentJobs) · Posted June 22, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Ambulance Operator
Torrance Fire Department (City of Torrance) · Torrance, CAFull-time, at-will, non-safety, 48/96 or 40-hour peak shifts Pay $21.94 to $24.20 an hour Closes ContinuousEMT on Torrance Fire's city ambulances, transporting patients and assisting firefighter/paramedics. The job lasts up to 12 months at a time and can be extended to five years.
Requirements in the posting:
- High school diploma
- California Class C driver's license and DMV ambulance driver certificate
- EMT-1 certificate (California EMTs accepted in Los Angeles County)
- CPR
Source: City of Torrance careers (GovernmentJobs) · Posted January 16, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Ambulance Operator
Arcadia Fire Department (City of Arcadia) · Arcadia, CAPart-time, non-safety Pay $19.89 to $21.96 an hour Closes Continuous (first review January 5, 2027)Part-time EMT on Arcadia Fire's ambulances, giving basic life support and driving to emergencies under a fire captain. The recruitment is continuous; the first review is January 5, 2027.
Requirements in the posting:
- High school diploma
- AHA First Aid and CPR
- California Class C driver's license and DMV ambulance endorsement by hire
- California EMT-B by hire
- NIMS IS-700 and ICS-100/200
Source: City of Arcadia careers (GovernmentJobs) · Posted October 12, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Paramedic (Non-Safety)
Chula Vista Fire Department (City of Chula Vista) · Chula Vista, CAFull-time, 24-hour shifts Pay $75,678 to $92,019 a year Closes ContinuousParamedic on Chula Vista Fire's ALS ambulances, which serve Chula Vista, Imperial Beach and the Bonita Sunnyside Fire Protection District. New hires may get up to $5,000 in relocation help.
Requirements in the posting:
- 18 or older
- High school diploma
- California EMT-P license at application
- San Diego County paramedic accreditation by appointment
- California Class C driver's license by appointment
Source: City of Chula Vista careers (GovernmentJobs) · Posted July 1, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
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Paramedic (Per Diem)
Selma Fire Department (City of Selma) · Selma, CAPart-time per diem, no set hours or benefits Pay $28.12 an hour Closes ContinuousPer diem paramedic on Selma Fire's ambulances in Fresno County. Applications are taken continuously and interviews held from time to time.
Requirements in the posting:
- High school diploma
- California paramedic license and Fresno County certificate
- BLS and ACLS
- California ambulance driver certificate and medical card
- California driver's license
Source: City of Selma careers (GovernmentJobs) · Posted January 5, 2026 · Checked October 26, 2026. The posting has the full details and the final word.
No current openings to show. Check back soon. Meanwhile, volunteering builds the experience the next opening will ask for.
How to get hired in EMS
Every employer runs its own hiring, and the posting is the final word. Most EMS jobs follow these steps:
- Get licensed. An EMT course takes about 160 hours, often over two college terms, followed by the National Registry exam and a state license. Paramedic programs take much longer; in Oregon, a paramedic license needs an associate degree or higher, or two of the last five years working as a paramedic. In Oregon, the Oregon Health Authority licenses EMS providers.
- Keep your CPR certification current. Every license level needs it.
- Expect checks. A new Oregon license needs an FBI fingerprint background check, and many employers add a drug screen, a physical and a driving record check for ambulance drivers.
- Apply and interview. Many postings ask for your license, CPR card and driver's license with the application.
See volunteering in EMS for the license levels and where to get experience.
Listings are compiled from public sources and may change. Always confirm details and deadlines on the official posting. Last updated: October 26, 2026.