Watauga County Employment Opportunities


Job TitleMobile Integrated Healthcare (MIH) Paramedic
Application DeadlineAugust 10, 2026
Beginning Salary$59,608
DescriptionWATAUGA COUNTY POSITION OPENING Watauga County is accepting applications for the Position of Mobile Integrated Healthcare (MIH) Paramedic for Watauga County Emergency Medical Services. An employee in this class performs skilled work at the Paramedic level of certification in operating an approved mobile medical unit, rescuing victims and performing advanced emergency care including the administration of life sustaining treatment to patients on-site and while in route to hospital. Employee serves as a member of an ambulance crew and is responsible for the medical care administered to the patient, in accordance with established emergency medical procedures and techniques, but must exercise considerable independent judgment in assessing the condition of patients and applying short-term relief. Position maintains a high degree of autonomy in scheduling their patient panel for care or education; coordinates closely with identified stakeholder agencies on continuing or emerging needs; conduct home visits and community assessments to identify healthcare needs and provide appropriate interventions; collaborates with local healthcare providers, social services, and community organizations to develop and implement community health initiatives; and provides education and support to individuals and groups on topics such as opioid dependence, chronic disease management, medication adherence, and overall wellness. Position will also respond to emergency medical calls as needed, applying advanced life support measures when required, maintain accurate and detailed patient records, utilizing PCR system, and must demonstrate self-motivation in identifying opportunities for program development, community engagement and proactive healthcare interventions. Additional responsibilities include completion of full patient care documentation during and after calls for service including information for billing documentation, and legal accountability; participation in a continuous training program to maintain certification and improve competence in medical technical work and operation; familiarization of street and road patterns, and networks of the County in order that future runs may be made with minimum difficulty and delay; inspection and testing of response vehicles and their emergency equipment, maintaining proper inventory of equipment and supplies; cleans and sanitizes equipment daily; ensures that they are in proper and good working order; and assists with the direction and control during disaster situations. Employee is exposed to the normal hazards of emergency rescue work, including risk of exposure to infectious diseases. Any combination of education, and experience equivalent to High School Diploma/GED and ability to provide EMS services at the Paramedic level; or an equivalent combination of education and experience that provide the required knowledge, skills, and abilities. Special requirements for position include valid driver’s license for state of residence, certification by the North Carolina Office of Emergency Medical Services as a Paramedic and current CPR certification, or ability to obtain. ACLS; ITLS or PHTLS; PALS, PEPP, or NRP are preferred. County benefit package includes health insurance, retirement, paid holidays, vacation and sick leave. Salary Grade 9, $59,608, not including overtime. 12-Hour shifts; inclusive of nights, weekends and holidays. Application deadline is Monday, August 10, 2026. Apply at NC Works Career Center, 130 Poplar Grove Connector, Boone, NC 28607, (828) 278-6460. Applications may also be obtained at www.wataugacounty.org (Employment Link) and submitted by mail, email WataugaCounty@ncworks.gov, or fax (828) 278-6468. An active NCWorks account is required, please visit ncworks.gov to create an account or to retrieve username. Watauga County is an EEOE.


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