Garnet Headquarters /
EMS Operations /
Full Time - Part Time - Per Diem
About Garnet
Garnet Healthcare is a dynamic and innovative multi- disciplinary healthcare delivery company specializing in medical program management, mobile integrated health, emergency medical services, basic and advanced life support interfacility ambulance transport, clinical logistics coordination, and mobile diagnostic testing service lines. Garnet provides services to patients, clients, and community partners in the Vermont and Upstate NY region.
We recognize there is a risk associated in working directly with potentially positive COVID-19 patients. Garnet will provide the necessary PPE to protect our Paramedics and patients from exposures. We continually work to improve safety protocols for both staff and patients during this rapidly changing environment, however recognition of this risk is required for employment.
Compensation & Benefits
Garnet offers competitive compensation and a generous company subsidized benefits package including paid time off, paid parental leave, health, dental, and vision insurance at a low cost to employees.

Job Responsibilities

    • The Paramedic functions as an integral member of a multidisciplinary transport team, planning, providing, and evaluating direct care to patients in all states of health and wellness in the pre-hospital, intra-facility and inter-facility settings.
    • The Paramedic provides advanced level interventions to patients during transport by ground ambulance, in the pre-hospital setting or from one healthcare facility to another.
    • The Paramedic provides patient care during transport within the scope of practice designated by Vermont State EMS Office
    • The Paramedic may be requested to drive and safely operate the transport vehicle
    • Coordinate transport with dispatch communications center
    • Maintain transport vehicle interior to avoid transmission of infectious disease

Reporting Relationships

    • The Paramedic reports to the Deputy Director of Operations, the designated shift supervisor, and the Garnet Communications Specialist when tasked with transports during their shift. While working on the ambulance, the Paramedic is the primary patient caregiver for all clinical interactions above the VT EMS AEMT scope of practice, and while on the ambulance, is the senior crew member responsible for all clinical and operational outcomes. The Paramedic receives standing orders from the VT EMS Treatment Protocols and the District Medical Director and online medical direction from the Emergency Department Medical Control Physician.

Working Relationships

    • The Paramedic will interact with providers, technicians, and staff throughout client facilities, as well as from other facilities throughout Vermont, New York, greater New England, and Canada. The Paramedic has regular contact during their shift with the general public, patients, their families, and visitors of healthcare and other regional facilities. The Paramedic may provide functional guidance to other team members. It is expected that all employees will support the Garnet Healthcare organizational mission statement and comport themselves with compassion, integrity, professional excellence, respect, stewardship, and community.

Freedom to Act/Accountability

    • The Paramedic has freedom to function independently within their State of Vermont Licensed Scope of Practice while working in the pre-hospital setting or during a transport. While working in any institutional facility the Paramedic may take direction from a duly licensed Attending Physician so long as it is within the scope of Vermont Statewide EMS Protocols, and they have been appropriately trained to perform those functions.


    • High School Diploma or Equivalency (GED) (required)
    • Nationally Registered Paramedic (required)
    • Associate’s or bachelor’s degree of benefit 


    • Minimum of three (3) years of Paramedic experience with direct patient care required
    • Experience with high acuity interfacility patient transports


    • BLS and ALS EMS training and experience
    • Familiarity with the Vermont Department of Health Office of Public Health Preparedness and Emergency Medical Services - Vermont Statewide EMS Protocols
    • Familiarity with Vermont EMS District 3 protocols (of benefit) 


    • Valid Vermont Paramedic Certification (required with no previous or pending sanctions)
    • BCLS Certification (required)
    • AHA ACLS Certification (required)
    • PHTLS or approved trauma course (required)
    • AHA PALS Certification (required)
    • AAP NRP Certification (required within six months of hire)
    • NIMS 100, 200 and 700 (required)
    • HAZMAT Awareness (required)
    • EVOC (required within one year of hire)
    • PEPP (recommended)
    • AMLS Certification (optional)
    • STABLE (optional)
    • ABLS (optional)

Working Conditions

    • While performing the duties of this job, the Paramedic is required to stand, walk, use hands and fingers, handle or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. Specific vision abilities required by the job include close vision, distance visions, color visions, peripheral vision, depth perception and the ability to adjust focus.

The Paramedic Must Also be Capable of the Following

    • Must be able to sit and drive an ambulance using frequent wrist motions and forward reaches
    • Walk, climb stairs, carry medical equipment up to 70lbs
    • Push and pull wheelchairs while ascending or descending stairs with 130 pound patient
    • Lift, push and pull stretcher to load and unload 150 pound patient (with assistance of one other provider)
    • Lift and transfer loads up to 150 pound (with assistance of one other provider)
    • Physical capability to use lateral transfer device
    • Ability to wear N95 particulate facemask or Powered Air Purifying Respirator PAPR without showing signs of panic or distress

Conditions of Hire/Employment

    • Valid Vermont Driver’s License with clean driving record for previous 5 years
    • Valid Enhanced Driver’s License (EDL) or Passport with unrestricted ability to travel between the U.S. and Canada
    • Valid Vermont Paramedic and NREMT-P with no previous or pending sanctions
    • National Registry of Emergency Medical Technicians Paramedic
    • Must be able to pass a comprehensive State and Federal background check including inquiries into multiple healthcare and human services agencies:
    •    VT Agency of Human Services Child Protection Registry
    •    VT Division of Licensing and Protection Adult Abuse Registry
    •    List of Excluded Individuals/Entities (LEIE) of the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) and the General Services Administration (GSA)
Garnet Transport Medicine, LLC (Garnet Healthcare) is an equal opportunity employer and highly values diversity. Garnet Transport Medicine, LLC (Garnet Healthcare) does not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.