Work For WCEMS

Williamson County EMS has been the primary 911 EMS provider for Williamson County since 1975, serving a rapidly growing population of over 500,000. Our department responds to an average of 30,000 calls annually.

With 16 station based dual-Paramedic ambulances serving a mix of urban, suburban, and rural areas, and a newly commissioned Community Health Paramedic Program, our medics have the opportunity to practice EMS in a variety of environments.

At Williamson County EMS, we strive to integrate our motto, “To Respect, Care, and Serve” into everything we do.

Williamson County EMS paramedics work 24 hours on, 48 hours off, on a rotating A, B, and C shift schedule. We also have a school schedule program that gives our medics the opportunity to work fixed shifts so they can attend class on their off days.

Our Paramedics average 7.5 years of experience with us and often more before being hired, however previous EMS experience is not required. Our exceptional credentialing process and field training staff give you the necessary support. We only hire Paramedics.

Hiring Process Overview


Hiring processes are held on a periodic basis as the needs of the system dictate.  The hiring process consists of three phases: 

First Phase: Fill out an online application and pass an online EMS personality profile 
Second Phase (3 day testing process) 
-----Day 1 National standards based written test, including 12-lead interpretation and a timed medical math portion.  
-----Day 2 Scenarios (dynamic, rapid fire & static)  
-----Day 3 Panel interview 
Third Phase (If offered conditional offer of employment) Pass drug test and background check

*Note: Applicants are not expected to know Williamson County EMS protocols for testing purposes, national standards are acceptable.  Applicants must be successful with each part of this phase before moving on to the next.
Protocols and Equipment


- Our paramedics operate largely under off-line medical control, utilizing research and evidence-based protocols to effectively treat our patients.

- Standing orders for field DSI, surgical/dual needle cricothyrotomy, field STEMI/Stroke activation, pericardiocentesis, induced hypothermia protocol, and an aggressive and compassionate analgesia and pain management protocol.

- Williamson County Paramedics enjoy a high level of clinical autonomy, and in return a high degree of competency is expected.

- Our fleet and equipment utilizes industry leading technology to allow us to better care for our patients:

- Custom built Wheeled Coach patient compartments mounted on F-450 chassis, with air-ride suspension and hydraulic main O2 cylinder lies.

- Dual sirens, with floor mounted air horns and an all LED light package.

- Stryker Power Pro stretchers

- Philips MRX Monitors equipped with 12-Lead, NiBP, CO2 and capnography, pulse ox, and qCPR.

-King Vision for endotracheal intubation.

- Ferno and Stryker model stair chairs

- Lucas CPR devices

- Ventilators

Benefits and Salary

-  Starting salary is approximately $57,300 annually based on a 56 hour work week, excluding extra shifts and mandatory education
-  Potential for annual merit and cost of living raises
-  County health insurance plan 
-  Family Care Plan available 
-  Optional Dental, Vision, Supplemental Life Insurance and Long Term Disability 
-  Outstanding Retirement Package
-  Texas County District Retirement System 
-  8 years of employment to be vested 
-  Guaranteed match of 7% per year 
-  Principle earned multiplied by 250% at retirement. 
-  Eligibility is met when age + years of service = 75 or age 60 with 8 years of service

Living and Working in Williamson County

Round Rock Tower

-  Williamson County is included in the greater Austin metropolitan area, consisting of over 2 million people across five Central Texas Counties.

-  Williamson County is home to some of the best towns to live in in the nation. In fact, in a survey conducted by the real estate website Movoto, three of Williamson County’s largest cities, Round Rock, Georgetown, and Cedar Park, were included in a list of America’s top 10 suburban cities. ref:  http://www.movoto.com/blog/top-ten/best-suburban-cities-in-america/

-  Williamson County offers a vast array of entertainment options including the Round Rock Express AAA baseball team, concerts and events at the Cedar Park Center, miles of hike and bike trails throughout the cities’ and county’s various parks, camping, boating, and water activities at Lake Georgetown, and shopping and dining at the Round Rock Premium Outlets and Round Rock’s La Frontera shopping district. Plus, all the attractions of Austin are just minutes away!

-  With a cost of living 6% less than the national average, low crime rates, and excellent school ratings, Williamson County, Texas is a fantastic place to call home!
Speak With A Recruiter

Before contacting a recruiter, please follow this link and fill out the form.


For more information contact a recruiter at: 512-801-8700 or emsrecruiting@wilco.org

Job Application

Please visit this page to apply: 

If there is a hiring process date advertised here and you do not find the online application, check back soon.  It's on the way.