Royal Ambulance is partnering with Washoe County to provide consistent, high-quality emergency care to Gerlach, NV—a remote community with a population of approximately 130, located near the Black Rock Desert. As a Rural Paramedic, you’ll serve as a lifeline for the town and surrounding areas, operating within a rugged environment that demands exceptional clinical skills, judgment, and adaptability.

This is not your typical paramedic position. You’ll be embedded in a small, close-knit desert town, 120 miles from Reno. During Burning Man, that quiet population balloons into a full-blown city—and you’ll be at the epicenter of it all. As Royal also serves as the medical partner for Burning Man, this role will play a unique part in blending year-round Gerlach operations with Royal’s Burning Man/Rampart ops.

Objective of the Position:

Paramedics are responsible for delivering timely ALS responses across a vast and resource-limited response area, maintaining readiness, and collaborating closely with local first responders and community volunteers. Given the lower call volume (~100/year), this position involves additional training, community education, and preparedness activities.

Responsibilities (include but not limited to):

Prompt and reliable attendance; ensure constant preparedness for emergency responses.
Deliver high-quality Advanced Life Support (ALS) patient care according to Royal Ambulance Nevada protocols, procedures, and best practices.
Rapidly respond to emergency calls via ambulance, quick response vehicles (QRV/4x4), or other necessary methods.
Collaborate closely and professionally with Gerlach Volunteer Fire Department, community members, and other partner agencies.
Provide training and educational support to volunteer firefighters and community residents.
Maintain ambulances, equipment, and medical devices in clean, organized, response-ready conditions.
Clearly document patient care reports and communicate effectively with receiving facilities.
Participate actively in continuous education, team development, and training exercises.
Maintain confidentiality, professionalism, and composure during high-stress situations.
Engage with special events, notably the Burning Man festival, integrating regular duties with temporary operational expansions.
Handle protected health information (PHI) according to HIPAA standards.

Minimum Requirements:

Must be 18 years or older (for insurance purposes)
Valid Driver's License with acceptable driving record
Valid Nevada Paramedic License with ambulance endorsement (or nationally registered paramedic able to obtain Nevada license prior to employment start)
Current certifications in:
AHA BLS, ACLS, and PALS
Trauma certification (PHTLS or ITLS)
Completion of ICS-100, ICS-200, ICS-300, IS-015B, ICS-700, and IS-800 courses (prior to employment)
TB Test and Flu Shot (within the last year)
Immunization Records (Tdap, Varicella, HepB, and MMR within last 10 years)

Preferred Qualifications:

Prior experience as a medic in rural, austere, or remote operational environments
Prior fire service experience or certifications (e.g., Firefighter I, extrication)
EMS Instructor experience
Prior Burning Man event or similar event medical operations experience
Experience working and living in communal, close-quarter environments

Physical Requirements:

This position involves sitting, climbing, balancing, stepping, stooping, kneeling, crouching, and frequently lifting/carrying up to 150 pounds (occasionally up to 200 pounds).

Occupational Safety Risk for Infection Control:

Risk of exposure to blood-borne pathogens: High Risk (Level 3).

Embody the Royal Mindset:

We are Driven - We set a goal, identify a plan to achieve it, stay focused and motivated throughout the process, and reach our desired results, despite obstacles or challenges. We show initiative and commitment. We maintain a positive mindset and believe in ourselves and our abilities.

We are Empathetic - We are in tune with the feelings and actions of others and use that understanding to guide our actions, behaviors, and decisions. We are compassionate, perceptive, and mindful. We put ourselves in our patient's shoes and each other’s shoes and go above and beyond to ensure we treat everyone with dignity and respect.

We are Engaging - Our actions show our commitment to the organization and its goals. We care about the quality of our work and our fellow team members. We are enthusiastic and want to be involved within Royal and with our communities.

We are Adaptable - We are able to handle and adjust to change by being flexible in our process and mindset. We stay calm and do not fold under pressure when something changes, or a problem occurs. We develop a solution and can come up with an alternative plan despite the obstacles we are challenged with.

About Royal Ambulance

Founded by Steve Grau, Royal Ambulance is one of California’s premier mobile healthcare providers, proudly serving the San Francisco Bay Area. Since Royal’s inception in 2006, the company has grown from 2 ambulances and 10 EMTs to a fleet of over 100 ambulances and 800+ team members. Royal has experienced double-digit year-over-year growth over the last 10 years. Transporting over 95,000+ patients a year, Royal Ambulance is a partner to most major health systems in the Greater San Francisco Bay Area region. Our company has been curated off of four values: Driven. Empathetic. Engaging. Adaptable.

At Royal Ambulance, we firmly believe it’s not just about the destination, it’s about the journey! It’s about who you become along the way, the people you meet, the connections you make, and the experiences you have that shape the kind of healthcare professional you become. As we continue to grow, we remain focused on fostering a culture of professional and personal development and best-in-class employee experience. Join our team and be a part of this exciting growth opportunity while surrounding yourself with other purpose-driven individuals, who encourage and inspire one another along their path in EMS and Healthcare.

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