The Paramedic is responsible for ambulance operations and advanced life support emergency/non-emergency care at the paramedic level in the prehospital environment and during ambulance transport of patients. NC Paramedic certification . Current certification in BCLS, ITLS, or PHTLS, ACLS (or within 6 month of hire). Current valid NC drivers license with a good driving history. Must be at least 18 years of age to qualify for driving privileges.