
Ground Paramedic - ED (full-time)
BILLINGS, MTFull-time$22.78–28.48/hrSeen 4 days agoSeen in employer's feed 1 day ago
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Requirements
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Job overview
The Ground Paramedic provides direct and indirect patient care in the Emergency Department and during ground medical transports, within the scope of practice and under medical direction or supervision. The role responds to changes in patient condition, assists physicians with procedures, and supports patient safety and care coordination. It also includes equipment and supply readiness, department staffing support, and communication with patients, families, and clinical colleagues.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
We are now One Sky Health - an independent, Montana-based, not-for-profit health system founded by Billings Clinic and Logan Health.
One Sky Health is defining what’s possible for health care across Montana and Wyoming. Built on more than a century of service and spanning more than 25 hospitals and clinics, One Sky Health combines the capabilities of a unified regional health system with the local relationships that make care personal. Community-governed and physician-led, we bring together exceptional clinical teams, advanced technology, and leading expertise to deliver care that is both sophisticated and close to the places the people of our region call home. Learn more (https://www.billingsclinic.com/about-us/) about One Sky Health (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information.
Magnet: Commitment to Nursing Excellence
One Sky Health is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!
Ground Paramedic - ED (full-time)
EMERGENCY DEPT SERVICES (BILLINGS CLINIC HOSPITAL)
req12302
Shift: Varies
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 0.90 = 72 hours every two weeks (Non-Exempt)
Starting Wage DOE: $22.78 - 28.48
Responsible for assisting with patient care tasks in accordance with scope of practice and under the direction or supervision of the medical director. Provides direct and indirect patient care. Communicates with physicians/Registered Nurse/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment.
Essential Job Functions
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Performs patient care in the Emergency Department and ground medical transports within the defined scope of practice for specific education/certification level and as directed or supervised by the charge nurse and/or physician. Complies with applicable State of Montana rules and regulations, Emergency Department and Billings Clinic policies and procedures.
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Ensures adequate supply stocking. Informs appropriate personnel of equipment needing repair and initiates work requisitions.
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Actively participates in covering the staffing needs of the department.
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Utilizes performance improvement principles to assess and improve quality.
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Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.
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Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance.
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Knowledge of medications and their correct administration, based on age of the patient and their clinical condition and per EMS core curriculum.
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Follows the five (5) medication rights.
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Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills.
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Answers patients' call lights, anticipates patients' needs and makes safety rounds of patients.
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Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients
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Interacts professionally with patient/family.
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Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide
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Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
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Communicates appropriately and clearly to Registered Nurse, Nurse Manager, co-workers and physicians.
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Maintains a good working relationship both within the department and with other departments.
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Documentation meets current standards and policies.
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Manages and operates equipment safely
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Collaborates in the coordination of patient care as necessary.
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Demonstrates an ability to be flexible, organized and function under stressful situations.
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Maintains all required competencies per skills checklist
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Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.
KNOWLEDGE, SKILLS, and ABILITIES
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Radio communications
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EMS dispatching
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Hospital and transport protocols pertaining to the MedFlight transport team
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Patient care and assessment principles within scope of license/certification
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Infection control and safety practices
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Professional communication skills, both verbal and written
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Patient care and assessment skills within scope of licensure/certification
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Analytical and assessment skills
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Prioritizing patient care needs
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Public relations
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Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric
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Communicate clearly and effectively, both verbal and written
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Establish and maintain collaborative relationships
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Work independently and in cooperation with others
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Work with frequent interruptions and changes in priorities
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React calmly and professionally during emergent or difficult situations
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Pay close attention to details
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Push, pull, lift and carry weights when transporting patients and supplies
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Errors in relaying information or discourteous interaction could result in embarrassment and/or loss of integrity, revenue and/or market position for Billings Clinic
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Scope of work encompasses communications with diverse groups of people ranging from public to other health care providers
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May encounter patients with a wide variety of needs requiring quick responses
Minimum Qualifications
Education
- 2 Year / Associate Degree – AAS in Paramedic Medicine
Experience
- 3 years of prior experience in an applicable field within the last 5 years
Certifications and Licenses
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BLS, ACLS & PALS Certification required
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PHTLS or TPATC
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NRP, STABLE
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Montana license/certification as a Paramedic
Other Minimum Qualifications
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Current Montana Drivers license and the ability to be insured to operate BC vehicles
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Must be free of motion sickness or free from a reoccurring history of motion sickness which may interfere with patient care of a critical patient with limited personnel available.
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Must be able to perform minimum qualifications of MedFlight EMT - Basic/Intermediate Level I
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Additional scope of practice responsibilities:
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Basic and Advanced airway maneuvers, including intubation, LMA, video layngoscopy, and cricothyroidotomy
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Medication knowledge and administration
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Pharmacology indications/contraindications/side effects
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IV Medication administration per protocol
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Critical care Medications including ACLS drugs, vasoactive medications
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IV Pump knowledge/utilization
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12- Lead EKG knowledge/interpretation/communication
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Stroke knowledge/identification/communication
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Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered
One Sky Health is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
How this job compares
Set against the 1,340 open Paramedic jobs on Olive Jobs, counted November 14, 2026.
- Pay
- This posting$22.78–28.48/hr
- US median$24–34/hr536 hourly ranges
This range's midpoint, $25.63/hr, is 15% below the US median midpoint ($30/hr) — in the lowest quarter of Paramedic hourly ranges across the US.
- Openings
- Olive Jobs lists 22 open Paramedic jobs in Montana and 1,340 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in Montana
- Global Medical Response5 open
- Bitterroot Health4 open
- Logan Health4 open
- Experience
- This posting asks for at least 3 years of experience; Paramedic postings that state a minimum ask for 2 years at the median (531 postings).
- Education
- 4 of the 1,340 open Paramedic jobs (under 1%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on November 14, 2026. Figures based on too few postings are left out.
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