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Billings Clinic EMT/Ground Paramedic - ED (0.9) in BILLINGS, Montana

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (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 permanent full-time employees (minimum of 24 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 ( for more information ordownload the Employee Benefits Guide ( .

Magnet: Commitment to Nursing Excellence

Billings Clinic 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 ( to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here ( to learn more!

EMT/Ground Paramedic - ED (0.9)



Shift: Varies

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 0.90 = 72 hours (Non-Exempt)

Starting Wage DOE: $20.12 - 23.64

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.


  1. 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.

  2. Ensures adequate supply stocking. Informs appropriate personnel of equipment needing repair and initiates work requisitions.

  3. Actively participates in covering the staffing needs of the department.

a. Utilizes performance improvement principles to assess and improve quality.

  1. Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.

  2. Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance.

Able to perform and document urine dip, urine pregnancy tests and point of care blood glucose

Ability to adequately reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain

Demonstrates ability to perform unit specific competencies. See Skills Checklist

Knowledge of medications and their correct administration, based on age of the patient and their clinical condition and per EMS core curriculum.

Follows the five (5) medication rights.

Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills.

Answers patients' call lights, anticipates patients' needs and makes safety rounds of patients.

Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of

Interacts professionally with patient/family.

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

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

Communicates appropriately and clearly to Registered Nurse, Nurse Manager, co-workers and physicians.

Maintains a good working relationship both within the department and with other departments.

Documentation meets current standards and policies.

Manages and operates equipment safely

Collaborates in the coordination of patient care as necessary.

Demonstrates an ability to be flexible, organized and function under stressful situations.

Maintains all required competencies per skills checklist

Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.


Policy and procedures, both organizational and departmental

Personal computers, hardware and software

Confidentiality requirements

Patient’s/resident’s rights

Radio communications

EMS dispatching

Hospital and transport protocols pertaining to the MedFlight transport team

Patient care and assessment principles within scope of license/certification

Infection control and safety practices

Professional communication skills, both verbal and written

Patient care and assessment skills within scope of licensure/certification

Analytical and assessment skills

Prioritizing patient care needs

Public relations

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

Communicate clearly and effectively, both verbal and written

Establish and maintain collaborative relationships

Work independently and in cooperation with others

Work with frequent interruptions and changes in priorities

React calmly and professionally during emergent or difficult situations

Pay close attention to details

Push, pull, lift and carry weights when transporting patients and supplies

Errors in relaying information or discourteous interaction could result in embarrassment and/or loss of integrity, revenue and/or market position for Billings Clinic

Scope of work encompasses communications with diverse groups of people ranging from public to other health care providers

May encounter patients with a wide variety of needs requiring quick responses

Minimum Qualifications


2 Year / Associate Degree – AAS in Paramedic Medicine


3 years of prior experience in an applicable field within the last 5 years

Certifications and Licenses

BLS, ACLS & PALS Certification required



Montana license/certification as a Paramedic

Other Minimum Qualifications

Current Montana Drivers license and the ability to be insured to operate BC vehicles

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.

Must be able to perform minimum qualifications of MedFlight EMT - Basic/Intermediate Level I

Additional scope of practice responsibilities:

Basic and Advanced airway maneuvers, including intubation, LMA, video layngoscopy, and cricothyroidotomy

Medication knowledge and administration

Pharmacology indications/contraindications/side effects

IV Medication administration per protocol

Critical care Medications including ACLS drugs, vasoactive medications

IV Pump knowledge/utilization

12- Lead EKG knowledge/interpretation/communication

Stroke knowledge/identification/communication

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more (

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.