EMS - Community Integrated Health Emergency Care Provider (102726) FULL TIME

Bitterroot Health; Hamilton (MT); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Full benefits package

Job summary

Bitterroot Health is expanding its Community Integrated Health Program in Hamilton, Montana, seeking an Advanced EMT or Paramedic who will visit patients at home and manage chronic conditions with telehealth and remote monitoring. The role emphasizes assessment, teaching, and ongoing relationships with patients.

The position is full-time, autonomous, and grant-funded through 9/15/2027, with potential continuance based on program performance.

Qualifications

• Minimum qualifications include a High school diploma or equivalent, Montana ECP license at AEMT or Paramedic level in good standing, CIHC endorsement or willingness to obtain, and current BLS/CPR certification.
• Able to operate within the full Montana scope of practice including necessary medical devices and telemetry.

Responsibilities

• Visit patients in homes including houses, ranches, and assisted living facilities for CIHC program follow-up.
• Conduct post-discharge follow-ups: medications, wound care, vitals, and reassessment.
• Facilitate telehealth visits in the patient’s home and report assessment findings.
• Deploy and maintain remote patient monitoring equipment.
• Provide patient education on chronic disease management and self-care.
• Deliver care within scope and coordinate with physicians and hospitals.
• Escalate when patient needs exceed scope and coordinate with EMS Medical Director.
• Complete program documentation and data reporting required under grant.

Skills

Assessment

Patient education

Telehealth coordination

Remote monitoring

Education

High school diploma or equivalent

Montana ECP license (AEMT or Paramedic)

CIHC endorsement at AEMT or Paramedic level

BLS/CPR certification

Montana driver’s license

Tools

Telehealth

12-lead ECG equipment

Job description

Community Integrated Health Emergency Care Provider opportunity in beautiful Hamilton, Montana!!

Bring your EMS skills to a different kind of call

Bitterroot Health is building out its Community Integrated Health Program, and we are hiring an Advanced EMT or Paramedic who wants to practice differently. Instead of responding to an emergency and handing the patient off, you will follow them home.

In this role you visit patients where they live including houses, ranches, assisted living, and trailers at the end of long gravel roads. You check on the CHF patient who was discharged four days ago and is not sure which of her pills she has already taken. You change a dressing, so a rancher does not drive forty minutes to the clinic for it. You set up a blood pressure cuff that transmits readings to his care team and sit with him until he can use it himself. You open a tablet, get a provider on screen, and be the hands and eyes in the room during that visit.

The work is autonomous, unhurried compared to a rig, and built around the same patients’ week after week. If the part of EMS you like best is assessment, teaching, and relationships, this is the role for you!

What you do

• Examine, screen, treat, and coordinate services for patients enrolled in the Community Integrated Health program
• Conduct post-discharge follow-up visits: medication reconciliation, wound and dressing care, vital signs, and reassessment
• Facilitate telehealth visits in the patient’s home including setting up the encounter, reporting your assessment findings, and troubleshooting the technology
• Deploy, teach, and maintain remote patient monitoring equipment
• Provide patient education on diabetes, hypertension, CHF, COPD, nutrition, fall risk, and geriatric frailty
• Deliver care within your scope of practice, under EMS Services Treatment Guidelines, provider orders, and the CIHC patient care plan
• Escalate promptly when a patient’s need exceeds your scope, and stay in regular contact with the EMS Service Medical Director
• Coordinate appointments and follow-up with physicians and hospitals
• Complete program documentation and the data reporting required under the grant

Scope of practice

You will practice at the full Montana scope of practice as defined by the Montana ECP Scope of Practice Document, including airway management and CPAP, supraglottic airways, IV and IO access, non-medicated IV fluid maintenance, blood glucose monitoring, venous blood sampling, 12-lead ECG acquisition and transmission, splinting, and AEMT-level medications, among them albuterol and ipratropium, epinephrine, naloxone, glucagon and dextrose, ondansetron, parenteral NSAIDs, nitroglycerin, aspirin, acetaminophen, thiamine, and immunizations.

Endorsements expand their scope. If you hold the AEMT Medication Endorsement or AEMT-99 Endorsement, bring them. If you do not, we will support you in earning them. A full scope of practice summary is included in the job description.

Minimum Qualifications

• High school diploma or equivalent
• Current Montana ECP license, at the AEMT or Paramedic level, in good standing
• Community Integrated Healthcare (CIHC) endorsement at the AEMT or Paramedic level, or willingness to obtain one within six months of hire, we will help you get there
• Current BLS/CPR certification
• Valid Montana driver’s license and an excellent driving record
• Sound judgment, comfort working independently, and the self-awareness to know where your scope ends
  Preferred Additional Qualifications
  • Two or more years of field EMS experience
  • AEMT Medication Endorsement, AEMT-99 Endorsement, or Paramedic
  • Experience with chronic disease management, home visits, or care coordination

  Schedule: Full-time, 40 hours/week

  Benefits: This position is eligible for the full benefit package

  This is a grant funded term position. Employment is expected to run through 9/15/2027, with continuation contingent on renewed RHTP award funding and program performance. Bitterroot Health intends to pursue continuation funding and, where the program demonstrates results, to sustain the role beyond the grant period. We would rather tell you that plainly up front than bury it in an offer letter.