Pioneer Medical Center

Clinical EMT

Pioneer Medical Center is a 25-bed critical access hospital, essentially the county hospital for Sweet Grass County, Montana: Population 4200. We are in a beautiful valley along the Yellowstone River, between three mountain ranges, just north of Yellowstone National Park. We serve our neighbors (ranchers, skilled trades people and active retirees) and the many tourists who come here on their way to Yellowstone and Glacier National Parks, or to fish the Yellowstone, hike, bike, hunt or just get away from overcrowded places. Big Timber is a vibrant and welcoming small town, an hour from Bozeman and Billings. Our schools are highly rated, with high community support.

Pioneer Medical Center has an immediate opening for a full-time licensed Clinical EMT to join our hospitals patient care team.


The Clinical Emergency Medical Technician will deliver high quality patient care in accordance with their approved scope of practice as mandated by the Montana Board of Medical Examiners, in both the field and clinical environment. An EMT will serve as a member of the Emergency Medical Services team and will work subsequently with other healthcare providers to deliver care the highest degree of care to those in the pre-hospital and clinical setting. A clinical EMT will serve as a team member providing approved assessment and treatment of patients in the clinical and pre-hospital environment. The Clinical EMT will provide assistance in patient assessments, directed treatment, and transportation to appropriately designated facilities. The Clinical EMT is required to participate in the operation of both EMS and clinical departments, including but not limited to, staffing, equipment inspections, education, and training to maintain clinical privileges. The Clinical EMT will act in strict accordance with protocols and procedures established and directed by local guidelines under the Director of Nursing and county Medical Director.





1. Supports and models behaviors consistent with Pioneer Medical Center’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency standards as it relates to the environment, employee, patient safety or job performance.

2. Provides problem solving for situations that require immediate solutions that affect the department’s operation, which may include but is not limited to, staffing on an emergency basis.

3. Maintains a professional manner and shall be able to handle conflict situations with good judgment.

4. Must possess excellent verbal and written communication skills.

5. Provides excellent documentation of patient/incident encounters on the Emergency Medical Services medical record. This includes all associated reports and run logs.

6. Responsible for the daily operation, inspection, and restocking of the ambulance and equipment.

7. Responds within the established time frame to emergencies when on call or duty.

8. Promotes appropriate and accurate leadership qualities

9. Treats patients, public and other healthcare providers and public safety personnel with respect and dignity.

10. Attends and participates in at least seventy-five percent of the EMS/Clinical Department monthly training on an annual basis

11. Maintains competency of all skills and equipment within the scope of practice.

12. Maintains a professional appearance in conjunction with the PMC/EMS Uniform Policy.

13. Assists in the Emergency Department (ED) under the direction and supervision of the ED physician. While assisting in the capacity of an EMT in the clinical environment., procedures must be initiated/directed by the ED provider on call.

14. Maintains competency in all organizational, departmental, and outside agency safety standards in both the pre-hospital and clinical setting.

15. Identifies needs and sets goals for own growth and development.

16. Performs other duties as assigned or identified to meet the needs of the department/organization.

17. Works closely with management and co-workers to identify areas of clinical and procedural improvement




• Common policies and procedures, both organizational and departmental

• Compliance Program

• Code of Conduct

• Regulatory standards (i.e., State Survey, OSHA)

• HIPAA and confidentiality requirements

• Patient’s/resident’s rights

• Patient safety standards


• Professional communication skills, both verbal and written

• Adherence to organizational policies and procedures

• Providing patient and family care with the utmost degree of professionalism

• Maintaining state and local medical protocols and guidelines

• The ability to navigate complex task and procedures

• Providing a wide array of mentorship to colleagues

• Understanding and performing a multitude of procedural tasks

• Maintaining the highest degree of professionalism with allied agencies

• Understanding and practice of ever evolving medical standards


• Incorporate population specific needs into all aspects of communication and patient care

• Professionally communicate clearly and effectively, both verbal and written

• Establish and maintain collaborative relationships

• Maintain confidential information

• Maintain composure in high stress situations

• Strong critical thinking

• Multi-tasking

• Communicate clearly and effectively, both verbal and written

• Establish and maintain collaborative relationships.


• Potential exposure to infections disease

• Working in stressful environments

• Working with challenging patients

• Direct interaction with family members

• Limited providers available for assistance

• Extended patient contact time



• State of Montana EMT license

• AHA BLS Card

• National Registry EMT (Preferred)

• State of Montana EMT Advanced (Preferred)

• State of Montana skills endorsements (Preferred)

• Must be able to pass a background and drug test.



• Must be able to lift 50+ pounds.

• Specific vision abilities required by this position include close, distant, color, peripheral vision, and depth perception.

• Reaching, handling, feeling, talking, hearing, stooping, bending, crouching, walking, standing, and working with equipment.

• Subject to inside and possibly outside weather conditions.


Blood Borne Pathogen Category:

Category I: Tasks that involve exposure to blood, body fluids or tissues.

Category II: Tasks that may involve occasional exposure to blood, body fluids or tissues, but are not a part of the routine job description. Appropriate protective measures are readily available to every employee engaged in Category II tasks.

Look through our website,, the Facebook groups "Big Timber Community" and "Big Timber Buzz” or call our Director of HR at 406.932.4603 for more information about the area and this role.

Pioneer Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, pregnancy, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.'

Job Type: Full-time

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