Pioneer Medical Center

Ambulance Manager

Pioneer Medical Center is essentially, the county hospital and the only ambulance service for Sweet Grass County, Montana: Population 3700. 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 Ambulance Manager to join patient care team.


Responsible for the overall staffing and operations of the PMC Ambulance service. Preparation and coordination of training functions for the ambulance service. Provides out of hospital care under the medical control of the Ambulance. Provides leadership for quality improvement and implementation of procedures and practices relating to the EMS system.


1. Responsible for the overall staffing and operations of the PMC Ambulance service.

2. Responds to ambulance emergency calls and transfers during regular working hours.

3. Provides out of hospital care when patient transport is indicated according to written protocols and procedures and under the supervision of medical control.

4.Through continuing education, maintains a current, up to date working knowledge of Paramedic/EMT issues and practices.

5. Coordinates initial and continuing education for ambulance service.

6. Responsible for the ambulance department annual budget.

7. Performs other duties as assigned or as needed to meet the needs of the department.

8. Responsible for coordinating and functioning as lead for EMS/CAH emergency preparedness including but not limited to,

Emergency Management Plan, Disaster Management Plan, participation in local emergency preparedness committee, and coordination of documentation.

9. Participates in management team activities and duties.

10. Ensures that EMS staff maintain appropriate certification(s).

11. Assures that EMS equipment and EMS Station are always maintained in good working order and clean.


1. Specific knowledge of Ambulance policies and procedures

2. Will gain specific knowledge of PMC EMS/ED policies and procedures as well as billing practices.

3. Applicable regulatory standards and requirements (MT Pre-hospital Protocols)

4. Prehospital and ED patient care, planning and assessment within the applicable scope of practice

5. HIPAA Confidentiality requirements

6. Patient and resident rights

7. Medical terminology

8. Location of ED supplies and equipment

9. Aseptic techniques

10. Fire safety and biohazard procedures

11. OSHA standards

12. Electronic Medical Record related to EMS patient care reports and ED patient care reports.

13. Knowledge of EMS billing practices


1. Interpersonal skills necessary to interact with volunteer, patients, families, providers, and nursing staff

2. Demonstrates empathy and sensitivity necessary to elicit patient cooperation and allay apprehensions

3. Performing patient care and treatments within scope of practice

4. Documentation of patient condition, vital signs, patient care and response to care


1. Communicate clearly and effectively both verbally and in writing

2. Incorporate cultural diversity and age-appropriate care into all aspects of patient care and communications; scope of services will encompass age groups ranging from infant through geriatric

3. Utilize critical thinking skills to provide excellent patient care as well as improve the EMS offerings

4. Respond calmly and professionally in difficult situations and when dealing with difficult patients and/or family members

5. Lift a minimum of 50 pounds


1. Professional conduct required when dealing with EMS Staff, patients, families, providers, and nursing staff

2. Performs within the scope of practice

3. Ability to prioritize duties and care in stressful circumstances


1. Current Montana Driver’s License

2. Lead instructor endorsement or achieving endorsement within 12 months

3. 3 years ALS experience; Local EMS system preferred


1. Associate Degree in an appropriate field


Normal patient care environment with little exposure to excessive noise, dust, or extreme temperature. Regular exposure to odors and difficult patient care activities.

Category III: Tasks that may involve occasional exposure to blood, body fluids or tissues, and Category I tasks. Coordination of Ambulance and PMC duties to include responsibility for on-call shifts as appropriate. Out of town and some out of state travel will be required to maintain proficiency of knowledge and skills. This position is exempt for purposes of FLSA overtime

Look through our website,, the Facebook groups "Big Timber Community" and "Big Timber Buzz” or call our HR Manager at 4O6.932.46O3 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 (1.0 FTE)

Salary: Starting at $54,080.00 annually

How to Apply: Complete application at and email to HR at

Call 406.932-4603 with any questions.

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