Job Description

Are you ready to work where breathtaking mountain views meet exceptional care?

At Bitterroot Health, we combine the beauty of Montana's Bitterroot Valley with our commitment to high-quality, personalized healthcare.

As the largest employer in Ravalli County, Bitterroot Health is deeply woven into the fabric of the Bitterroot Valley, offering accessible care and building lasting relationships with our neighbors.

Located in Montana’s scenic Bitterroot Valley between the Bitterroot and Sapphire Mountains, we offer rewarding careers paired with an exceptional outdoor lifestyle. Enjoy top-rated schools, a safe, family-friendly community, and year-round recreation including hiking, fishing, skiing, biking, and access to nearby rivers, trails, and lakes in one of Montana's most stunning regions.

Our Employee Connections & Wellness Team is dedicated to supporting our staff by providing resources and activities that promote occupational, physical, emotional, social, and inclusionary well-being. We believe that your happiness is key to success, which is why we also host regular employee gatherings to foster community and connection.

Grow with us! From tailored pathway training in nursing, laboratory, and surgical departments to scholarships and tuition reimbursement, we are invested in your success.

Join a team recognized for excellence! See for yourself HERE! Named a 2025 top 20 in the nation Critical Access Hospital by the National Rural Health Association. Voted 'Bitterroot’s Best Employer' in 2022 and 2023, we were also honored as the #1 Employer of Choice for large companies in Montana in 2023.

If you're passionate about making a difference in healthcare while enjoying the unmatched beauty of Montana, Bitterroot Health is the place for you. Discover the rewarding career you deserve—apply today!

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.

For benefits overview, click here.

Bitterroot Health is a non-profit organization and is proud to be an Equal Opportunity Employer