Description

ALS Paramedic or Critical Care Paramedic – Ground Transport

Location: Boise, Idaho

Schedule: Full-time or Part-time (48-hour schedules available)

About Ascent

Ascent Medical Transport is a clinician-led, high-performance EMS agency built to raise the regional standard of care. We're expanding rapidly – our partnerships and facility contracts are growing, and with them, our need for exceptional talent. Every decision we make is rooted in clinical excellence, patient safety, and the relentless pursuit of better.

If you're a critical care professional who thrives on growth, accountability, and being part of something special – you'll fit right in. If you're not wired to give your best every day, this isn't your place.

Why Ascent

We're not another transport company. We're a team of elite clinicians building something rare – a culture that rewards skill, attitude, and purpose. You'll work alongside seasoned leaders and medical directors who have built and led some of the top air and ground critical care programs in the West. At Ascent, you'll operate in an environment designed to let you practice at the true top of your scope, with advanced protocols, rigorous training, and continuous growth opportunities.

Ascent is growing quickly, and the clinicians who join us now will define what comes next.

What You'll Do

• Deliver advanced life support (ALS) and/or critical care transport (CCT) for high-acuity patients, managing advanced ventilatory, hemodynamic, and pharmacologic support in coordination with sending/receiving facilities.
• Apply advanced clinical judgment under the oversight of standing orders and direct medical control.
• Operate as part of a Critical Care Team (Paramedic + RN or CC Paramedic + Paramedic), maintaining clear, disciplined communication in high-stakes environments.
• Uphold Ascent's uncompromising standards of safety, documentation, and professionalism.
• Participate in QA/QI initiatives, case reviews, and continuing education to ensure clinical excellence.

What We Offer

• Competitive pay reflective of experience and certification level
• Relocation assistance and/or sign-on incentives available for the right candidates
• Medical, dental, and vision coverage
• Advanced clinical training, mentorship, and continuous education pathways
• A culture that values excellence, humility, and integrity above everything else

Ready to ascend?

We're building Idaho's premier critical care transport program. If you have the skill, mindset, and heart to help us redefine what ground EMS can be, apply today.

*Must be able to pass a background check and drug screening prior to employment or deployment.

Requirements

ALS Paramedic:

• Idaho Paramedic License or Compact/Replica state compliant; NREMT-P strongly encouraged
• BLS, ACLS, and PALS certifications (required); PHTLS or ITLS preferred
• Minimum 1 year field experience (ALS or critical-care transport experience ideal)
• Will consider less than 1 year for the right candidate
• Exceptional clinical skills, clear communication, and sound judgment under pressure
• A positive attitude, team mentality, and drive to constantly improve
• Clean driving record and willingness to work flexible schedules, including nights/weekends

CCT Paramedic:

• Idaho Paramedic License or Compact/Replica state compliant; NREMT-P highly recommended
• FP-C, CCP-C, or CCEMT-P certification preferred (or completed within 6 months of hire)
• BLS, ACLS, PALS, and PHTLS/ITLS required
• Minimum 3 years ALS experience, with at least 1 year critical care or flight transport experience preferred
• Proven mastery in airway management, ventilator operation, vasoactive medication titration, and critical decision-making
• Advanced heart failure management through IABP/Impella preferred
• A growth-oriented mindset, teamwork, and commitment to excellence
• Clean driving record and flexibility for varying shifts