NIM Medical

02/03/2026

Job Posting:
Please send resume to contact@SoDakMedicalManagement.com

Looking for Full Time permanent EMTs / Paramedics. These positions support the mission, values, and clinical needs of Cheyenne River Health Center Ambulance and IHS. EMTs / Paramedics will provide emergency medical care in the 911 and IFT setting via ambulance staffing support under the direction of Sodak Medical Management and the CRCH Ambulance Director. EMTs / Paramedics will also provide support to the Emergency Room as needed and directed.

CRHC Ambulance has an approximate call volume of 6-12 calls per 24hr period. Due to the remote / rural nature of the location, EMTs / Paramedics should expect to have significantly extended treatment times, with some IFTs extending as long as 5 hours with the patient. Patient acuity is variable, ranging from BLS to Critical Care. EMTs / Paramedics should be comfortable with a broad range of patient types, needs, care modalities, emergency 911, and critical care medicine.

Shift Schedules: 2 or 3 week rotations available (2 week on / 2 week off, 3 week on / 3 week off)

FTE include health, vision and dental benefits, and PTO (company covers 50%)

Housing is provided by Sodak Medical Management while on rotation.

EMT base pay of $26.42hr (approximately $72,800.00 annually)

Advanced EMT Certification Base Pay $29.00hr (approximately $80,000.00 annually)

Paramedic base pay of $36.33hr (approximately $100,000.00 annually)

Critical Care / Flight Certification Base Pay increase to $40.00hr (Approximately $110,000.00 annually)

All OT accrued is paid at 1.5x base pay
On-call shifts are paid at $3.00hr

Travel is not covered by employer

*Sunrise is from the ambulance bay

08/05/2025

07/28/2025

Enjoyed some underground time with SURF! It’s always enjoyable collaborating with locals in your hometown!

Photo by Stephen Kenny Home News SURF Emergency Response Team Hones Ro... SURF Emergency Response Team hones rope rescue skills with local experts The conveyances at SURF routinely travel a mile below the surface. This means trained rescue professionals are essential, as they can quickly get people....

07/03/2025

Reposting our previous announcement from February.

We’re looking for EMTs and Paramedics interested in a PRN position that could and likely will expand into a permanent position with benefits. (Permanent position is NOT available at this time, but described below). Opportunity to work 3 weeks on and 3 weeks off and likely additional days / hours available throughout the summer.

HIRING PROCESS:
1. Send a resume (in pdf.) via email to the following: contact@nim-medical.com
2. Phone interview
3. Training / FTO

Please do not apply through messaging.

Answer to question we received from our previous announcement:
-Travel is not a covered to and from site, but we do provide a vehicle. There is no per Diem for travel

-We have very little turnover in our staff and are looking for coverage during the Wildland fires season and due to an increase in activity / hours.

-Night shifts and mid-shifts are the only shifts available at this time.
-700 - 1900, 2100 - 0900, 1200 - 2400

Hiring EMTs & Paramedics - Resumes will be collected for 5-days prior to reaching out to any potential candidate.

NIM Medical / SoDak is hiring EMTs and paramedics that provide staffing support to the Cheyenne River Health System and IHS Ambulance (Eagle Butte, South Dakota). These teams work in extremely rural / austere environments supporting the existing full time HIS staff and infrastructure. The community we help support is uniquely impoverished with a high public health need and very little resources.

EMTs and Paramedics should be prepared to work in unconventional ambulance environments with an extremely high level of patience and adaptability. EMT’s and Paramedics should also be prepared to provide care for long durations (up to several hours in an ambulance), be comfortable operating independently, and critically thinking in an autonomous capacity. This requires our EMTs & Paramedics to be confident, physically fit, and highly adaptable.

Staff are hired as either PRN (as needed) or full-time employees with typical annual W2, worker’s comp, and bi-weekly payroll. Full-time employees are also eligible for health benefits. Typical rotations are typically at least 1 week (working 12hour shifts each day) up to 3 weeks. Full time rotations are often 1/1, 2/2, or 3/3 weeks on and off. Lodging is provided while on-site. Travel costs to and from site are NOT covered.

Call volume is typical 3-8 calls per 12hr shift with a high mixture of BLS, ALS, and critical care acuity. While not engaging in 911 or IFT, staff have the opportunity to work and assist in the Emergency Room with physician staff.

SALARY

EMT:
- Minimum of $400 / day (paid hourly with OT - $26.42)
- Approximately $72,000 a year for full time staff
AEMT:
- Minimum of $440 / day (paid hourly with OT - $29.00)
- Approximately $80,000 a year for full time staff
Paramedic:
- Minimum of $550 / day (paid hourly with OT $36.33)
- Approximately $100,000 a year for full time staff
Critical Care Paramedic or Flight (CCT / FPC)
- Minimum of $605 / day (paid hourly with OT - $40.00)
- Approximately $110,000 a year for full time staff

REQUIRED CERTIFICATIONS:
- EMT or Paramedic (NREMT)
- ICS 100, 200, 700, 800
- High level of physical fitness
- BLS, ACLS, PALS

PREFERRED CERTIFICATIONS:
- AEMT (for EMTs)
- CCT / FPC (for paramedics)
- TCCC or TECC
- Austere, disaster, global health, or similar medical experience

06/23/2025

Another week, another opportunity to improve yourself!

Put in the work today, so you can meet the demands of everyday work, tasks, and activities! 💪

"Today I will do what others won't, so tomorrow I can accomplish what others can't" - Jerry Rice

06/16/2025

Endurance🏃

This week we are focusing on building and increasing stamina. Pace and push yourself through these workouts!

Have some fun and embrace the growing pains!

06/10/2025

The HEAT is turning up!

As the weather warms up, continue to keep up the great work!

Reminders for when working out in the heat:
💧Get plenty of fluids
🧃Make sure to incorporate electrolytes
🍌Fuel properly before and after a workout
🧊 Know your body's limits, if you you feel overheated/dizzy, take a break, cool yourself down

Let's got team! 💪

06/06/2025

May is a busy month for NIM. In addition to public RRT courses and our annual Wildland Fire Medicine Academy, we provided Rope Rescue training for the Park Rangers at Devils Tower. What an amazing place to go to work! So grateful for such an experienced group of park rangers ready and willing to be there for you!

06/02/2025

We are BACK! And kicking off June! 🔥

Towards the end of May we completed our PT and Arduous Pack Test, each test was filled with great effort and impressive performances. 👊

As we shift into fire season, our workouts will focus on functional fitness, with the overall goal of keeping you healthy and fit for your line of work! These workouts can be completed just about anywhere, requiring very little to no equipment!

Let's keep up our fitness together!

05/10/2025

05/05/2025

This week is all about getting primed and ready for your PT and Pack Tests!

Get this week of solid training in and get stoked for the results that you earned!🤘

“You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose. You're on your own. And you know what you know. And you are the guy who'll decide where to go." - Dr. Suess

04/28/2025

Kickoff too May!

The time is here, let's make every day count!⌛️

"Just believe in yourself, even if you don't, just pretend that you do and at some point, you will". - Venus Williams