Open Positions

The Hot Springs Ambulance is a rural ambulance service in southwestern South Dakota and is searching for an operations manager to lead our team. 

Key Responsibilities:

  • Scheduling & Personnel Management: Coordinate employee schedules and handle day-to-day personnel issues, including hiring, onboarding, and employee relations.
  • Health & Compliance: Oversee employee health insurance, legal compliance, and licensing for services and personnel.
  • Training & Development: Manage the training room, oversee employee training, and coordinate clinical scheduling with educational partners.
  • Board & Meeting Management: Prepare agendas, minutes, and notifications for board and advisory meetings, and represent company in external group meetings.
  • Financial Oversight: Assist with tax preparation, bookkeeping, grant management, and budget preparation.
  • Maintenance & Purchasing: Coordinate equipment maintenance, vendor relations, and purchasing of operational supplies.
  • Legal & Community Relations: Work with attorneys on legal issues, maintain community engagement, and manage social media updates.
  • Security & Safety: Manage security systems, narcotics inventory, and collaborate on emergency management drills and disaster operations.
  • Program & Event Coordination: Oversee community programs, advertising, school outreach, and event planning.
  • Operational Oversight: Ensure smooth operations across all areas, addressing any other duties as needed

Preferred Skills: Licensed Paramedic in South Dakota, Leadership experience, Degree in Management preferred.

Pay & Benefits: The base salary range for this role is determined by a few factors, including but not limited to skills and scope required, relevant licensure and certifications, and unique experience and job-related skills.  The base range for this role is $60,000 -$70.000.  Health Insurance, Medical Leave, Vacation Leave, paid training and an excellent crew to lead and manage. 

Hot Springs Ambulance Service, Inc. is an Equal Opportunity Employer 

To apply: Send cover letter and resume to PO Box 927, Hot Springs, SD 57747, or email at hsas272@gwtc.net  

McCook County Emergency Medical Services

We are looking to fill a full-time EMT-B/EMT-A or Paramedic position.


McCook County EMS Inc. is a Family owned and operated ALS ambulance that has been in service for over 40 years.  Located in Salem South Dakota, just off I-90 between Sioux Falls and Mitchell. We are an ALS Ground Service that serves all of McCook County and part of Hanson, roughly 7 communities.  We are looking to add another full-time position. Our service typically runs around 400 calls a year.  Employees are paid Salary and based on experience. You are not required to remain at the station while on call but must remain and live within city limits.  Must have High School Diploma or equivalent (GED), Current NREMT Certified, South Dakota EMT Eligible, Valid Driver’s License, Pass background check and Medical Assessment. Must be able to always provide excellent customer service, must be flexible, can adapt to a constantly changing work environment, the ability to communicate clearly, and make independent decisions.

More information:

  • Salary DOE  
  • Health insurance provided 100% paid.
  • 401K with Match
  • Must live within the city limits of Salem.

Contact Information:
Brad Stiefvater Jr  President
McCook County EMS Inc.
Office: 605-425-2085
Cell:  605-421-8392
Email: Mcems2@triotel.net

Want to add your job opening to this page? 

Contact Lance Iversen at Lance.Iversen@state.sd.us