emt-basic

paramedic

emergency medical technician

dispatcher

membership sales

.
Where do I even start, just like the title says back breaking and stressful environment. So every AMR is different in each city but the review is for the AMR in HOUSTON TX. The AMR in Houston TX is a joke, there fleet is old and worn out, engine lights are on in just about every vehicle. They just started to get SOME new ambulance and the mechanics just got two new trucks. still no new wheelchair vans. There's only one good working wheelchair van but the rest are junk. Sometimes the wheelchair lift stops working so you have to manually pump the lift up/down. There's no radios in any of there fleet. Instead they give you a cheap  phone which is how you receive your calls and communicate with dispatch. Sometimes the phones go out of service and the ODS(on duty supervisor) will tell you to use your personal phone to receive your calls. The Dispatchers for Houston are wishy washy a lot of times especially the females.  

The Dispatchers will text you while your driving and expect you to text back. Its not a problem for the EMT's since its two of them but for the wheelchair drivers its only one of them In a truck. Dispatch does not check the address for you, they just see it as a address. your responsible to make sure the address is correct, if its in a bad neighborhood, or in the middle of nowhere. At times they will give you last minute call all the way cross town knowing that your shift is about to end in 10mins and still have to refuel and wash the truck.


 The dispatchers act like babies some times because if you don't do something a certain way they will call ODS on you. Both ODS and the dispatch will rush you to get back in service so you keep doing more calls. They don't care what just happen to you in the previous call just get back in service and get to the next call,  and make Memorial Herman Hospital's Happy. Most times ODS will side with Memorial Herman before they side with you since Memorial Herman is AMR's biggest contract. The hospitals will some times give you patients that have use the bathroom on themselves even though they knew you were coming to pick up this patient they decided not to clean the patient up for you. You will get patients that will throw up, use the restroom on themselves in the vehicle. You don't get paid enough to clean up behind patients. Also they'll try to make you take a patient knowing that patient should not be going by wheelchair, the EMT's/Paramedic's think there better than the wheelchair drivers, they treat them as if they work for a different company. EMT's get attitudes when the patient cant go by wheelchair so they have to go by stretcher. The work environment for AMR in Houston is just stressful and unwelcome. All the Hospitals care about is you getting the patient out the hospital so they can have another room open.


 I feel sorry for the Wheelchair drivers cause the hospital will try to put a patient that is 350 plus or cant even walk. How do they expect a wheelchair driver that's by themselves to lift 300 pounds or a patient that cant walk? The description for a wheelchair drive is to transport the patient safely in a timely matter and make sure the patient gets inside there home safely. But that's just not the case. AMR does not mention that you will have to lift/push to get the patient inside the home then lift them in bed. keep in mind the patient has a strong odor of urine or feces on them and you better hope the patient can walk cause if not your going to have to lift this patient by yourself.  Sometimes the patient home is REALLY filthy and disgusting with trash, bed bugs, Roches, etc. Just not worth the pay. 

But I like I said all the hospitals care about is getting the next room ready.  ODS says AMR in Houston ran more calls than any other companies in the past years but yet 95% of there fleet/equipment is old. ODS will ask you can stay on and do a 24hr shift or 36. They rather you drive and be tired than to call off. If your thinking about becoming a EMT, Paramedic, or Wheelchair driver for AMR make sure you do your research on the location to make sure they have good equipment/fleet and the pay is good. After 6 months on the job I decided to leave cause the AMR in Houston TX is complete joke. I still talk to some of the wheelchair drivers that work there and from what I heard, nothing has change other than them putting cameras in the truck.

If you're looking for a place to make some money and don't mind being a mindless robot, this is the place for you. If you think you have a special skill-set and have something to offer to the organization and feel like you're going to come in and make an impact - do a quick reality check.

AMR is known nationally as a meat grinder for a reason. Perhaps my viewpoint is skewed because I've on had experience at one location, but from what I've seen in the Richmond area, there is a reason this culture persists. From day one you will see how disingenuous the management staff is and you will also immediately see how unfriendly the general staff is as well. From the minute you walk in the door, to this small, dark room that is 4'x8' and have to ring a door bell to announce your arrival (and then wait what seems like forever for someone to come let you out of the cage to acknowledge your presence) and then led out through the building to their interview area, you see immediately that their focus is not on making good impressions. During the interview you will quickly notice that they are just going through the motions with the questions they ask. If you act like you have a clue and can pass off that you have a pulse...you're hired.

The culture at AMR is focused on one thing and one thing only - run the calls. The fleet guys are busy as they can be trying to keep the quickly aging and ill-equipped trucks running. You'll be given a truck that is stocked to State standards, a tablet (functional or not is debatable) and a radio and sent out to take folks from point A to point B for the next 10 to 12 hours. While getting off on time is only a suggestion for this industry, these guys take it to the extreme and don't really care how late you're kept out. So don't plan on making it to the kids evening school play or to date night with the significant other, because it likely won't ever go as planned.

Management - I'll tread lightly here because I realize there is a whole different aspect to what they do. But to see those who are responsible for making your life pathetic sometimes would lessen the negative effects a bit I think. While they say they "get it" and are trying some new things and initiatives to make things better, it will take an extended track record to convince most who have spent any amount of time here.

In closing, know what you're walking into here. Go in with a mindset that you ARE just a number and a certification. Speaking of certification - if you're an EMT and you go to AMR Richmond, be prepared to eventually find yourself with "driver only" partners! This makes for a looonnng day or night when you're the one who has to ride every call and then type out your report on a barely functional tablet...without a keyboard. Don't go in there to save the world and make changes to the way they do things, because that's not how it works there. Go give rides in your ambulance, write a halfway believable narrative that will pass muster for billing purposes and then go home. That's your job and nothing more...and they'll help you to remember that in case you get any big ideas and forget.

A typical day for me would to begin billing and coding ambulance trip tickets, beginning with the earliest date of service. This task includes verifying/updating the patient demographics and insurances, followed by selecting the correct condition/ICD-9/CPT code, charges and trip messages.

I've learned many aspects of front and back end billing, such as obtaining correct information for pt demographics/insurances, verifying, coding, billing, contacting patients/facilities for insurance purposes, calling for trip authorizations, verifying valid PCS' to name a few.

The people in management do the best they can with the direction they get. This is a fast paced job, with lots of deadlines to meet and rules to follow, so I know it gets stressful. I'm sure, just like anybody, thinks there are better ways to do some things, but you work with the tools you're given and make the best of it.

My co-workers are amazing people and I've really enjoyed getting to know, and work with them! They are some of my best friends, and I love the way we can work as well as we do, together.

Working at AMR has conditioned me to become acclimated to a very fast-paced environment, so daily stressors, are for the most part, "the norm". However, if I had to choose something difficult, it would be to keep up with the various e-mails we get on a daily basis. These e-mails contain new direction we are to take, concerning any number of the insurances we work with, as well as from management; "do this now", "cease doing that", type of thing. It sometimes gets confusing, so I post notes on and around my computer to keep those reminders in view until they sink in. Something else that I consider to be stressful, is when we catch up on work and need to switch gears. By this, I mean if everything on front-end has been completed, then some of us go to the back-end, or follow-up, to continue to do work there. Sometimes we will do work for different areas for a few days, and this comes with a whole new set of rules, along with emails that begin coming for those areas. It helps to take good, notes!

I would have to say that the most enjoyable part of my job, is knowing that I'm doing it well! For example, seeing the numbers we bring in, having a good close at the end of the month and getting the recognition for the hard work that we do. I also enjoy the feeling I have, knowing that our patients are getting clean claims, with the correct discount contract codes, adjustments, etc...I take pride in my work and am proud that I have withstood 3 major lay-offs at our company, in the 3 1/2 years that I've worked there.

I've also heard in several meetings thoughout the years, that other companies find AMR employees very desirable due to our ability to adapt.

My typical day at work starts with checking off an ambulance, it is easy to resupply the trucks and the equipment works most of the time. Our posting plan is good when the dispatchers follow it. Some of the dispatchers play favorites which is normal for EMS. In the past, a quick call to the dispatch supervisor or field supervisor would take care of it which is not currently the case at AMR. The dispatch lead supervisor is a master at playing favorites. She will move trucks for no other reason but to show favoritism or to cause crews grief. Most of the field supervisors are really great and support the crews. We have a wonderful training department and they provide interesting classes along with required training. The hourly pay is different for every division in Georgia. My paycheck is pretty good even if it is $5.00 less than someone with the same certification and experience working in a different division. Of course, the most enjoyable part of my job is helping people and making a difference. I have to put this out there for all the future employees. If you decide to work here, just FYI, there are untouchable employees that have years of seniority. They can get away with practically anything with no repercussions. It is kind of like if you were living in the Jurassic period, don't draw attention, be friendly and don't engage them. Also, sort of like High School gossip. If you do end up making one of them mad, you might as well put in your 2 weeks or transfer to another division. Their toxicity will continue and spread to everyone you interact with at work including hospital staff, Firefighters, dispatchers, supervisors and upper management. They are professional morale busters. But if you can stay under the radar and never expect anything from upper management, AMR is a great company. I would recommend working here to anyone with the above stated warning attached.
One of the problems with AMR North Fulton was the Operations Manager but he is no longer employed at AMR. No reason for termination was provided to the field crews. The list of possibilities is endless. The guy that manages all of South East Georgia seems alright. I don’t know him well but I do know he appointed the wrong person to run point until a new manager is hired. I think AMR has the potential to be rated as top employer. We just need an Operations Manager that knows how to lead and inspire people. A manager that is smart enough to find a solution to repair the damage that was done by his predecessor. We need a leader that is honest, fair, ethical and respectful to the crews. If you are interested apply online, but only if you have a least two of the above qualities. I’m excited about the change in leadership and how things will improve overall. 


My first job as an emt. Started with field training officers that were encouraged to “put the fear of god” in new hires, who likely never worked in this field before, are still learning the lingo and operations. Pay was extremely low compared to the living wages need. Just barely over minimum. Though you can work as much as you want because they cant keep anyone. Turn over rate is excessive. Till summertime when they slow down and so there’s zero over time and if you dont elect to go home they force you to become a car washer (we had to deep clean the ambulances or GO home). No clear guidelines were given during training as far as how long you’re allowed to be with a patient you’re picking up at the hospital (you have 30 minutes to get the patient you’re transporting if it takes longer you’re required to call and tell dispatch- mind you-
They dont show you around the local hospitals you’ll be picking patients up from nor are you given any kind of map) you’re also only allotted 30 minutes to drive from one spot to another even if its rush hour and you’re going from one county to another. Dispatch is constantly required to force you to update your status even though they can see you on their map “fleet eyes”. But the dispatch supervisor wants it said on the radio so its recorded on a line. 
They only use 1 radio tac for all radio traffic which includes the ambulances who are apart of the city and county 911 system. Airways are so jammed people are walking all over eachother and cutting eachother off. Leaving so much opportunity for an emergent situation like a vehicle accident to occur and for dispatch to miss it leaving crews vulnerable. 
Crew chiefs yell and curse at crews and dispatchers (even on recorded lines). They run out of medicine like BENADRYL and narcan but still send crews out anyways. Equipment is horrendous. They force crews to be in service for start of shift after 15 minutes which is barely enough time to confirm all equipment is on board and working properly. 
For transfers from hospital to hospital or hospital to facility theyll accept insurances knowing they arent the insurances first provider leaving the patients potentially getting full bills instead of making hospitals follow appropriate procedures and go through the insurance first due to the fact they dont want to upset the hospital and loose their contract. 
God forbid you have a medical emergency yourself at work because they will charge you full price for the ambulance ride AND give you a point on your attendance record for leaving early. 
People who are in the inner circle get to hang out in the office instead of running calls.
I could go on. 
Best choice I made was leaving.

A typical day as an HR Business Partner at AMR is fast-paced and dynamic. My day includes supporting field leaders and operations with employee relations matters, coaching on performance issues, ensuring policy compliance, and partnering on staffing and engagement initiatives. No two days are exactly alike, which requires flexibility and the ability to respond quickly to operational needs while still managing longer-term HR strategies.
Over the past two years, I have significantly strengthened my ability to manage complex employee relations situations, build trust with leaders, and balance business needs with employee advocacy. I’ve gained a deeper understanding of healthcare operations, particularly in a high-reliability environment, and developed stronger skills in influencing, communication, and problem-solving. This role has also reinforced the importance of timely follow-up, documentation, and consistent processes.

Management has been supportive and gives me the autonomy to make decisions while still being available for guidance when needed. There is a strong expectation of accountability and ownership, which has helped me grow professionally. Leadership encourages collaboration and continuous improvement, although like any large organization, there are opportunities to strengthen consistency in communication and recognition across teams.

The culture at AMR is mission-driven and centered on patient care and operational excellence. There is a strong sense of teamwork, especially between HR and field operations, which is critical in a 24/7 environment. Employees are dedicated and resilient, and there is pride in the work being done. The pace can be demanding, but it fosters a culture of accountability, adaptability, and support.

The most challenging part of the role is balancing competing priorities in a high-pressure environment. Supporting a 24/7 operation means addressing urgent issues while still driving strategic HR initiatives. Navigating complex employee relations situations and ensuring consistency across multiple leaders and locations can also be challenging.

The most rewarding part of my job is building strong relationships with leaders and employees and helping guide them through challenges. I enjoy being a trusted advisor and seeing the positive impact of my work on team performance and employee engagement. Contributing to an organization that provides critical emergency services makes the work especially meaningful.

So, I've seen the gossip from across the nation in regards to AMR. Trust me, there are far worse places to work. Getting sent out on that last minute run (like 10 minutes before your shift ends) is no different than working 911 and your relief not being there yet. In some cases, we are short staffed and it's not communicated with the field staff. We just get the "hold-over" notices and have to deal at the last minute with something that has probably been brewing for some time on the dispatch boards. 
As to pay, In the Philadelphia/N.J. operations, management is truly making improvements. Could they always be better... of course. Could they be worse... Absolutely!!  As to the "benefits", the medical side is "okay". I truly believe that if you had the right person at AMR, negotiating with an insurance carrier in a semi-aggressive manner, then we would have even better benefits. Keep in mind, the government and the insurance companies want to make as much money for as little coverage as possible. This of course with the high deductibles and co-pays. Whatever happened to the $500 and $1000 deductibles and $20 copays? ultimately, the EMPLOYEES, pay the price. As to other benefits like vehicle, electronics and other benefits... they offer some nice stuff. 
In the training department, they offer both online as well as classroom (when pandemics are not causing issues) which are 100% free to employees. The employee just has to be mindful of taking the classes. A lot of these offer con-eds,  If you're smart, you would never have to worry about re-certifying your EMT, Paramedic or RN certifications. AND, did I mention they are FREE? At least at the Paramedic & RN Levels, the ACLS & PALS alone is no less than $150 - $175 on the low end per class. 
Now, management. Can it be better...? Yes! is it better than previous years.... absolutely. There are still a few people in positions that makes everyone wonder.... other than a title, "what do they really do?" other than creating more issues, attitudes and animosity towards management in general? Again, something that takes a closer looking at by caring upper management (corporate level) that is not blinded by the whip-in-hand type of results as it feels some times. 
Lastly... very safety guided in the Pa/NJ region. This COVID-19 causing all kinds of HAVOC, AMR is looking out for the employees and offering all the resources and info we need to stay safe.

I currently work as a part-time medic at the Lexington operation of AMR. I have been there a short time, and I am not impressed or pleased. Currently looking for part-time employement elsewhere. I understand the purpose of private ambulance services, but here is what I think.

The Negative:

1) They do not care if you are part-time and have a full-time job elsewhere. This goes for dispatch and the supervisors.
2) The new hire orientation is a joke, and they want it done in X number of days, or they threaten to suspend you (full-time and part-time). Also managment tells you that "you can take care of the computer training later, we need to hurry up and get you on the street".
3) Your field time riding third person is very short. They just want to make sure you can fill out the important information so they can bill the patient's insurance for the run.
4) You submit your availability and give them the days that you can work as a part-time employee, but they still call you when you are at your full-time job wanting you to work.
6) In the few months I have worked there I have never gotten off on time.
7) Dispatchers and supervisors will lie to you to get you to work or stick you with a late run. A few weeks ago I was told I would be coming in to do an out of town transfer and when I got back I was done. Guess what, it did not happen. Instead someone else took it, and I did not get off until 3 hours after my scheduled time off.
8) I have been hounded about leaving my full-time job and come to work there full-time multiple times, and been promised the proverbial moon if I did.
9) You can work all the hours that you want too and can HANDLE, and have seen fatigue not thought about. Watched first hand a employee work over 20 hours, clock out and sleep a few hours in his car, and clock back in to come back to work. Also the personal hygiene of this individual was less than lacking.
10) As for co-workers; the attitudes and morale in the place SUCKS!!! All the full-timers and part-timers all have negative attitudes about the place.

The Positive:
1) Its a paycheck, and makes a car payment, pays off some debt, and a little extra spending money.
2) Makes me appreciate working a municipal 911 service, with a government retirement.
3) Did get experience pay, starting pay is $14.54 I believe for full and part time folks. Got additional based off my experience.

Hope someone will find this helpful.

Management could not care less for you. Supervisors do the best they can trying to pick up the slack of the horrible upper management, but they drown in upper management's laziness. Clinical dept is a joke. They have field training officers who've been on the streets for less than 4 months, because the loyal competent ones quit. This, due to the fact they were sick of watching the incompetent trainees they refused to clear, being bounced around until clinical was able to pressure someone enough or found an fto who was just as incompetent to pass them through and clear them. And good luck trying to contact them via email or phone, if you want something from clinical you're probably going to have to email/call several time and bother them in person to get a response. 

AMR Denver is where your skills go to die. They will run you into the ground with transfers. The actual employees are awesome people even though most of their medicine is pretty shady. I say 5/5 for job security because the only way you're getting fired is if you show up to work obliterated drunk. There are no standards there, they will hire anyone who has a pulse.

The pay is shameful, I believe they promised employees a cost of living analysis to gauge fair wages, because they hadn't done one in 10 years!! In Denver, where now, at least a 1000 families move to every month, and they hadv't done a cost of living analysis for 10 years and probably won't. I believe they said they would do that a year ago, and then the manager changed up and it still hasn't been done. So if you want to live alone, forget it, get a roommate/ scratch that, get several, or move back in with your parents, oh and you're going to have to work like 60 hrs to make ends meet. 

I understand it's hard to get on with a fire dept/ 911 and the other privates are notorious for their lack of professional patient care, so I understand you have to start at the bottom, so I say apply, you're going to get hired, but you better start looking for a place elsewhere that second, you don't want to develop inadequate medicine. 

I was honestly embarrassed to wear their patch. A lot of incompetency all around, and a terrible place to work. But everyone has to start somewhere, just don't get stuck there and if you don't have to be there, don't.

While working at AMR as and EMT-B I had the ability to work along paramedic partners in ALS ambulance in 911 responses. This particular branch is extremely busy and provided me with the development of skills in a fast-pace environment and in uncommon situations. I was responsible on staying on top of my paperwork and narrative within a 24-48 hours of incident for proper billing and Medicare reasons. AMR allotted me the chance to create relationships with the community police and fire department, as well as the hospital staff at local emergency departments.

The management at this particular branch has been received negatively by most employees due to most choices and ways of communicating to employees. At times, it seemed that the managers were more focused on making money from BLS transfers, than the safety of the community and staff by leaving 1 truck for the whole city of Evansville 911. Some managers, who hold active PMD certs, would hold crews over their 12 hour shifts on BLS transfers or 911 runs instead of making runs themselves while on duty to the crew's frustration. Recently, video cameras were installed in some of the ambulances but without crew's consents and seemed to be more to watch individuals and try to get them in trouble more than for the safety of the crews. On multiple occasions state protocols were ignored, at the command of managers, due to short staffing or to cut down on costs.

On a more positive note, working at AMR allowed me the chance to act as patient advocate and help people on their worst days. Naturally, some citizens take advantage of the 911 system, which is frustrating to most, if not all, EMS personal. Overall, my experience at AMR was rewarding in allowing me to develop my skills as a clinician and communicate with patients more effectively. There are some great people at AMR who really care about their patients and take their job and responsibility seriously.

Top Job Titles	Average Salary
Emt-basic 41 salaries reported	$21.06 per hour
Paramedic 8 salaries reported	$22.64 per hour
Emergency medical technician 4 salaries reported	$24.50 per hour
Dispatcher 2 salaries reported	$19.50 per hour
Membership sales 7 salaries reported	$107,286 per year

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