paramedic

emergency medical technician

driver

emt-basic

technician

Coastal Medical Transportation Services LLC.

Coastal Medical is an unfortunate reality of private EMS. 
CMTS began as an IFT-only company and has taken over Transformative Healthcare/Fallon Ambulance Service in the Metro-Boston area. 
Coastal turned the company upside-down, cares little about employee feedback and does not effectively communicate policy, training or resources to employees. 

If you bring up a concern to higher ups, you will be targeted by the company and singled out. If it looks bad for the company, they will turn anything they need to around on you. 

The EMT's are shouldered with not just the standard BLS care and documentation, but insurance documentation x3, Medical Necessity Forms, photo and physical documentation, etc. If it makes the jobs of higher-ups or dispatchers easier, they make the EMTs do it instead. It would matter less if it was not wildly disorganized and left to the EMTs to fix any issues encountered. 

The 911 culture is very cliquey. There are very few paramedics/supervisors who are actually looking out for you or willing to provide you with experience. 

Do not waste your time in EMS here. Especially if you are just starting out as an EMT. You're better off elsewhere. It will kill your love for the job before the year is over unless you're a dude who is chummy with higher-ups. Very disappointing.  

What is the best part of working at the company?
Honestly the staff and colleagues out if the quincy base are amazing 

What is the most stressful part about working at the company?
Sometimes not getting out on time but that comes with the career

What is the work environment and culture like at the company?
We are a team and we are a family

What is a typical day like for you at the company?
Clock in at base. Go over the truck and get a tablet and any other things that we may need to provide care for our pts. Sign on with dispatch and head out to our assigned area unless we are dispatched to a call and just make sure we provide the highest standard of pt care know and treat per protocol and keep dispatch informed of being clear or if there are any delays or changes. Occasional 911 coverage  and thats pretty much it

For any of you coming from lousy private EMS companies looking for the change to MIH, DO NOT come here. This is textbook bad private EMS where all management cares about is what you can do for them, not what they can do to support you. Here the MIH paramedic will be worked non stop for 13+ hours, with dispatch always pushing for more. The only time you will have a break is when your vehicle breaks down, and it will. Need supplies, too bad, they cost money and coastal is here to make money, definitely not spend it. If you require healthcare benefits, hopefully your spouse can get them because here at coastal, they are definitely not affordable or practical. Lastly, if you are thinking about making a change to becoming a Mobile Integrated Health Paramedic, do it!!!! Just don’t do it here..

Private EMS is notorious for bad work environments. Coastal, from what I can tell is as good as it gets. Pay is average, unfortunately all of EMS is criminally underpaid. Boss is intimidating but communicative. Many of the administrators are rude and dismissive. You will get dispatched to calls a half an hour after the time that they're scheduled for, that are an hour away, and they will make you feel like the bad guy for being late. They don't give you much time for anything and clearly put money above all as every company does. Fine for a stepping stone. Scheduling is decently flexible.

Coastal is your run of the mill private ems. They do have municipal 911 contracts but do little to nothing to prepare new EMT to that environment. Management is dismissive. Scheduling is an absolute bust. Overtime is sometimes approved only the night before a requested shift. PTO request are the same way. It seems to be a company of it depends who know and suck up to to move up anywhere. They come out with random policies but only enforce on those they want to. Unless your a crew on “that side of the bridge” your treated like garbage. A decent stepping stone BUT NOT a long term place. 

What is the best part of working at the company?
The work environment and pay differentials.

What is the most stressful part about working at the company?
Too many events to win free prizes.

What is the work environment and culture like at the company?
Easy going and informative. Leaders are very involved.

What is a typical day like for you at the company?
Start my day checking the ambulance. Maybe 911 or transfer. Great partner almost every time.

Cool co-workers, fair chance for employment, good resume builder, pay leaves something to be desired. Can be physically challenging if you are physically challenged. Certainly not for everyone, common sense may prevail if your understanding is on point for things that can be easily misunderstood.

Vehicles and equipment are in poor shape and constantly breaking down. Call volume is very high and will not stop for your entire 13hr shift. Management blames employees when vehicles break down even though they are barely running and don't get them serviced. Medical benefits are bad and very expensive.  Working in MIH is very rewarding, but do it at another company.  

When I joined Coastal I was a new EMT. I was not prepared for what people say is the real world of EMS. I was still eager to start my passion in the healthcare industry. The Instructors, other EMT's and my partners made me feel welcomed, supported and helped me become a better EMT than I was walking through the door.

What is the best part of working at the company?
Flexibility in your schedule, good amount of 911 coverage and calls 

What is the most stressful part about working at the company?
Dispatch and high call volume all the time 

What is the work environment and culture like at the company?
Really good for a big company

Top Job Titles	Average Salary
Paramedic 15 salaries reported	$35.17 per hour
Emergency medical technician 11 salaries reported	$26.50 per hour
Driver 8 salaries reported	$18.44 per hour
Emt-basic 3 salaries reported	$26.00 per hour
Technician 1 salary reported	$26.50 per hour

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