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Missinippi Airways is seeking Advanced Care Paramedics (ACPs) to join our fixed-wing air ambulance medical flight crew, providing patient-centred interfacility and community medical transport throughout northern Manitoba.

This is an aeromedical transport position, not a conventional ground-ambulance role. Successful candidates must be comfortable providing clinical care in a confined aircraft environment, working independently, collaborating with pilots and remote healthcare providers, and adapting to the operational demands of northern and remote-community medicine.

Our medical flight crews work closely with aviation personnel, nursing stations, hospitals and healthcare partners to provide safe, timely and clinically appropriate transport for patients across Manitoba.

Missinippi Airways is a 100% First Nations-owned air service providing aviation and medevac services to northern Manitoba communities.

Compensation & Schedule

• Starting salary: $150,000/year
• Salary progression up to $210,000/year under the Medical Flight Crew pay scale
• Full-time, predictable 13 days on / 13 days off rotation
• Company-provided staff accommodation during scheduled rotations
• Travel to and from Winnipeg provided for scheduled rotations
• Meaningful clinical work supporting northern, rural and remote communities

Benefits

• Company pension
• Extended health and dental benefits
• Vision care
• Life insurance
• Employee assistance program
• Commuter/travel benefits
• Required certification and recertification costs covered by Missinippi Airways

Who We Are Looking For

We are looking for an experienced, clinically capable Advanced Care Paramedic who can function effectively in an aeromedical environment and understands that flight medicine requires more than strong traditional ambulance skills.

The ideal candidate is:

• Clinically confident and capable of working with a high degree of independence
• Comfortable assessing and treating patients in a confined and changing environment
• Able to make sound clinical decisions while recognizing when additional medical or operational guidance is required
• Adaptable to remote, northern and resource-variable environments
• Comfortable working closely with pilots, nurses, physicians, hospitals and nursing stations
• Professional, reliable and safety-focused
• Comfortable with scheduled rotations and living in company-provided accommodation
• Able to work effectively in changing weather and operational conditions
• Interested in building a long-term career in aeromedical/flight medicine

Previous flight or air-medical experience is an asset, but is not mandatory.

Minimum Qualifications & Deal-Breakers

Applicants must meet the following requirements or be able to meet them before commencing employment:

• Advanced Care Paramedic qualification/credentials applicable to Manitoba
• Eligible for registration with the College of Paramedics of Manitoba
• Valid driver's licence
• Ability to obtain a Transport Canada Restricted Area Identity Card (RAIC)
• Satisfactory Vulnerable Sector Check
• Satisfactory Manitoba Adult Abuse Registry Check
• Satisfactory Manitoba Child Abuse Registry Check
• Legally eligible to work in Canada
• Ability to work a 13-on / 13-off rotational schedule
• Ability to reside in company-provided accommodation during scheduled rotations
• Ability to work in fixed-wing aircraft and remote/northern operational environments
• Ability to meet the physical, professional and operational requirements of the position

Required Clinical Certifications

Candidates must hold current certification, or be able to obtain/renew certification, in the following:

• BLS – Basic Life Support
• ACLS – Advanced Cardiovascular Life Support
• PALS – Pediatric Advanced Life Support
• ITLS – International Trauma Life Support
• NRP – Neonatal Resuscitation Program
• Aeromedical Theory Certification, such as CAMATA or Ornge Aeromedical Theory

Missinippi Airways will cover the cost of obtaining or renewing required certifications where applicable.

Aeromedical / Flight-Medic Experience

The following experience is strongly preferred:

• Fixed-wing air ambulance or flight paramedicine
• Aeromedical patient transport
• Interfacility transport
• Remote or northern medicine
• Rural or resource-limited clinical environments
• Working independently in the field
• Patient stabilization and transport
• Coordination with hospitals, nursing stations and remote healthcare providers
• Working as part of a multidisciplinary aviation/medical crew

Previous air-medical experience is an asset, not a requirement.

Candidates without flight experience may be considered where they demonstrate strong ACP clinical skills, sound independent judgement, adaptability and a clear understanding of the demands of aeromedical transport.

Key Clinical & Operational ResponsibilitiesPatient Care

• Assess, treat and monitor patients within the applicable scope of practice, organizational policies and approved medical directives
• Perform advanced clinical procedures appropriate to the patient's condition and authorized scope
• Recognize changes in patient condition and initiate appropriate interventions
• Make sound clinical decisions in dynamic and resource-variable environments
• Consult the Chief Flight Medic, Medical Director or appropriate clinical/operational leadership when additional guidance is required

Aeromedical Transport

• Provide safe, timely and patient-centred care during fixed-wing medical transport
• Prepare patients and equipment for aircraft transport
• Adapt clinical care to the aircraft environment and operational requirements
• Work collaboratively with pilots and medical/operational personnel to support safe patient movement
• Support mission readiness and timely deployment
• Operate medical and transport equipment safely and appropriately

Documentation & Professional Practice

• Maintain accurate patient records and clinical documentation
• Protect patient confidentiality and privacy
• Maintain professional licensing, certifications and continuing education requirements
• Participate in required training, competency assessments and quality-improvement activities
• Maintain medical equipment, supplies and aircraft medical readiness

Remote & Northern Operations

• Work with nursing stations, hospitals and healthcare providers serving remote communities
• Adapt to changing weather, transportation and operational conditions
• Work effectively with limited local resources when required
• Travel and reside in company-provided accommodation during scheduled rotations
• Maintain a professional, respectful and culturally aware approach when working with northern and First Nations communities

What Success Looks Like

Successful Flight Medics at Missinippi Airways are able to:

• Think independently without practicing beyond their scope
• Remain calm and clinically effective in unpredictable situations
• Recognize when a patient requires escalation or additional medical direction
• Communicate clearly with pilots, nurses, physicians and other healthcare partners
• Prioritize patient safety while working within aviation and operational constraints
• Maintain professional standards while working away from traditional hospital and ambulance environments
• Adapt to remote-community medicine, changing weather and variable operational conditions
• Take ownership of equipment readiness, documentation and mission preparation

Keywords / Search Terms

Advanced Care Paramedic, ACP, Flight Paramedic, Flight Medic, Aeromedical, Air Ambulance, Medevac, Fixed-Wing Medevac, Fixed-Wing Air Ambulance, Aeromedical Transport, Medical Flight Crew, Critical Care Transport, Interfacility Transport, Remote Medicine, Rural Medicine, Northern Medicine, Paramedic, Advanced Life Support, ALS, Patient Transport, Trauma, Remote Patient Care, Manitoba Paramedic, College of Paramedics of Manitoba, ACLS, PALS, BLS, ITLS, NRP, CAMATA, Ornge Aeromedical Theory.

Important Candidate Expectations

Please apply only if you are prepared to:

• Work a 13-days-on / 13-days-off full-time rotation
• Travel for scheduled rotations
• Reside in company-provided accommodation while on rotation
• Work in fixed-wing aircraft
• Work in northern and remote communities
• Provide patient care with significant individual responsibility
• Work variable operational hours and in changing weather conditions
• Meet Manitoba paramedic registration requirements
• Obtain required aviation/security clearances
• Maintain all required clinical certifications and professional licensing

Why Join Missinippi Airways?

Join a team providing essential medical transportation to northern Manitoba communities while developing specialized experience in aeromedical and remote patient care.

With a predictable rotational schedule, competitive compensation, accommodation and travel support, this is an opportunity for an ACP looking to build a long-term career beyond conventional ground-based paramedicine.

Apply Now

Submit your resume and cover letter to:

cfm@missinippiair.ca

Pay: $150,000.00-$210,000.00 per year

Benefits:

• Company pension
• Employee assistance program
• Extended health care
• Vision care

Application question(s):

• This is a fly in, fly out job into Winnipeg. Are you comfortable with this?

Work Location: In person