OverviewANNUAL SALARY: $160,000.00
Position Summary: The Certified Nurse Midwife (CNM) provides comprehensive women's healthcare across the lifespan, including prenatal, intrapartum, postpartum, and gynecologic care. This role includes both outpatient clinic responsibilities and inpatient hospital-based labor and delivery services. The CNM will provide inpatient care to patients at John Muir Medical Center with a varied number of days per week as needed, nights, weekends and some holiday shifts included. The CNM may also perform 1-4 clinical sessions in the outpatient setting at Ob-Gyn Specialist's per week as needed. The CNM works collaboratively within a multidisciplinary team consisting of OB-GYN physicians, nurse practitioners, physician assistants, and support staff to deliver high-quality, patient-centered care.
Responsibilities Key Responsibilities:- Outpatient Clinic Care
- Provide routine and comprehensive gynecologic care, including annual exams, family planning, contraceptive management, and menopause care
- Manage prenatal patients, including initial OB visits, routine prenatal care, and patient education
- Perform postpartum evaluations and follow-up visits
- Perform limited sonography; first trimester dating and viability assessment
- Order, perform, and interpret diagnostic tests and screenings (e.g., labs, ultrasounds, Pap smears)
- Provide patient education on pregnancy, childbirth, breastfeeding, and overall women's health
- Collaborate with supervising physicians for consultation and referral of high-risk patients
- Inpatient Labor & Delivery Care (Hospital-Based)
- Manage prenatal, intrapartum, and postpartum care in the hospital setting in accordance with standardized procedures and protocols and in consultation with a physician
- Perform vaginal deliveries independently for appropriate low-risk patients
- Assist physicians with operative deliveries as required. C-section surgical assist certification must be successfully completed as per hospital requirements
- Conduct labor assessments and monitor maternal and fetal well-being
- Provide triage evaluation and management of obstetric patients
- Perform procedures within scope, including:
- Amniotomy
- Episiotomy and repair
- Perineal laceration repair
- Collaborate closely with OB-GYN physicians for escalations and surgical interventions (e.g., C-section needs)
- Provide immediate postpartum care for birthing patients
- Perform hospital rounds, admissions, discharges, and inpatient documentation
- Group Care & Patient Education (Centering Program)
- Actively participate in the development, implementation, and ongoing enhancement of Centering Pregnancy (or group prenatal/postpartum care) classes.
- Collaborate with physicians, midwives, and clinical leadership to design evidence-based group care curriculum, workflows, and patient education materials.
- Serve as a facilitator for Centering classes, promoting patient engagement, peer support, and culturally competent care.
- Integrate clinical care, assessment, and education within a group setting while maintaining high standards of safety and patient-centered care.
- Assist with scheduling, coordination, and logistics of group sessions, ensuring efficient workflow and optimal patient participation.
- Support outreach and patient recruitment efforts to grow and sustain the Centering program.
- Collaboration & Care Coordination
- Consult and co-manage patients with physicians as appropriate
- Communicate effectively with nursing staff, hospital teams, and support staff
- Ensure smooth transitions of care between clinic and hospital settings
- Participate in
- Documentation & Compliance
- Maintain accurate, timely, and complete medical records in the EMR
- Comply with all regulatory, credentialing, and hospital privilege requirements including hospital medical staff bylaws and clinic policies.
- Adhere to evidence-based clinical guidelines and organizational protocols
- Participate in quality improvement, peer review, and maternal safety initiatives
- On-Call & Scheduling Expectations
- Participate in a call rotation for labor and delivery coverage
- Provide coverage for hospital deliveries, including nights, weekends, and holidays as required per contract agreement
- Maintain flexibility to support clinic and hospital demands
Qualifications Qualifications:Education & Certification- Certified Nurse Midwife (CNM) certification through AMCB
- Current, unrestricted California RN and CNM license issued by the Board of Registered Nursing
- Master's or Doctorate degree in Nurse-Midwifery
- California Nurse-Midwife Furnishing Number
- Active DEA license (or eligibility to obtain)
- Eligibility for hospital credentialing and admitting / delivery privileges (if applicable)
Licensure & Requirements- Furnishing license (if applicable in CA)
- DEA registration
- Credentialing and hospital privileges at affiliated hospital(s) (e.g., John Muir)
Preferred- Prior clinical experience in women's health, obstetrics, or labor & delivery preferred
- Experience managing low-risk pregnancies and deliveries strongly preferred
Core Competencies- Strong clinical judgment and critical thinking
- Excellent communication and patient education skills
- Ability to work collaboratively within a team-based care model
- Commitment to patient-centered, culturally competent care
- Flexibility and adaptability in a fast-paced clinical and hospital environment
