Nature and ScopePlumas District Hospital (PDH) has an innovative, full-time opportunity for a Certified Nurse Midwife (CNM) to practice within the groundbreaking "The Plumas Model”—Enabled by California Senate Bill 669 as a 10-year pilot program, this model restores rural maternity care by seamlessly integrating three distinct settings:
- Rural Health Clinic: Outpatient prenatal, postpartum, and family planning services.
- Freestanding birth center: Midwifery-led, physiologic, and relationship-based birth.
- Standby Perinatal Service (SPS): A hospital-based, rapid-response unit providing emergency obstetric and neonatal stabilization for freestanding birth center transfers and ED presentations.
This unique role offers unmatched clinical variety and true continuity of care, allowing you to practice independently under the midwifery model while maintaining seamless collaborative partnerships for high-acuity scenarios. PDH offers a mission-driven work environment with supportive staff, excellent employee benefits, and robust professional development opportunities.
Location
This position has a unique role in supporting and working in three distinct care settings: the birth center, the rural health clinic, and the hospital standby perinatal services. Locations include Quincy, Greenville as well as supporting a mobile clinic.
Compensation
Compensation for Benefited, Full-Time Pay Scale
- Base Rate: $67.71–$96.54 per hour (or $140,836.80–$200,799.60 annually)
- Starting pay is determined using our clinical pay scales, which feature 13 steps recognizing up to 30 years of relevant experience.
- Eligible employees may also receive shift differential and holiday pay
Job Status / Shift Information
Status:
- Full Time, benefited, salaried
Schedule:A combination of:
- 3 clinic days: 8:00am - 5:00pm
- On-call for birth center and OB ED team alternated with a 2nd team
- 4-5 births a month at the birth center anticipated
Qualifications
Experience
Required:
- Minimum 1 year of RN experience in a high-volume Labor and Delivery unit.
- Commitment to maintaining high-acuity skills via regular monthly or quarterly shifts at a higher-volume partner institution.
- Dedication to evidence-based midwifery and rural health initiatives aimed at preventing maternity deserts.
Preferred:
- 5+ years of experience as a practicing CNM in both hospital and community birthing
Education
- Current Certified Nurse Midwife by the American Midwifery Certification Board.
- Masters degree from an accredited school of nursing or public health (MSN/MPH).
- Active, clear California Registered Nurse (RN) license and CA BRN CNM Certification.
- California BRN Furnishing Number, active DEA certification, and CURES registration.
- National Provider Identifier (NPI) number.
- Current or within 3 months of hire: ACLS and NRP.
- Within 6 months of hire: STABLE, ALSO, and Spinning Babies training.
Knowledge/Skills/Abilities
- Practices under the midwifery model, supporting patients and families across the full continuum of care.
- Thrives in a collaborative obstetric model; possesses sound clinical judgment to work independently in low-volume, high-acuity situations.
- Multi-disciplinary team player who maintains positive relationships, respects others' needs, and uses standard workflows to achieve common goals.
- Skilled in assessing childbearing families and communicating needs within a multidisciplinary team.
- Flexible within evolving clinical workflows with a strong interest in healthcare innovation, pilot programs, or policy-guided care models.
Responsibilities
Clinical & Continuum of Care
- Provide prenatal, intrapartum, postpartum, and newborn care across rural health clinic, freestanding birth center, and standby perinatal service.
- Perform womens health screenings, counseling, and health education; recognize complications early to initiate timely consultation or referral.
Department-Specific Duties
- Manage outpatient prenatal/postpartum care and develop individualized care plans. Coordinate specialty referrals, behavioral health, and interdisciplinary follow-up. Participate in family planning services and outreach at the local county health department.
- Assess patient eligibility for freestanding birth center care, support physiological birth, attend births, and manage immediate maternal/newborn care alongside an OB RN.
- Respond to SPS activations as part of an obstetric/neonatal rapid response team. Stabilize, manage, and coordinate emergency care or transfers in collaboration with physicians and hospital teams.
On-Call & Readiness
- Participate in a structured on-call rotation for freestanding birth center births and SPS activations, strictly adhering to established response times.
- Participate in regular emergency drills, continuing education, competency validation, and quality improvement initiatives to maintain emergency readiness.
Benefits / Perks
Benefits for Eligible Employees
The following benefits are available to eligible full-time and part-time employees following applicable waiting periods:
- Comprehensive medical, prescription drug, dental, and vision plans
- PDH Employee Discount Program, which waives applicable deductibles and coinsurance for eligible services received at Plumas District Hospital
- Generous paid time off (PTO) accrual
- Paid leave for continuing education, bereavement, and jury duty
- Employer-sponsored retirement plans featuring:
- A 3% employer contribution
- An employer match of 50% of employee contributions, up to the plan maximum
- $20,000 in employer-paid life insurance
- Voluntary benefit options, including additional life insurance, long-term disability insurance for full-time employees, and identity theft protection
- Potential loan-forgiveness opportunities for eligible healthcare professionals
- Educational and career-development support, including Certified Medical Assistant training, an LVN-to-RN step-up program, and tuition reimbursement
On average, employer-provided benefits add approximately 40% to the value of an employees total compensation package.
Perks Available to Employees
- Paid sick leave, with five days awarded annually based on the employees anticipated work schedule
- Available to benefit-eligible employees and non-benefited employees scheduled to work at least 30 shifts during the calendar year
- An inclusive, supportive, and connected work environment
- Discounted rates at the PDH Child Care Center
- Competitive compensation
- The opportunity for all employees to contribute to an employer-sponsored retirement plan
- Discounted CareFlight/AirMedCare Network memberships
- Shift differentials for eligible shifts and PDH-observed holidays
Contact Information
Recruiter Name/Email:
Nicholas Clawson
Department Phone:
530-283-7169
