CNM Full-time
Overview

ANNUAL 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:

  1. 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
  1. 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
  1. 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.
  1. 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
  1. 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
  1. 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

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