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