APP Midwife - OBGYN

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.

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:

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