APP Midwife - OBGYN

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

• 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

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