Certified Nurse Midwife

Plumas 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.

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 for Benefited, Full-Time Pay Scale

• Base Rate: $67.71–$96.54 per hour (or $–$ 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

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

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.
• Master’s 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.

Clinical & Continuum of Care

• Provide prenatal, intrapartum, postpartum, and newborn care across rural health clinic, freestanding birth center, and standby perinatal service.
• Perform women’s health screenings, counseling, and health education; recognize complications early to initiate…