Certified Nurse Midwife

Job Summary:

Independently manages the care of low-risk women during antepartum, intrapartum and postpartum periods. Co-manages higher risk patients when determined appropriate by CNM and MD. Provides standard maternity care and counseling to women, adhering to the standards of the American College of Nurse Midwives, procedures and instructions regulated by the State Nurse Practice Act and The Permanente Medical Group.

• ANTEPARTUM – Evaluates patients’ general and obstetrical health status, determines pregnancy status, duration of gestation, presentation and position of the fetus, fetal heart rate, and determines whether all statistics are within normal limits. Obtains an accurate medical, obstetrical, gynecological and social history and an account of the course of the present pregnancy. Observes signs of general and obstetrical health status. Performs all appropriate physical examinations, including the pap smear, breast examination and pelvic examination.
  
  Records all findings, histories and significant observations on the patient’s chart. Consults with an appropriate MD regarding any abnormal findings. Orders appropriate laboratory and medical imaging studies as needed. Institutes preventive measures and detects abnormal conditions. Obtains consultation and assistance from ancillary services as needed. Teaches, counsels and guides individual members regarding their individual health care. Teaches antepartum classes as needed in individual facilities.
  
  Evaluates maternal general health status and well‑being.
• INTRAPARTUM – Performs a medical screening exam to diagnose labor. Independently manages the care of low-risk women during labor and delivery, under physician supervision. Co-manages higher risk patients when appropriate by CNM and MD. Performs facility-specific standardized procedures. Evaluates the patient for appropriate pain management, including the request for an epidural in labor.
• POSTPARTUM – Provides health supervision and care, teaches family planning and prescribes contraception to women during the postpartum period.

• Experience – N/A
• Education – Graduate of an accredited school of nursing.
• License, Certification, Registration
• Certified Nurse Midwife (California)
• Registered Nurse License (California)
• Nurse Midwife National Certification from American Midwifery Certification Board
• Drug Enforcement Administration Registration within 12 months of hire
• National Provider Identifier required at hire
• Basic Life Support required at hire

• Must able to work in a Labor/Management Partnership environment.

• Three (3) years of experience as a C.N.M. in the last three (3) years preferred.
• Current and valid California Nurse-Midwife furnishing certification (including any needed education in pharmacy) and didactic education and supervised clinical experience in third-trimester limited obstetric ultrasound preferred or to be obtained within one year of hire.