Title: Certified Nurse Midwife
Effective Date: 1/2022
Pay Grade: NA
Reports To: Medical Director Midwifery
The Certified Nurse Midwife’s primary job function is to provide medical care and treatment to women, with an emphasis on reproductive health, under supervision of the Medical Director Midwifery; delivers infants and instructs patients in prenatal and postnatal health by performing the following duties.
Job Specific Competencies
- Provides basic primary care to women of reproductive age, with an emphasis on pregnancy and reproductive health.
- Participates in the initial examination of obstetrical patient and is assigned responsibility for care, treatment, and delivery of patient.
- Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient’s statements to evaluate her condition, identify and modify risks as possible, and ensure that patient’s progress is normal.
- Counsels patient on the need for follow up as appropriate during each patient visit.
- Verifies and documents that the patient understands diagnosis, treatment and follow up recommendations.
- Performs or orders appropriate laboratory tests, x-rays, and other tests.
- Instructs patient on prenatal health practices.
- Manages labor according to accepted community standards and in keeping with privileges.
- Delivers infant and performs postpartum examination on mother and baby and treatments to ensure that mother and infant are responding normally.
- Assesses patient needs for specialty referrals, diagnostic and in-patient care; makes referrals.
- Consults with direct supervisor, mentoring physician, or Medical Director, specialists, pharmacists, nurses, or other health care professionals.
- Provides additional services as determined by mutual agreement with the Medical Director.
- Participates in continuing patient care to include postpartum care, family planning, contraceptive care, annual wellness visits, etc.
- Maintains Medical Records.
- Responsible for obtaining and recording patient histories and physical examinations.
- Responsible for accurate, timely, and complete documentation in patient records.
- Conducts classes, if needed, for groups of patients and family members to provide counseling and education regarding pregnancy, childbirth, and reproductive health.
- Attends all required staff meetings and provider meetings; participates in CVCH committees or taskforce activities as directed by supervisor.
- Leads by example and sets a standard of excellence for all team members.
- Serves as a Role Model for a positive and professional approach to all interactions, education, and relationships.
- Participates in audits and meets standards of CVCH Quality Improvement and Risk Management.
- Responsible for maintenance of credentials essential for practice, to include licensure and any other certifications.
- Assists the agency in adhering to all regulatory and accreditation requirements and guidelines.
- Provides comprehensive and continuous primary care services in a patient centered medical home, including sanctioned non-clinic sites such as nursing homes, patient home, school based clinics, mobile clinics, and tele-health settings.
- Additional Requirements:
- Required to work on-call, sharing a continuous roster on a 24-hour, 7-day basis.
- Maintain active or provisional staff membership of Central Washington Hospital; may maintain membership on other hospital medical staff as may become appropriate from time-to-time.
- Maintain accessible phone service and maintenance of reliable transportation.
- Maintain professional CNM licensure.
General Duties and Responsibilities
- Performs other duties and tasks as assigned by supervisor.
- Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
- Conforms to safety policies, general housekeeping practices.
- Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
- Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
- Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
- Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
- Conforms to CVCH policies and Joint Commission and HIPAA regulations.
- Education: Completion of MSN, DNP or PhD in Nursing.
- Certification/Licensure: Current Washington Advanced Registered Nurse Practitioner Midwife License; current board certification with the American Midwifery Certification Board; valid driver's license. Basic Life Support (BLS) required. ACLS or ATLS may be used to substitute for BLS.
- Experience: Preferred experience with diverse communities and low-income children and families and migrant/community health.
- Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company’s computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background.
- Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions.
- Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents.
- Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions.
- Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.
- Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them.
Blood/Fluid Exposure Risk
- Tasks routinely involve a potential for mucous membrane or skin contact exposure to blood, fluids or tissue.
- Use of personal protective equipment (PPE), when appropriate, is required
Age Specific Competency
- Position NOT eligible for Telecommuting
This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management may, with or without notice, add or change the duties at any time. Employees are employed “at will”.
“Partnering to achieve optimal health and wellness with compassion and respect for all.”
Why Work at CVCH:
CVCH staff are more engaged in their work than 95% of similar organizations across the country. We are proud to have such dedicated staff serving patients, day in and day out.
To learn more and apply, visit us at www.cvch.org and click on the Careers tab.