Certified Nurse Midwife

Akicita Federal • Rosebud, SD

1d • Onsite

About The Position

Akicita Federal is hiring Certified Nurse-Midwives to provide full-scope obstetric and gynecological care at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients in outpatient clinic and emergency department settings. Clinic services are scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. CNMs also share rotating 24/7 on-call coverage for obstetric emergencies during non-clinic hours, including federal holidays, with at least one CNM designated as primary on-call at all times. Emergency Department on-call response must occur within 60 minutes of notification.

The role includes managing normal vaginal deliveries, evaluating and stabilizing obstetric emergencies, conducting prenatal and well-woman examinations, providing family planning services, documenting encounters in the hospital electronic health record on the day of service, and participating in clinical quality and review activities. Patient care may begin only after the required preliminary background determination, screening and vaccination documentation, and IHS credentialing and privileging are completed.

Requirements

• Graduate of an ACME-accredited nurse-midwifery education program; qualifying degree must be an MSN with a nurse-midwifery specialty, Master of Midwifery, Doctor of Nursing Practice, or equivalent graduate or higher-level degree from an accredited institution.
• Current, active, unencumbered AMCB national certification as a Certified Nurse-Midwife.
• Current, valid, unrestricted Registered Nurse and Advanced Practice Registered Nurse licensure in a U.S. state, with eligibility to obtain South Dakota licensure before services begin.
• Prescriptive authority consistent with South Dakota law and active DEA registration for Schedule II–V.
• Current American Heart Association Basic Life Support (BLS) certification.
• Current American Academy of Pediatrics Neonatal Resuscitation Program (NRP) provider certification.
• Favorable preliminary background investigation determination before beginning patient care.
• Documented TB screening within the last 12 months, with a negative TB skin test or IGRA, and COVID-19 vaccination documentation.
• Completion of IHS credentialing and privileging before providing patient care.

Nice To Haves

• Experience in Indian Health Service facilities, federally qualified health centers, or other rural or underserved community settings.
• Current American Heart Association Advanced Cardiac Life Support (ACLS) certification.

Responsibilities

• Attend and manage normal vaginal deliveries, including repair of first- and second-degree lacerations and episiotomies per facility policy.
• Evaluate and stabilize obstetric emergencies, including antepartum hemorrhage, eclampsia, preterm labor, PROM, ectopic pregnancy, and miscarriage.
• Conduct initial prenatal intake examinations, including comprehensive health histories and physical assessments.
• Provide Emergency Department OB on-call coverage and respond within 60 minutes of notification.
• Perform annual well-woman examinations, including physical assessment, clinical breast examination, and pelvic examination.
• Provide full-scope family planning services, including implant and IUD insertion and removal.
• Document all patient encounters in the Rosebud IHS Hospital electronic health record on the day of service.
• Participate in quality improvement initiatives, peer review, and morbidity and mortality review related to obstetric and gynecological care.
• Share rotating 24/7 on-call responsibility for obstetric emergencies during non-clinic hours, including federal holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level