Certified Nurse Midwife

Plumas District Hospital•Quincy, CA

10d•$140,837 - $200,800•Onsite

About The Position

Plumas District Hospital (PDH) is hiring a full-time Certified Nurse Midwife (CNM) to practice in “The Plumas Model,” a 10-year pilot program enabled by California Senate Bill 669. The model integrates care across three settings: a rural health clinic providing outpatient prenatal, postpartum, and family-planning services; a freestanding birth center offering midwifery-led, physiologic, relationship-based birth; and a hospital-based Standby Perinatal Service (SPS) providing rapid-response emergency obstetric and neonatal stabilization for birth-center transfers and emergency-department presentations. The role provides clinical variety and continuity of care, with independent practice under the midwifery model and collaborative partnerships for high-acuity scenarios. The CNM works across the birth center, rural health clinic, and hospital standby perinatal services in Quincy and Greenville, and supports a mobile clinic. The schedule combines three clinic days, 8:00 a.m.–5:00 p.m., with an alternating on-call rotation for the birth center and OB ED team. Four to five birth-center births per month are anticipated. The position is full-time, benefited, and salaried. The stated base pay range is $67.71–$96.54 per hour ($140,836.80–$200,799.60 annually). Starting pay is determined using clinical pay scales with 13 steps recognizing up to 30 years of relevant experience. Eligible employees may also receive shift differential and holiday pay.

Requirements

At least 1 year of RN experience in a high-volume Labor and Delivery unit.
Current Certified Nurse Midwife certification through 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 California BRN CNM certification.
California BRN Furnishing Number, active DEA certification, and CURES registration.
National Provider Identifier (NPI) number.
Current ACLS and NRP, or obtain them within 3 months of hire.
Obtain STABLE, ALSO, and Spinning Babies training within 6 months of hire.
Commitment to maintaining high-acuity skills through regular shifts at a higher-volume partner institution.
Dedication to evidence-based midwifery and rural-health initiatives aimed at preventing maternity deserts.
Practice under the midwifery model, supporting patients and families across the continuum of care.
Sound clinical judgment to work independently in low-volume, high-acuity situations within a collaborative obstetric model.
Ability to work as a multidisciplinary team member, maintain positive relationships, respect others’ needs, and use standard workflows to achieve shared goals.
Skill in assessing childbearing families and communicating their needs within a multidisciplinary team.
Flexibility within evolving clinical workflows and interest in healthcare innovation, pilot programs, or policy-guided care models.

Nice To Haves

Five or more years of experience as a practicing CNM in both hospital and community birthing settings.

Responsibilities

Provide prenatal, intrapartum, postpartum, and newborn care across the rural health clinic, freestanding birth center, and Standby Perinatal Service.
Perform women’s health screenings, counseling, and health education; identify complications early and initiate timely consultation or referral.
Manage outpatient prenatal and postpartum care and develop individualized care plans.
Coordinate specialty referrals, behavioral health services, and interdisciplinary follow-up.
Participate in family-planning services and outreach at the local county health department.
Assess patient eligibility for freestanding birth-center care, support physiologic birth, attend births, and provide immediate maternal and newborn care alongside an OB RN.
Respond to SPS activations as part of an obstetric and neonatal rapid-response team; stabilize patients and coordinate emergency care or transfers with physicians and hospital teams.
Participate in the structured on-call rotation for birth-center births and SPS activations, adhering to established response times.
Participate in emergency drills, continuing education, competency validation, and quality-improvement initiatives to maintain emergency readiness.
Maintain high-acuity skills through regular monthly or quarterly shifts at a higher-volume partner institution.

Benefits

Comprehensive medical and prescription-drug plans.
Dental and vision plans.
PDH Employee Discount Program, which waives applicable deductibles and coinsurance for eligible services received at Plumas District Hospital.
Paid time off (PTO) accrual.
Paid leave for continuing education, bereavement, and jury duty.
Employer-sponsored retirement plan with a 3% employer contribution.
Employer match of 50% of employee contributions, up to the plan maximum.
$20,000 in employer-paid life insurance.
Voluntary additional life insurance.
Long-term disability insurance for full-time employees.
Identity theft protection.
Potential loan-forgiveness opportunities for eligible healthcare professionals.
Educational and career-development support, including Certified Medical Assistant training, an LVN-to-RN step-up program, and tuition reimbursement.
Paid sick leave, with five days awarded annually based on anticipated work schedule, subject to the stated eligibility criteria.
Discounted rates at the PDH Child Care Center.
Opportunity for all employees to contribute to an employer-sponsored retirement plan.
Discounted CareFlight/AirMedCare Network memberships.
Shift differentials for eligible shifts and PDH-observed holidays.
Inclusive, supportive, and connected work environment.