Certified Nurse Midwife

Plumas District Hospital•Quincy, CA

1d•Onsite

About The Position

Plumas District Hospital (PDH) is hiring a full-time Certified Nurse Midwife to practice within “The Plumas Model,” a 10-year pilot program enabled by California Senate Bill 669. The model integrates three care settings: a rural health clinic providing outpatient prenatal, postpartum, and family planning services; a freestanding birth center focused on midwifery-led, physiologic, relationship-based birth; and a hospital-based Standby Perinatal Service (SPS) providing rapid-response obstetric and neonatal stabilization for birth center transfers and emergency department presentations. The role provides clinical variety and continuity of care, with independent midwifery practice and collaborative partnerships for high-acuity situations. 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 position is full-time, benefited, and salaried. The schedule combines three clinic days from 8:00 a.m. to 5:00 p.m. with an on-call rotation shared with a second team. The posting anticipates four to five birth-center births per month. Compensation is $67.71–$96.54 per hour ($140,836.80–$200,799.60 annually). Starting pay is determined by clinical pay scales with 13 steps recognizing up to 30 years of relevant experience. Eligible employees may also receive shift differentials and holiday pay. The CNM provides care across the full continuum of midwifery services, assesses eligibility for birth-center care, supports physiologic birth, and responds to SPS activations. The role also includes emergency readiness activities, coordination with physicians and hospital teams, continuing education, competency validation, and quality improvement.

Requirements

Minimum one year of RN experience in a high-volume Labor and Delivery unit.
Current Certified Nurse Midwife certification from the American Midwifery Certification Board.
Master’s degree from an accredited school of nursing or public health (MSN/MPH).
Active, clear California Registered Nurse 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 certifications, or ability to obtain them within three months of hire.
Ability to obtain STABLE, ALSO, and Spinning Babies training within six months of hire.
Practice under the midwifery model and support patients and families across the full continuum of care.
Sound clinical judgment and ability 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 common 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.
Dedication to evidence-based midwifery and rural health initiatives aimed at preventing maternity deserts.

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; recognize 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 manage immediate maternal and newborn care alongside an OB RN.
Respond to Standby Perinatal Service activations as part of an obstetric and neonatal rapid-response team.
Stabilize and manage emergency care, and coordinate transfers in collaboration with physicians and hospital teams.
Participate in a structured on-call rotation for birth-center births and Standby Perinatal Service 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 insurance.
Prescription drug coverage.
Dental insurance.
Vision insurance.
PDH Employee Discount Program, waiving applicable deductibles and coinsurance for eligible services received at Plumas District Hospital.
Paid time off accrual.
Paid leave for continuing education, bereavement, and jury duty.
Employer-sponsored retirement plan with a 3% employer contribution.
Employer retirement-plan 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 and an LVN-to-RN step-up program.
Tuition reimbursement.
Paid sick leave, with five days awarded annually based on the employee’s anticipated work schedule.
Discounted rates at the PDH Child Care Center.
Discounted CareFlight/AirMedCare Network memberships.
Shift differentials for eligible shifts and PDH-observed holidays.
Opportunity for all employees to contribute to an employer-sponsored retirement plan.
Inclusive, supportive, and connected work environment.