Clinical Nurse Midwife - Labor and Delivery (Full Time)

Beth Israel Lahey Health

5d•$146,000 - $250,000

About The Position

The Clinical Nurse Midwife provides direct patient care in an ambulatory care setting involving physical diagnosis and therapeutic management, and works closely with faculty, fellows, residents, and nursing staff to coordinate plans of care for patients and families. Training, evaluation, and competencies are overseen by a Nurse Leader. The role is a key clinical and educational leadership position on the inpatient academic obstetric service, which supports approximately 3,000 of BIDMC’s 5,000 annual deliveries. The CNM supports intrapartum care through early labor management, labor inductions, delivery coverage, labor floor management, triage, and collaborative inpatient obstetric care. The position collaborates with MFM physicians, OB/GYN attendings, nursing leadership, and residents to provide safe, patient-centered care. The CNM also helps oversee risk stratification and care distribution for postpartum patients and independently manages mid-risk postpartum patients in collaboration with attending obstetricians as needed. The role contributes to clinical education by teaching OB/GYN residents and Harvard Medical School students about physiologic birth, mentoring residents in postpartum management and intrapartum decision-making, and modeling midwifery-informed, low-intervention care. Additional opportunities may include curriculum development, simulation education, interdisciplinary teaching, quality improvement, and scholarly collaboration. The position is full time, 40 hours per week. It is primarily a daytime weekday role, with scheduled shifts listed as Monday–Friday, 7:00 AM–7:00 PM, and occasional extended evening coverage. Weekend and holiday daytime coverage is required; the posting also describes a weekend rotation of one weekend per month. Occasional limited night shifts may be required based on department needs.

Requirements

Graduate degree in nurse-midwifery (MSN, DNP, or equivalent).
Current certification with the American Midwifery Certification Board (AMCB).
Active Massachusetts licensure or eligibility to obtain it before starting.
Strong foundation in intrapartum and postpartum care in a hospital setting.
Valid prescriptive authority from both the Massachusetts DPH-DCP and the Federal DEA.
American Heart Association Basic Life Support Certificate.
Experience with computer systems, including web-based applications and some Microsoft Office applications such as Outlook, Word, Excel, PowerPoint, or Access.

Nice To Haves

Several years of full-scope clinical midwifery experience.
Passion for and experience with teaching or medical education.
Experience in a high-volume academic or tertiary-care obstetric setting.
Demonstrated commitment to teaching, mentoring, or clinical education.
Experience practicing within collaborative physician-midwife interdisciplinary care models.
Interest in quality improvement, research, or academic scholarship.

Responsibilities

Provide hands-on support for early labor management and labor inductions.
Participate in delivery coverage and collaborative labor floor management.
Support patient care in triage and provide senior clinical support and collaborative management in triage and inpatient obstetric care as needed.
Collaborate with MFM physicians, OB/GYN attendings, nursing leadership, and residents to provide seamless, safe, patient-centered care.
Oversee appropriate postpartum patient risk stratification and assignment to the appropriate level of care.
Coordinate postpartum patient flow and distribution of care across teams.
Manage mid-risk postpartum patients with a high degree of clinical autonomy, collaborating with attending obstetricians as needed.
Teach OB/GYN residents and Harvard Medical School students the principles and practice of physiologic birth.
Mentor residents in postpartum care management and intrapartum clinical decision-making.
Model midwifery-informed approaches to low-intervention, patient-centered obstetric care.
Participate in departmental education initiatives, quality improvement efforts, and interdisciplinary conferences as appropriate.