OB RN, Midwifery Practice

Plumas District Hospital•Quincy, CA

2d•$105,082 - $149,821•Onsite

About The Position

The Obstetric Registered Nurse provides maternal and newborn care across Plumas District Hospital’s “Plumas Model,” an integrated rural maternity-care approach connecting a midwifery-led freestanding Birth Center, a hospital-based Standby Perinatal Unit, and a Rural Health Clinic for prenatal and postpartum services. Enabled by California Senate Bill 669 through a 10-year pilot program, the Standby Perinatal Unit provides emergency obstetric and neonatal support for patients transferred from the Birth Center or arriving at the Emergency Department. The role supports continuity of care across outpatient, intrapartum, and hospital-based perinatal services and is autonomous, with participation in program management, quality improvement, and development of the new care model. In the Rural Health Clinic, the nurse provides case management, assessments, screening, education, follow-up, referrals, and care coordination for prenatal and postpartum patients. At the Birth Center, the nurse provides perinatal education and serves as a second birth attendant in a midwifery-led model that supports physiologic birth with minimal intervention. The nurse assists with labor and delivery, assesses maternal and newborn well-being, supports infant feeding and bonding, and recognizes when consultation or transfer is needed. For Standby Perinatal Services, the nurse responds to activation and provides assessment, monitoring, stabilization, and coordination for urgent or emergent obstetric needs, working with obstetric and hospital teams and arranging transfer to a higher level of care when indicated. The position works across the Birth Center, Rural Health Clinic, and hospital Standby Perinatal Services, with locations in Quincy and Greenville and support for a mobile clinic. It is full-time and benefited. The listed base pay is $4,041.60–$5,762.40 per pay period, or $105,081.60–$149,821.24 annually. Starting pay is determined by clinical pay scales with 13 steps recognizing up to 30 years of relevant experience. Eligible employees may receive shift differential and holiday pay.

Requirements

At least 3 years of labor and delivery nursing experience; experience must be within the past 5 years or the candidate must be actively renewing or engaging in clinical practice.
Experience working within a midwife-led or collaborative obstetric model.
Current unrestricted California Registered Nurse license.
Current BLS certification.
Current NRP certification.
Current Intermediate Fetal Monitoring certification.
Complete Spinning Babies training within 6 months of hire.
Obtain STABLE certification within 6 months of hire.
Obtain Advanced Life Support Obstetrics (ALSO) certification within 1 year of hire.
Obtain Advanced Fetal Monitoring certification within 1 year of hire.
Maintain obstetric proficiency through shifts at a higher-level labor and delivery service as required under California SB699.
Demonstrate interest in healthcare innovation, pilot programs, or policy-guided care models.
Demonstrate cross-functional flexibility within evolving clinical workflows and ability to support patients and families across the continuum of care.
Ability to function and thrive in a rural collaborative obstetric model and work independently in low-volume, high-acuity situations.
Sound clinical judgment, communication skills, and ability to work as part of a multidisciplinary team using standard work and protocols.
Competence in assessing and identifying the needs of the childbearing family and communicating appropriately with the multidisciplinary team.
Positive interpersonal approach that supports good interdepartmental relationships and respects others’ needs, rights, and feelings.
Practice in accordance with the midwifery model of care.

Nice To Haves

Rural health, Birth Center, or critical access hospital experience.
Experience in perinatal education, quality improvement, or program development.

Responsibilities

Provide case management, nursing assessments, screening, patient education, follow-up, referrals, and care coordination for prenatal and postpartum patients in the Rural Health Clinic.
Identify concerning symptoms and facilitate timely provider evaluation and continuity of care across the Plumas Model.
Provide perinatal health education through PHPS and help patients prepare for pregnancy, birth, and postpartum recovery.
Serve as a second birth attendant alongside the midwife, providing safe, respectful, evidence-based care during labor, birth, and the immediate postpartum period.
Perform maternal and fetal assessments, provide labor support, assist during delivery, assess and stabilize newborns, document care, and recognize and respond to maternal or neonatal complications.
Participate in emergency interventions and coordinate transfers when indicated, consistent with scope of practice, competency, and clinical protocols.
Provide patient and family education, lead group education classes, and support infant feeding, early bonding, and a breastfeeding-friendly environment.
Prepare and maintain a clean, safe, welcoming, and birth-ready environment, including room turnover, cleaning and disinfecting, handling linens and waste, and restocking supplies.
Provide scheduled on-call coverage as a Birth Center birth attendant and on-call coverage for emergent triage.
Respond to Standby Perinatal Service activations and support the CNM and physician when perinatal or neonatal patients present to the Emergency Department or Standby Perinatal Service.
Support rapid assessment, stabilization, and escalation of care, including transfer to another facility or the operating room for delivery or procedure.
Act as a clinical bridge between the Emergency Department, operating room, outpatient services, and higher levels of obstetric care.
Support hospital-wide readiness and perinatal safety protocols, and coordinate maternal and neonatal telemedicine programs.
Perform an accurate initial primary assessment, identify immediate patient and family needs, interpret fetal heart patterns, and communicate findings promptly and clearly to the CNM or physician.
Coordinate care for prenatal and postpartum patients, including social determinants of health needs and collaborative care for patients delivering at other facilities.
Coordinate antepartum telemedicine and newborn screening programs, and strategic quality initiatives.
Administer medications routinely used in the perinatal setting and maintain complete, clear, and concise documentation.
Initiate the chain of command in accordance with hospital policy when addressing patient-care problems or urgent safety concerns.
Maintain supplies and equipment in all care settings, support a clean and safe department, and perform laboratory quality control in the Birth Center and Rural Health Clinic.
Assist with evaluating and implementing recommendations from hospital committees, including Infection Control and Quality Assurance.
Participate in continuous performance improvement projects, maintain statistical data, compile requested monthly reports, and track quality and performance improvement for the SB669 project.
Assist in developing departmental goals and a competency and training program for the care model.
Assess patient risk, arrange referrals to perinatal or other specialties, assess barriers to education, and provide education appropriate to the patient and care team.
Provide education on lifestyle changes associated with diabetes, including nutrition, medication, physical activity, and glucose testing.
Provide lactation management services and facilitate education for nursing mothers, nursing staff, and other healthcare team members.
Use the nursing process to assess, plan, implement, and evaluate individual and group learning, supporting informed decision-making and active participation in health care.
Support preventive, relationship-based care aligned with rural health best practices and the midwifery model of care.
Assist with orientation, training, and mentorship of peers, students, and other healthcare providers, including midwives, nurses, and physicians.
Contribute to regional risk-management initiatives to improve client safety and reduce adverse outcomes.
Participate in the OB Committee and provide administrative support as assigned.
Participate in community health coalitions and healthcare outreach.
Maintain current knowledge and skills, attend required training and education, and maintain licensure, certifications, and obstetric proficiency, including shifts at higher-level labor and delivery services as required under California SB699.
Perform other duties as assigned.

Benefits

Comprehensive medical, prescription drug, dental, and vision plans for eligible employees after applicable waiting periods.
PDH Employee Discount Program, which waives 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 and a 50% match 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, and 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 the employee’s anticipated work schedule, subject to eligibility.
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.