OB RN, Midwifery Practice

Plumas District Hospital•Quincy, CA

1d•Onsite

About The Position

The Obstetric Registered Nurse provides maternal and newborn care across three settings in Plumas District Hospital’s integrated “The Plumas Model”: a midwifery-led freestanding Birth Center, a Rural Health Clinic, and hospital-based Standby Perinatal Services. The model connects outpatient prenatal and postpartum care, physiologic birth support, and emergency obstetric and neonatal response. The Standby Perinatal Unit, enabled by California Senate Bill 669 through a 10-year pilot program, provides emergency support for patients transferred from the Birth Center or presenting to the Emergency Department. This autonomous role requires participation in program management, quality and process improvement, and development of the new model of care. The nurse provides clinic case management and education; serves as a second birth attendant alongside the midwife; and responds to urgent or emergent perinatal needs through assessment, monitoring, stabilization, collaboration, and coordination of transfer when indicated. The position works in Quincy and Greenville and may support a mobile clinic. The role includes scheduled on-call coverage as a Birth Center attendant and on-call coverage for emergent Standby Perinatal triage. The nurse also provides perinatal and lactation education, coordinates care and screening programs, contributes to quality and safety initiatives, and supports training and mentorship. Compensation is listed as $4,041.60–$5,762.40 per pay period ($105,081.60–$149,821.24 annually), with starting pay determined by a clinical pay scale recognizing up to 30 years of relevant experience. Eligible employees may also receive shift differentials and holiday pay.

Requirements

At least 3 years of labor and delivery nursing experience, gained within the past 5 years or with active renewal or engagement 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 higher-level labor and delivery services as required under California SB699.
Ability to work independently with sound clinical judgment and communication skills in low-volume, high-acuity situations.
Ability to support patients and families across the continuum of care and function in a rural collaborative obstetric model.
Ability to work flexibly across evolving clinical workflows and use standard work and protocols as a team member.
Competence in assessing and identifying childbearing-family needs and communicating and functioning appropriately within a multidisciplinary team.
Ability to maintain positive interpersonal and interdepartmental relationships and show consideration and respect for others.
Practice under 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.
Interest in healthcare innovation, pilot programs, or policy-guided care models.

Responsibilities

Provide case management, nursing assessments, screening, patient education, and follow-up for prenatal and postpartum patients in the Rural Health Clinic.
Identify concerning symptoms, facilitate timely provider evaluation, and coordinate referrals and services to support continuity of care.
Provide health education through PHPS (formerly CPSP) to help patients prepare for pregnancy, birth, and postpartum recovery.
Serve as the second birth attendant in a midwifery-led model, assisting with labor and delivery, maternal and newborn assessments, infant feeding, early bonding, and recognition of changes requiring consultation or transfer.
Provide on-call coverage for births and emergent triage, including assessment, monitoring, stabilization, escalation, and transfer coordination when indicated.
Support CNMs and physicians when perinatal or neonatal patients present to the Emergency Department or Standby Perinatal Service.
Act as a clinical bridge among the Emergency Department, operating room, outpatient services, and higher levels of obstetric care.
Interpret fetal heart patterns, identify reassuring and non-reassuring findings, and communicate assessments promptly to the CNM or physician.
Provide patient and family education, lead group classes, and assess and document barriers to education.
Provide lactation management services and education for expectant and new parents, nursing staff, and other healthcare team members.
Educate patients with diabetes about nutrition, medication, physical activity, and glucose testing.
Coordinate prenatal and postpartum care, including social determinants of health needs and collaborative care for patients delivering at other facilities.
Coordinate antepartum telemedicine programs, newborn screening programs, and maternal and neonatal telemedicine programs.
Support hospital-wide readiness and perinatal safety protocols.
Maintain complete, clear, and concise documentation; administer medications routinely used in perinatal care; and initiate the chain of command for care problems or urgent safety concerns.
Maintain supplies and safe, clean conditions across care settings, including birth center laboratory quality control and birth suite preparation and turnover.
Participate in infection control, quality assurance, risk management, and continuous performance improvement initiatives, including tracking quality and performance for the SB669 project.
Maintain statistical data and compile reports; assist with departmental goals and development of competency and training programs for the care model.
Assist with orientation, training, and mentorship of peers, students, midwives, nurses, physicians, and other healthcare providers.
Attend required training and education, maintain professional knowledge and obstetric competency, and participate in shifts at higher-level labor and delivery services as required under California SB699.
Participate in the OB Committee and community health coalitions and healthcare outreach.
Support a Baby-Friendly and breastfeeding environment and preventive, relationship-based care aligned with rural health best practices.
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.
Generous paid time off accrual.
Paid leave for continuing education, bereavement, and jury duty.
Employer-sponsored retirement plans with a 3% employer contribution and an employer match of 50% of employee contributions, up to the plan maximum.
$20,000 in employer-paid life insurance.
Voluntary additional life insurance and long-term disability insurance for full-time employees.
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 eligibility conditions.
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.