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CERTIFIED NURSE MIDWIFE II

Fort Defiance Indian Hospital Board, Inc.•Fort Defiance Agency, AZ

About The Position

The Certified Nurse Midwife II provides leadership and strategic direction to improve clinical practice and the quality of care and service to childbearing women. The role supports professional leadership of the integrated hospital and community midwifery team and advocates for woman-centered, evidence-based care. The midwife maintains clinical expertise through ongoing participation in practice, research, evaluation, and professional development. The position provides prenatal, intrapartum, and postpartum care, including prenatal visits, antepartum testing, labor attendance, vaginal deliveries, assistance with cesarean sections, laceration repair, and immediate and outpatient postpartum care. It also provides routine newborn care up to six weeks and well-woman gynecological care, including family planning, contraception, STI prevention and treatment, minor gynecological conditions, and menopause care. The midwife evaluates patients, obtains and reviews clinical information, orders or performs diagnostic tests, makes preliminary diagnoses, provides or arranges treatment and referrals, and maintains timely medical records. Duties include outpatient clinic care, counseling and instruction, coordination of follow-up, collaboration with allied health professionals, consultation to medical staff, committee and peer-review participation, performance improvement and regulatory compliance, and emergency care. A valid, unrestricted, insurable driver's license is required. A resume and references are required. Navajo and other federally recognized tribal members may receive employment preference under the stated policy.

Requirements

  • Three years of Certified Nurse Midwifery (CNM) experience.
  • Completion of a Doctor of Nursing Practice (DNP) Nurse Midwifery, Master of Science in Certified Nurse Midwifery (MSN-CNM), or Post Master's Certificate in a Certified Nurse Midwifery program accredited by the American Midwifery Certification Board (AMCB).
  • Active, unrestricted, unencumbered CNM license from a full opt-out U.S. state or territory, enabling independent practice privileges, prescriptive authority, and independent admitting and ordering privileges within the CNM scope of practice without physician or other licensed independent practitioner supervision.
  • Active, unrestricted, unencumbered board certification by the American Midwifery Certification Board (AMCB).
  • American Heart Association (AHA) Basic Life Support (BLS) certification, maintained while employed.
  • American Heart Association (AHA) Neonatal Resuscitation Program (NRP) certification, maintained while employed.
  • Valid, unrestricted, insurable driver's license.
  • Resume and references are required.

Responsibilities

  • Provide visionary leadership and strategic direction to improve clinical practice and quality of care for childbearing women.
  • Support professional leadership of the integrated hospital and community midwifery team and advocate for woman-centered, evidence-based care.
  • Review current research, identify areas for development, plan changes, and evaluate outcomes.
  • Maintain clinical credibility by regularly participating in clinical practice and keeping current with midwifery practices.
  • Provide prenatal, intrapartum, and postpartum care, including prenatal visits, antepartum testing, labor attendance, vaginal deliveries, assistance with cesarean sections, repair of vulvar or vaginal lacerations, and immediate and outpatient postpartum care.
  • Provide routine newborn care up to six weeks.
  • Provide well-woman gynecological care, including family planning and birth control, STI prevention, diagnosis and treatment, minor gynecological problems, and menopause care.
  • Participate in Midwifery Services peer review, meetings, and projects.
  • Interview and examine patients, review medical histories, and request or perform necessary diagnostic tests and examinations.
  • Make preliminary diagnoses; direct, prescribe, or provide treatment; and arrange specialized care or referrals as required.
  • Prepare timely and appropriate medical records for patients seen.
  • Independently provide routine pregnancy, birth, and well-woman care, including prevention, health maintenance, early diagnosis, treatment, and follow-up.
  • Conduct outpatient clinics; assess symptoms, medications, diet, therapy, adherence, and observations; modify regimens as indicated; and instruct and counsel patients.
  • Refer patients to appropriate contracted medical or government facilities when needed services cannot be adequately provided on site, and provide clinical information for care and diagnostic procedures.
  • Coordinate and integrate information to ensure timely follow-up care.
  • Work with allied health professionals, including community health nurses, social workers, and health educators, to provide broad healthcare services.
  • Serve as a midwifery consultant to other members of the FDIHB Medical Staff.
  • Serve on hospital committees as assigned.
  • Fulfill Medical Staff duties, follow Medical Staff Bylaws and Rules & Regulations, participate in performance improvement, and ensure compliance with CMS, EMTALA, and hospital standards.
  • Provide emergency care as required.
  • Perform other duties as assigned.

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