• Provides maternity care and management for women with uncomplicated pregnancies.
• Provides gynecological care in an outpatient setting.
• Collaborates with the physician in providing care for selected patients with problems.
• Participates in rotating on-call labor and delivery coverage for Nurse Midwifery Service patients.
• Structures OB/GYN care to include the assessment of patients, a plan of care, the implementation of therapeutic decisions, and relevant follow-up.
• Fulfills the education needs of patients and families, and the community at large, using resources of the Medical Center, and the community.
• Providing preconception, prenatal and postnatal care in both centered prenatal care and traditional models
• Taking in hospital calls including rounding on antepartum and postpartum patients, triaging labor patients, managing labor, delivery and postpartum care (with Physician backup)
• Assisting with cesarean sections
• Triaging patient phone calls
• Counseling and educating patients on contraceptives, reproductive health, and family planning

Skills: Maternity Care Management, Gynecological Care in Outpatient Settings, Collaborative Care with Physicians, On-call Labor and Delivery Coverage, Patient Assessment and Care Planning, Patient Education on Healthcare Topics, Emergency Care and Triage, Communication and Counseling on Reproductive Health

• Provides direct patient care
• Assesses patients on admission to the hospital or clinic including physical, emotional and psychosocial needs.
• Develops, implements and evaluates plan of care in collaboration with other members of the multidisciplinary team.
• Facilitates communication between physician, patient, family and all health team members to ensure a unified approach to the plan of care.
• Determines educational needs of patients and families, providing relevant education and/or collaboration with health care team to ensure they are addressed.
• Coordinates discharge plan and follow-up in collaboration with the physician, giving the information and appropriate education to patient and family.
• Documents all care in a timely manner to ensure accurate patient record and billing.
• Collaborates with the interdisciplinary team
• Works to develop interdisciplinary plans of care that address the unique physical, cultural, socioeconomic, psychological and spiritual factors that may affect the health status of the woman.
• Assumes a leadership role in establishing and monitoring standards of practice to improve patient care in collaboration with other nursing experts as appropriate.
• Promotes collegiality within the team
• Contributes to the professional development of peers, colleagues and others.

Skills: Patient Assessment, Care Planning, Communication Skills, Patient Education, Discharge Planning, Documentation, Interdisciplinary Collaboration, Leadership and Professional Development

• Follows the established safety and health measures
• Collects and assesses clinic care data, develops and implements a plan of management and evaluates the outcome of care
• Collaborates with the health care team to develop interdisciplinary plans of care that address the unique physical, cultural, socioeconomic, psychological and spiritual factors that may affect the health status of the woman
• Provides the clients with clear information resulting in informed consent
• Practices in accord the Philosophy and the Code of Ethics of the ACNM
• Demonstrates knowledge of and utilizes federal and state regulations that apply to practice environment and infection control
• Participates in open respectful discussion with other staff members to encourage team building and consensus decision making
• Integrates intervention into the care process that takes into consideration cultural diversity, individual autonomy and legal responsibilities
• Participates in clinical research related to improvement of the quality of health care for women and newborns
• Performs delegated tasks and functions assigned by the Director

Skills: Safety Compliance and Health Monitoring, Data Collection and Care Management, Interdisciplinary Collaboration, Informed Consent Communication, Ethical Healthcare Practice, Regulatory Knowledge and Application, Team Building and Consensus Development, Cultural Sensitivity and Legal Compliance in Care

• Providing primary and specialty health care for women
• Conducting physical exams and diagnosing, treating, and managing medical conditions.
• Counseling and educating patients.
• Providing support through perimenopause and menopause.
• Providing pregnancy care by monitoring the health of the mother-to-be and her unborn baby.
• Provide education, counseling, and prenatal care individualized to each woman.
• Assist during labor and delivery.
• Provide follow-up care for mom and baby after delivery, including advice on issues such as breastfeeding.
• Works to improve patient care, develop relationships, and foster the growth of the profession.
• Facilitates referrals to community health facilities, agencies and resources.

Skills: Clinical Proficiency in Women's Health, Patient Education and Counseling, Perimenopause and Menopause Management, Pregnancy and Prenatal Care, Labor and Delivery Assistance, Postnatal Care Expertise, Professional Development and Community Engagement, Healthcare Network Collaboration.

• Follows guidelines as determined by the nurse-midwife service collaborating physician, and the OB/GYN Department.
• Overall management of the care of healthy childbearing women through prenatal, intrapartum and postpartum experience, including newborn assessment at delivery and lactation support.
• Cares for high-risk women within scope of practice.
• Functions within scope of practice, as determined by law and hospital privileges.
• Provides gynecological care and family planning assistance to women.
• May act as surgical assistant at c-section and GYN procedures.
• Provides primary care to women which includes the following obtaining histories and performing appropriate medical exams, conducting health screening procedures, 
• Diagnosing, treating, and monitoring common and acute health care problems and providing health education.
• Prescribes medications and therapies appropriate to the scope of practice.
• Performs and assists in routine diagnostic procedures within the scope of practice.
• Maintains appropriate and complete clinical records, fostering communication between health care providers, continuity of care, and coordination of services.

Skills: Comprehensive Obstetric Care, High-Risk Pregnancy Management, Gynecological and Family Planning Services, Surgical Assistance, Primary Healthcare Provision, Medication and Therapy Prescription, Diagnostic Procedure Performance, Clinical Documentation and Coordination.

• Identifying typical and atypical presentations of commonly occurring health problems across the lifespan of the pregnant and postpartum woman
• Treating common acute and chronic illnesses and common injuries to minimize the development of complications
• Identifying acute exacerbations of chronic illness and intervening appropriately
• Adapting interventions to meet the complex needs of pregnant patients arising from normal changes of aging, multiple system problems, psychosocial, and financial issues
• Providing health protection, health promotion, and disease prevention interventions/treatment strategies to improve or maintain optimum health of the pregnant and postpartum woman
• Assessing the impact of multilevel influences on a pregnant woman's health status including family dynamics, community, environmental changes, economic, and occupational influences
• Providing comprehensive management of the laboring patient, including triage, intrapartum care, and postpartum care
• Identifying risk factors and behavior patterns that threaten health and well-being, as well as educating patients and caregivers on ways to manage risk factors or modify behavior to avoid illnesses and maximize wellness
• Educating patients and families to facilitate and support health adjustments to new or changed health patterns
• Accommodating walk-in patients, arriving for office sessions on time, and remaining throughout each session
• Engaging in teamwork with the support staff, appropriate clinical charting with complete notes and up-to-date problem and medication lists, timely completion of encounter forms, completing peer chart audits, etc

Skills: Clinical Assessment and Diagnostic Proficiency, Treatment and Intervention Expertise, Holistic Patient Care Capabilities, Preventive Healthcare Skills, Comprehensive Maternity Care Management, Health Education and Risk Management, Operational Competence in Clinical Settings, Team Collaboration and Communication Skills

• Experience with a strong preference for experience as a Nurse Midwife within an Ob/Gyn setting. 
• Experience with maintaining Basic Cardiac Life Support certification. 
• Possesses a current license to practice professional nursing in the Commonwealth of Massachusetts.
• Experience with Current federal DEA and MCSR licenses. 
• Experience with Current AMCB certification.
• Current NYS registration as a Registered Professional Nurse, Nurse Practitioner and American Heart Association-Basic Life Support (BLS)
• Existing WCHOB RNs and  BLS certification as part of the training and orientation to OCH. 
• Experience in the specialty area of practice (Obstetrics) as an RN or NP
• Experience with ANCC or national certification
• Experience with certification in Nurse-Midwifery/Midwifery from the Midwifery Certification Board

Qualifications: BS in Nursing with 3 years of Experience

• Experience with basic rescuer CPR certification
• Strong Bilingual (Spanish/English)
• Experience with license to practice as an APRN-Certified Nurse Midwife
• Experience with current certification by the American Midwifery Certification Board (AMCB)
• Experience with BLS certification and APN licensure 
• Proficiency in both English and Spanish 
• Experience with ACNM or ACC certification as a Certified Nurse-Midwife
• Experience with licensed in the state of WA as a CNM by the time of employment
• Board certified by the time of employment
• Experience with DEA, NPI & prescriptive authority
• Experience with Current BLS for Healthcare Providers certification by the American Heart Association

Qualifications: BA in Public Health with 2 years of Experience

• Excellent written and verbal skills
• Experience and comfort working independently with antepartum, postpartum and laboring patients, and collaborating with physicians and specialty staff as indicated and needed.
• Collaborative and open in communication with partners, staff and patients.
• Commitment to the midwifery model of care by providing evidence-based, patient-centered, individualized care.
• Prior labor and birth and/or midwifery experience
• Commitment to bedside, "with woman" midwifery care and supportive of physiologic labor and birth
• Experience in routining newborn care provider up to 2 weeks of age
• Knowledge and desire to work in a rural community practice
• Experience with providing full spectrum of contraceptive options to patients
• Experience with call is shared equally among 3 CNM partners
• Experience with WWH collaborative OB/GYNs familiar with and supportive of midwifery model of care

Qualifications: BS in Biology with 3 years of Experience

• Experience in Certified or eligible for certification by the American College of Nurse-Midwives
• Familiar with Licensed by the State of Connecticut as a Licensed Midwife
• Ability and willingness to serve on the active medical staff of the hospitals used by FHCHC
• Qualified in Basic Life Support
• Bi-lingual in Spanish and English preferred
• Experience in an ambulatory or outpatient setting midwifery
• Ability to relate with warmth and effectiveness to the patients and other staff
• Experience with Epic EMR
• Excellent verbal and written communication skills
• Ability to work effectively with colleagues in a team environment and to collaborate with professionals across a variety of disciplines

Qualifications: BA in Psychology with 2 years of Experience

• Familiar with BLS/HCP level certification.
• Neonatal Resuscitation Program (NRP) certification.
• Experience with Completion of fetal monitoring interpretation and management course, NCC Electronic Fetal Monitoring Certification
• Experience with Completion of Electronic Fetal Monitoring continuing competency assessment every two years through re-certification or passing of a comprehensive course.
• Ability to speak, read, write, and understand English.
• Experience in a Nurse-Midwifery Clinical practice.
• Experience in Post-Offer Background Screening and Drug Testing
• Flexibility in responding to day to day clinical service demands and responsiveness to needs/inquiries of colleagues
• Ability to prioritize tasks
• Ability to review patient medical charts for relevant history
• Ability to document clinical services efficiently and effectively

Qualifications: BS in Health Sciences with 4 years of Experience

• Currently demonstrated competence and an adequate level of current experience, document the ability to provide services at an acceptable level of quality and efficiency
• Ability to function effectively in a fluid, dynamic, and rapidly changing environment
• Experience with  full-scope midwifery
• Successful completion of a formal, approved program that has as its objective the preparation of nurses to perform as nurse-midwives from an accredited certified nurse-midwifery program.
• Experience with current certification by the American College of Nurse-Midwives OR be actively seeking certification and obtain the same on the first examination for which eligible
• Experience with current active licensure to practice professional nursing in an expanded role in the nurse-midwife category from the Maryland State Board of Nursing
• Experience with current Federal Drug Enforcement certificate AND Maryland Controlled Dangerous Substance certificate
• Experience with current certification in Adult CPR by the American Heart Association
• Experience with electronic Fetal Monitoring Certification by the National Certification Cooperation OR to be obtained within the first year of employment
• Familiar with Commitment to remain up to date with clinical standards of care and related advances in the field
• Ability to consistently maintain and convey a positive attitude and excellent customer service skills in service delivery

Qualifications: BA in Sociology with 5 years of Experience