Chief Certified Nurse Midwife
Posted on: March 17, 2023
In conjunction with Chief of Service and/or OB/GYN physicians,
the Chief CNM, supervises the Certified Nurse Midwives.
Independently manages the care of low risk women during antepartum,
intrapartum and postpartum periods. Co-manages higher risk patients
when determined appropriate by CNM and MD. Provides standard
maternity care and counseling to women adhering to the standards of
the American College of Nurse Midwives, procedures and instructions
regulated by the State Nurse Practice Act and The Permanente
- Interviews, hires, trains/develops, supervise and evaluates
certified nurse midwives.
- Oversees development and maintenance of CNM service schedule,
maintains CNM standards, policies and procedures, and develops
goals and performance improvement opportunities.
- Calls and conducts meetings of CNM staff as needed to implement
the above duties and responsibilities.
- Establishes and maintains quality of care and service
standards. Ensures staff is in compliance with TJC, and other
local, state and federal regulations. Maintains a mechanism for
peer review and annual performance evaluation. Develops and
monitors budgets and resource allocation.
- Monitors CNM financial performance and identifies and
implements strategies to reduce costs and improve quality of
care/service. Works collaboratively with OB Chiefs, managers, and
hospital committees to ensure integration of nurse midwife
functions. Attends or sends designee to Regional CNM peer group
- Provides clinical rotations for nurse-midwifery students from
accredited Nurse-midwifery education programs.
- ANTEPARTUM Evaluates patient's general and obstetrical health
status. Determines pregnancy status, duration of gestation,
presentation, and position of fetus, fetal heart rate, and
determines whether all statistics are within normal limits. Obtains
an accurate medical, obstetrical, gynecological and social history
and an account of the course of the present pregnancy. Observes
signs of the member's general and obstetrical health status.
Performs all appropriate physical examinations appropriate to CNM
care needed, including the pap smear, breast examination, and
pelvic examination. Records all findings of examinations, histories
and significant observations on patient's chart. Consults with
appropriate MD regarding any abnormal findings. Orders appropriate
lab and medical imaging studies as needed. Institutes preventative
measures and detects abnormal conditions. Obtains consultation and
assistance from ancillary services as needed. Teaches, counsels,
and guides individual members regarding their individual health
care. Teaches antepartum classes as needed in individual
facilities. Evaluates maternal general health status and well
- INTRAPARTUM Performs medical screening exam to diagnose labor.
Independently manages the care of low risk women during labor and
delivery, under the supervision of a physician. Co-manages higher
risk patients when determined appropriate by CNM and MD. Performs
facility specific standardized procedures. Evaluates patient for
appropriate pain management. Includes requesting epidural for women
- POSTPARTUM Provides health supervision, care, teaches family
planning, and prescribes contraception to women during the
- Kaiser Permanente conducts compensation reviews of positions on
a routine basis. At any time, Kaiser Permanente reserves the right
to reevaluate and change job descriptions, or to change such
positions from salaried to hourly pay status. Such changes are
generally implemented only after notice is given to affected
- Minimum three (3) years of experience as a Certified
- Graduate of a nurse midwifery program accredited by the
American College of Nurse Midwives (A.C.N.M.).
- High School Diploma or General Education Development (GED)
License, Certification, Registration
- Current and valid California R.N. license, California Nurse
Midwife certificate, A.C.N.M. certification required by date of
- BLS certification required.
- Current and valid DEA registration number specific to our
practice at Kaiser to be obtained.
- Must have a Nat'l Provider Identifier (NPI), or obtain an NPI,
prior to employment start date.
- Demonstrated ability to work in teams and have effective
communications and listening skills.
- Demonstrated understanding of all regulatory requirements and
legal consequences of midwifery care.
- Demonstrate a track record of following the precautionary and
preventive measures in giving patient care.
- Proven ability to exercise professional prerogatives based on
sound clinical judgment.
- Must be able to work in a Labor/Management Partnership
- Minimum two (2) years of supervisory experience.
- Current and valid California Nurse-Midwife furnishing
certification (including any needed education in pharmacy) and
didactic education and supervised clinical experience in third
trimester limited obstetric ultrasound preferred.
- Shifts will vary. Days, evenings, and nights required.
Job Category: Nursing Licensed & Nurse Practitioners
Keywords: Kaiser, Fresno , Chief Certified Nurse Midwife, Healthcare , Fresno, California
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