APP Perinatal Operations/Lead Certified Nurse Midwife
Listed compensation
$95k-$208k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
- Title: Medical Director APP Perinatal Operations/Lead Certified Nurse Midwife
- Department: OB/Gyn Hospitalists, Req 3772
- Reports To: Chair Women’s and Children’s Service Line - Luminis Health
- FLSA Status: Exempt
The purpose of this position is to provide perinatal clinical and administrative APP leadership for women’s health services and programs. In addition, this APP leader will serve as a liaison between the CNM delivering providers/OB triage APP’s and service line as well as hospital operational leaders.
The APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife is responsible for leading and improving the clinical activities of the APP’s engaged in clinical care across our perinatal units as well as guide uniformity in care within all practices that leverage APP’s to deliver perinatal care.
In this capacity, the APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife oversees and enforces evidence–based care process’ for inpatient and ambulatory obstetrical patients as outlined by professional society guidelines (ACOG, AWHONN, ACNM) MIEMMS standards, LHAAMC Women’s and Children’s protocols and policies.
Ensures clinical access to ambulatory offices for patients desiring midwifery care and ensures appropriate personnel and process’ to advance efficient perinatal throughput across our units.
Responsibilities – Administrative
Attends and participates in OB Hospitalists meetings, Women’s and Children’s Executive Leader’s monthly meetings, Monthly 1:1 with the chair, leads monthly APP/CNM practice meetings, Wednesday noon meetings per service rules, Medical Staff meetings per LHOB/Gyn policy, Women’s and Children’s Yearly leadership retreat and meetings associated with strategic planning and initiatives of the service line.
Orientates, onboards and educates new APP’s to inpatient environment and ensures onboarding of ambulatory APP providers across LHOB/Gyn practices.
Review and educate fellow APP’s including CNM’s about practice financials – including billing, coding, collecting and documentation changes.
In partnership with Ob/Gyn hospitalists for LHAAMC, serves as a safety officer for all perinatal units, primarily OB triage and may serve as a clinical consultant for the ED and medicine service across Luminis Health.
- Participates in APP, resident and medical student education as defined by the residency program director.
- Develops and resolves conflicts with the CNM and APP OB Triage clinical and call schedules.
- First in chain of communication for APP’s that are perinatal services providers.
- Executes on and enforces quality protocols developed by the Women’s and Children’s Leadership.
- In conjunction with the Perinatal Operations medical director and the OB/GYN Hospitalists, promotes throughput on ALL Perinatal units.
- Executes on quality improvement projects with guidance from PI team and VP of Women’s and Children’s.
Enforces Weekly service line meeting, TEAM STEPPS, Electronic Fetal Monitoring certification and Simulation attendance.
Participates with Women’s and Children’s System Chair in Succession planning for APP leaders and practice members.
Participate with OB/Gyn Chief of the Service and Associate Chair for Quality and Safety in Focused Professional Practice Evaluations and Ongoing Professional Practice Evaluations.
Participate in leadership evaluation and program feedback twice yearly.
CNM’s and APP’s work across several ambulatory settings including general OB/Gyn office practice and Centering Pregnancy in accordance with the Centering Health Initiative guidelines and inpatient environments including our perinatal units and OB Triage.
The APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife models quality care in the above environments, and participates in process improvement initiatives that advance enhanced patient experience, uniformity in care, timely and appropriate documentation to reflect quality care.
The APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife Ensure that care is in scope for all APP providers and up-to-date professional practice agreements are in place.
- Required Minimum Education. Board Certified
- Required Minimum Experience: Minimum of 5 years Obstetrics and Gynecology practice experience and demonstrated leadership competencies.
- Per professional society guidelines
Please Choose One
Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
There is reasonable expectation that employees in this position will be exposed to blood-borne pathogens.
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities
Pay Range
$95,014.40—$208,104 USD
Luminis Health Benefits Overview
- Medical, Dental, and Vision Insurance
- Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid Time Off
- Tuition Assistance Benefits
- Employee Referral Bonus Program
- Paid Holidays, Disability, and Life/AD&D for full-time employees
- Wellness Programs
- Employee Assistance Programs and more
*Benefit offerings based on employment status
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Key Responsibilities
The lead midwife provides clinical and administrative leadership for perinatal services, ensuring evidence-based care and efficient patient throughput across units. They also act as a liaison between providers and hospital leadership while overseeing quality protocols and staff education.
Requirements
Candidates must be board certified and possess a minimum of 5 years of experience in obstetrics and gynecology practice. Demonstrated leadership competencies are required to manage clinical activities and staff effectively.
Qualifications
- Experience
- 5+ years of experience
Certifications
Key Skills
Nurse Midwifery — Nurse Practitioner Career Context
Of the 50 active Nurse Midwifery listings this role was benchmarked against, 34% are remote, 60% have no call, 72% require no weekends.
Nurse Midwifery pay on WeekdayDoc is up 5.4% vs. the prior quarter (through Oct 2026).
| Measure | This job | Market |
|---|---|---|
| Cost-of-living adjusted pay | ~$144k in purchasing power | Maryland index 105.0 (US = 100)BEA Regional Price Parities (2024) |
| Nurse Midwifery listings in Maryland | 6 active | 353 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 34% remote · 60% no call · 72% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Maryland Nurse Practitioner listings: 14% state a sign-on bonus · 4% offer loan repayment270 active listings, Nov 2026 |
| Nurse Midwifery hiring demand | #3 of 19 specialties | postings stay open a median 47 days · 15% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 131 postings, 106 closed |
| New Nurse Midwifery listings | 101 in the last 30 days | 93 the 30 days before (+9%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Nurse Midwifery pay trend | +5.4% vs prior quarter | —through Oct 2026 |
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