Certified Nurse Midwife - Per Diem

Position Summary

The Certified Nurse-Midwife independent provider will provide medical care and treatment to obstetrical patients during pregnancy and normal delivery. The Midwife will also care for women throughout the lifespan in outpatient and inpatient settings.

• Position: Certified Nurse Midwife
• Department: BMC-Brighton, Womens Health
• Schedule: Part Time, Per Diem

Essential Responsibilities / Duties

Outpatient:

Provides annual gynecologic exams, including but not limited to pap smears; manages abnormal pap results per ASCCP guidelines.

Sees patients for problem visits - discharge, pelvic pain, breast lumps, STI screening, etc. Evaluates irregular/unscheduled bleeding

Provides contraception education and advice on family planning - OCPs, patch, ring, shot, LARCs; inserts and removes all types of IUDs and Nexplanon. Conduct classes for patients and family members concerning pregnancy and delivery.

Performs endometrial biopsy, removal of cervical polyps, destruction of vulvar lesions/warts, colposcopy with ECC and biopsy; conducts vulvar biopsies.

Management of pelvic organ prolapse, pessary fitting and care; Bartholin cysts/abscesses

Provide care for pregnant patients - routine care, low risk care, co-management of high-risk OB population [including PEC and DM, IUGR, other conditions].

Inpatient

Takes part in initial examination of patient, monitors course of pregnancy, advising on proper health practices, taking tests as appropriate, and reporting any complications to the obstetrician.

Provides care for laboring patients - spontaneous labor, IOL and labor augmentation - and postpartum patients

Prepares patients and their partners for delivery; trains mothers-to-be in exercise, breathing, and relaxation techniques. Provides instructions in breast-feeding if requested.

Attends and reassures patient throughout the course of labor, monitors the fetus condition, administers medications, notifies physician of prolonged labor or complications indicating need for possible surgical intervention.

• Delivers infant and checks mother and child to ensure that they are responding normally.
• Uses electronic fetal monitoring, including placement of FSE and IUPC.
• Responsible for the initiation and management of amnioinfusion.
• Co-manages patients with co-morbidities.
• Provides normal spontaneous delivery provider and VBAC provider.
• First assist in primary and repeat Cesarean deliveries [transverse and classical], in cerclage placement, and D&C/ D&E
• Repairs 1st and 2nd degree lacerations.
• Provide consultation for gyn problems in ED, med-surg, ICU, and in the psychiatric unit.

Inpatient and Outpatient Setting

Teaches/precept medical and physician assistant students as well as nursing and nurse practitioner students. Participate in QA committee by presenting reviewed cases.

Other Duties and Responsibilities as Assigned

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required)

Job Requirements

REQUIRED EDUCATION AND EXPERIENCE:

Bachelor's degree in Nurse Midwifery. No prior experience required.

Preferred Education and Experience

Master’s degree in Nurse Midwifery

Certifications, Licenses, Registrations Required

• Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts.
• Active Massachusetts midwifery license.
• Post-baccalaureate certificate in Nurse Midwifery

Certifications, Licenses, Registrations Preferred

N/A

KNOWLEDGE, SKILLS & ABILITIES (KSAs)

• Ability to remain calm during labor and delivery to reassure patient
• Ability to exercise good professional judgment.
• Good verbal and written skills for communication with patients and physicians.

Compensation Range

$109,000.00- $158,000.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.

This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness.

In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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