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Lead Certified Nurse Midwife
2 months ago
New Hire Sign-On Bonus Available
Position Overview:
Under the guidance of the OB/GYN Chief of Service for clinical matters and the Department Administrator for administrative tasks, the Lead Certified Nurse Midwife plays a pivotal role within the healthcare team.
In collaboration with an Ob-Gyn Physician, this role manages the medical care of patients throughout the maternity cycle, which includes antepartum, intrapartum, postpartum, and gynecological care.
Standard maternity care and counseling are provided to expectant women in accordance with established ambulatory care and inpatient procedures, protocols, and policies regulated by the State of California Nurse Practice Act and Southern California Permanente Medical Group.
Key Responsibilities:
The Lead Certified Nurse Midwife demonstrates expertise through the following skills, competencies, and behaviors: Leadership: Oversees, reviews, assigns, and organizes the work of a team of three or more Certified Nurse Midwives.
Ensures compliance with Kaiser Permanente's policies and procedures, principles of responsibility, and applicable state and federal regulations, as well as accreditation and licensure requirements.
Upholds the standards set forth by the California Nurse Practice Act, the American Nurses Association (ANA) Standards of Nursing Practice, the ANA Code of Ethics for Nurses, and the American College of Nurse-Midwives.
Champions innovative ideas and actively collaborates with others throughout the change process.Serves as a resource, preceptor, and mentor to new employees, residents, registry staff, students, and other team members in department-specific operations and patient care activities.
Collaborates with or refers to the manager/clinical nurse specialist/educator any outstanding issues or concerns within the unit. Demonstrates the ability to identify and resolve problems in partnership with work teams across the continuum. Ensures adherence to regulatory requirements, policies, procedures, and standards of practice. Participates in activities related to patient flow, including admission and discharge processes. Facilitates communication and collaboration across professional and interdisciplinary teams.Nursing Process:
Acts as a resource for clinical concerns, scope of practice, and applicable state and federal regulations, as well as operational concerns of providers and staff.
Possesses the experience and skills necessary to serve as a resource for providers, RNs, LVNs, MAs, CNAs, and other relevant personnel.
Demonstrates flexibility in work schedules to meet departmental needs. Actively participates in assigning, orienting, precepting, and coaching staff and students as required.Documentation:
Conducts audits and ensures that documentation accurately reflects thorough assessments, incorporating physical and psychosocial findings, diagnostic tests, learning needs, barriers, multidisciplinary education plans, and age-appropriate care.
Clinical Outcomes:
Participates in and leads various aspects of departmental operations, staff competencies, departmental committees, Unit Based Teams (UBTs), new projects, quality initiatives, and educational programs.
Demonstrates knowledge of specific patient conditions commonly encountered in the department and the care required. Engages with leadership, peers, physicians, other healthcare providers, and support staff regarding performance as necessary.Actively participates, champions, and motivates other staff in quality improvement, patient care, workflow, and enhancements in clinical initiatives and working conditions within the department.
Provides input on employee performance evaluations through provider and patient feedback, peer review, and chart review.Workplace Safety:
Adjusts staffing needs within the department to ensure quality patient care, patient and staff safety, efficiency, productivity, and optimal working conditions for providers and staff.
Actively models Labor-Management Partnership (LMP) Workplace Safety principles and practices.Patient Care Experience/Customer Service:
Acts as a role model for staff in delivering a patient care experience that exceeds member expectations. Ensures timely and appropriate management of patients. Participates in facilitating smooth transitions for patients across the care continuum. May engage in daily leadership rounds and document rounding activities as appropriate.
Team Commitment:
Ensures support for the collaborative LMP environment through unit-based teams (UBTs). Identifies and supports staff professional and clinical development needs (e.g., certification, presentations, recognition). Motivates staff to reach their full potential in improving performance, attendance, access, and service and quality outcomes. Ensures consistent communication of departmental meeting information. Addresses difficult or conflict situations constructively and seeks appropriate assistance.
Fiscal Responsibility:
Participates in resource allocation (assignments, scheduling, and certain equipment/supply management).
Collaborates and assists with leadership, physicians, and peers in scheduling, workflow, and throughput to promote quality patient care, patient and staff safety, efficiency, productivity, and optimal working conditions for providers and staff.
Professional Development:
Engages in Professional Development Educational programs. Takes responsibility for personal professional growth and development.
In addition to the Certified Nurse Midwife responsibilities, the Lead CNM is expected to demonstrate proficiency through the following skills, competencies, and behaviors:
Under the supervision of an Ob-Gyn physician, manages the care of women during labor and delivery.
Obtains an accurate medical, obstetrical, gynecological, and psycho-social history of the current pregnancy.
Observes signs of the member's general and obstetrical health status.
Conducts comprehensive physical examinations, including pap smears, breast examinations, abdominal examinations, pelvic examinations, and clinical pelvimetry.
Records all findings from examinations, histories, and significant observations in the patient's chart.
Determines pregnancy status during gestation, presentation and position of the fetus, and fetal heart rate.
Assesses whether all findings are within normal limits.
Orders appropriate laboratory examinations such as chest X-rays, ultrasounds, CBC, urinalysis, blood type and Rh factor, and serology tests.
Consults with and obtains orders from an obstetrician for any special care or diagnostic procedures and refers to other services as necessary.
Educates, counsels, and guides individual members regarding their healthcare needs.
Identifies the need for social services, genetics, or mental health services and refers as appropriate.
Evaluates patients' general and obstetrical health status.
Provides health supervision, care, and family planning advice to women during antepartum and postpartum periods.
Evaluates fetal status by performing procedures such as abdominal palpation and ultrasound examinations to estimate fetal weight, presentation and position, approximate station, and fetal heart rate.
Consults with obstetricians regarding any questionable findings.
Determines the member's degree of labor and whether the member is to be admitted to labor and delivery.
Independently conducts normal spontaneous vaginal deliveries.
First assists at Cesarean Sections and gynecological surgeries.
Provides immediate care for the newborn.
Basic Qualifications:
Experience
Minimum of three (3) years of full-time recent experience as a CNM required.
Education
Graduate of an accredited RN program.
Master's Science Degree required in 2010.
Graduate of a nurse midwifery program accredited by the A.C.N.M. BS or BSN or BA required, MS Degree required in 2010.
License, Certification, Registration
Certified Nurse Midwife (California)
Registered Nurse License (California)
Neonatal Resuscitation Program
Nurse Midwife National Certification
National Provider Identifier
Basic Life Support
Additional Requirements:
DEA Registration Number
Must be able to work in a Labor Management/Partnership Environment
Preferred Qualifications:
Leadership and supervisory experience preferred
DEA Required
Notes:
Variable schedules may change based on operational needs may cover inpatient duties on weekends and holidays.
Job Schedule:
Full-time
Job Type:
Standard
Employee Status:
Regular
Employee Group/Union Affiliation:
B22|AFSCME|KPCSP-CNMs
Job Level:
Individual Contributor
Job Category:
Nursing Licensed & Nurse Practitioners
Department:
Riverside Med Center - Obstetrics/Gyn-Reg Clin - 0806
Travel:
Yes, 75% of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce.
Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
