Lead Certified Nurse Midwife

2 weeks ago

Riverside, California, United States Kaiser Permanente Full time

New Hire Sign on Bonus Available

Position Overview:


Under the overarching guidance of the OB/GYN Chief of Service for clinical matters and the Department Administrator for administrative functions, the Lead Certified Nurse Midwife plays a pivotal role within the healthcare team.

This position is responsible for coordinating departmental operations that guarantee high-quality patient care in a secure, nurturing environment that prioritizes both patients and their families. The Lead CNM is accountable for their professional practice and serves as an expert resource, providing support to team members while understanding departmental priorities and needs. This role exemplifies professional Nurse-Midwifery practice and may offer recommendations to management regarding efficient resource allocation, ensuring optimal scheduling and coverage. The Lead CNM's performance aligns with the strategic objectives of the organization and embodies the KP mission, vision, and values.

Under the supervision of an Ob-Gyn Physician, the Lead CNM oversees the medical care of patients throughout the maternity cycle, encompassing antepartum, intrapartum, postpartum, and gynecological care.

Provides standard maternity care and counseling to expectant mothers, adhering to established ambulatory care and inpatient procedures, protocols, and regulations as dictated by the State of California Nurse Practice Act and Southern California Permanente Medical Group.


Key Responsibilities:


The Lead Certified Nurse Midwife showcases expertise through the following skills, competencies, and behaviors: Leadership: Directs, reviews, assigns, and organizes the work of at least three (3) or more Certified Nurse-Midwives.

Implements the KP Nursing mission, vision, values, and behaviors in daily operations. Understands departmental needs and establishes priorities. Provides professional leadership and direction to Certified Nurse-Midwives to ensure effective patient care delivery. Coordinates departmental operations and delegates tasks as necessary. Acts as a role model for professional Midwifery practice (e.g., CNM/MD Collaborating for Outcomes, Just Culture, Quality, Service, & Safety). Supports and enhances the leadership capabilities of staff RNs, LVNs, MAs/CNAs, and other ancillary personnel as appropriate.

Ensures compliance with Kaiser Permanente's Policies & Procedures, Principles of Responsibilities, and relevant State & Federal regulations, as well as accreditation and licensure standards.

Adheres to the standards set forth by the California Nurse Practice Act, American Nurses Association (ANA) Standards of Nursing Practice, ANA Code of Ethics for Nurses, and the American College of Nurse-Midwives.

Advocates for innovative ideas and actively collaborates with others throughout the change process.

Serves as a resource, preceptor, and mentor to new employees, residents, registry, students, and other team members in department-specific operations and patient care activities.

Collaborates with or refers to management/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 inter-professional/interdisciplinary communication and collaboration.

Nursing Process:

Acts as a resource for clinical concerns, scope of practice, and applicable State & Federal regulations, as well as operational concerns of providers and staff.

Possesses the experience and skills to serve as a resource for providers, RNs, LVNs, MAs, CNAs, and other ancillary staff as needed.

Demonstrates flexibility in work schedules to accommodate departmental needs. Actively engages 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 initiatives, quality efforts, and educational programs.

Demonstrates knowledge of patient-specific conditions commonly encountered in the department and the care required. Engages with leadership, peers, physicians, and other healthcare providers 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 requirements within the department to ensure quality patient care, safety for patients and staff, efficiency, productivity, and favorable working conditions for providers and staff.

Actively exemplifies 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 surpasses member expectations. Ensures timely and appropriate management of patients. Participates in facilitating a smooth transition 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 (i.e., certification, presentations, reward/recognition). Motivates staff to reach their fullest potential in enhancing 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 management of certain equipment/supplies).

Collaborates and assists with leadership, physicians, and peers in scheduling, workflow, and throughput to promote quality patient care, safety for patients and staff, efficiency, productivity, and favorable working conditions for providers and staff.


Professional Development:
Engages in Professional Development Educational programs. Takes responsibility for ongoing professional growth and development.

In addition to the Certified Nurse Midwife Job Details, the Lead CNM shall demonstrate proficiency by exhibiting the following skills, competencies, and behaviors:

Under the supervision of an Ob-Gyn physician, manages the care of women during labor and delivery.

Obtains a comprehensive medical, obstetrical, gynecological, and psycho-social history of the current pregnancy.

Observes signs of the member's general and obstetrical health status.

Conducts complete physical examinations including the pap smear, breast examination, abdominal examination, pelvic examination, and clinical pelvimetry.

Records all findings of 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.

Evaluates whether all findings are within normal limits.

Orders appropriate laboratory examinations such as chest X-ray, ultrasound, CBC, urinalysis, blood type and Rh factor, and serology tests.


Consults with and obtains orders from an obstetrician for any special care or diagnostic procedure and refers to other services as necessary.

Institutes preventative measures and identifies abnormal conditions, obtaining consultation and assistance from physicians as needed.

Educates, counsels, and guides individual members regarding their healthcare needs.

Determines the necessity 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.


Assesses 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.

Able to perform internal and external fetal monitoring and interpretation.

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 three (3) years full-time recent experience as a CNM required.

Education

Graduate of an accredited RN program.

Masters 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.

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