Certified Nurse Midwife - Rosebud, SD

Job Title: Certified Nurse-Midwife (CNM) - women's primary care/ Gynecology - Local Preferred

No. of Positions / Candidates Required: 3 FTE

Specialty: Prenatal, postpartum, gynecology, family planning, women's primary care, and ED obstetric emergencies

Place of Work (City/State): Rosebud, South Dakota

Site: Rosebud IHS Hospital (Outpatient Clinic and Emergency Department)

Location: 800 Hospital Drive, Rosebud, SD 57570

Duration: Up to 12 months: 3-month base period + three 3-month option periods

Shift Schedule:

• Monday Friday: 8:00 AM 5:00 PM
• Shared 24/7 obstetric on-call coverage, including nights, weekends, and holidays.
• On-call responsibilities divided equally between the two CNMs.
• Must be able to report to the Emergency Department within 60 minutes of being called.
• Federal holiday coverage may be required.
• ED response: Arrive within 60 minutes of being called. CNMs must stay near Rosebud while on call.

How Many Shifts Needed per Month:

• Approximately 20 23 weekday clinic shifts per month per CNM.
• Approximately 195 scheduled clinic hours per month per CNM (including the full 8:00 AM 5:00 PM window).
• Approximately 267 on-call hours per month per CNM, based on the document's staffing estimate.
• On-call rotation generally includes alternating nights and weekends.
• Final schedules are subject to facility approval.

Credentialing / Onboarding Time: 6-8 weeks

Certifications:

• Active American Midwifery Certification Board (AMCB) Certified Nurse-Midwife certification.
• Active South Dakota RN and APRN licenses, or eligibility to obtain them before starting.
• APRN authorization in the nurse-midwifery role.
• Active DEA registration covering Schedules II V.
• Basic Life Support (BLS) Required.
• Neonatal Resuscitation Program (NRP) Required.
• Advanced Cardiovascular Life Support (ACLS) Required
• Graduation from an ACME-accredited nurse-midwifery program with an MSN, Master of Midwifery, DNP, or equivalent qualification.

Experience Needed:

• Minimum 1 year of professional nurse-midwifery experience.
• Experience providing prenatal, labor, and postpartum care.
• Experience managing obstetric emergencies and maternal health complications.
• Previous Indian Health Service (IHS), Federally Qualified Health Center (FQHC), or rural healthcare experience strongly preferred.
• Familiarity with American Indian and Alaska Native healthcare needs preferred.

Special Skills Needed:

• Expertise in prenatal care, maternal health assessments, fetal monitoring, and prenatal laboratory interpretation.
• Proficiency in women's health procedures, including IUD and Nexplanon insertion/removal, and obstetric ultrasound coordination.
• Experience managing obstetric emergencies, labor and delivery, newborn resuscitation, and postpartum care.
• Proficiency in IHS Electronic Health Records (RPMS/EHR) and accurate clinical documentation.
• Strong clinical judgment, communication skills, and the ability to work independently in a rural healthcare setting.

Key Responsibilities:

• Provide comprehensive prenatal, postpartum, and well-woman care, including routine examinations, screenings, patient education, and family planning services.
• Diagnose and manage common gynecological conditions, provide contraception management, and coordinate appropriate referrals.
• Evaluate, stabilize, and assist in the management of obstetric emergencies and pregnancy-related complications, coordinating with physicians as needed.
• Maintain accurate, timely clinical documentation in the IHS Electronic Health Record (EHR) and ensure continuity of patient care.
• Evaluate and stabilize obstetric emergencies presenting to the Emergency Department.
• Collaborate with interdisciplinary healthcare teams, participate in quality improvement initiatives, and follow IHS clinical protocols and patient safety standards.
• Maintain required licensure, certifications, and mandatory training while delivering culturally sensitive, patient-centered care to American Indian and Alaska Native populations.