CERTIFIED NURSE-MIDWIFE (CNM) – Rosebud IHS Hospital
Job at a glance
Job description
CERTIFIED NURSE-MIDWIFE (CNM) – Rosebud IHS Hospital
Rosebud, South Dakota 57570 | Full Time (2 positions) | Mon–Fri, 8:00 AM–5:00 PM, plus shared 24/7 OB on-call
Contract: 3-month base period with three 3-month options (up to 12 months)
Position Overview
We are seeking two Certified Nurse-Midwives to provide outpatient obstetric, gynecologic, postpartum, family planning and women's primary care at the Rosebud IHS Hospital Outpatient Department Clinic, and to share 24/7 obstetric emergency on-call coverage for the Emergency Department. Work is on-site under a non-personal services contract supporting the Great Plains Area Indian Health Service.
Key Responsibilities
- Deliver prenatal, postpartum, gynecologic and women's primary care, including family planning (IUD/implant insertion).
- Provide intrapartum care as applicable to facility capabilities, and OB emergency evaluation and stabilization in the ED (e.g., ectopic pregnancy, hyperemesis, miscarriage), collaborating with the on-call physician when care exceeds CNM scope.
- Share the on-call rotation equally with the second CNM; at least one CNM is primary on-call at all times, including federal holidays.
- Document in RPMS/EHR; screen for postpartum depression and anxiety (EPDS).
- Participate in QI, peer review, M&M review and protocol development; support IHS GPRA measures.
- Report adverse events through IHS ISTAR; complete mandatory IHS training; comply with mandatory child-abuse reporting.
Qualifications & Experience
- Graduate degree (MSN, MM, DNP or equivalent) from an ACME-accredited nurse-midwifery program.
- Current AMCB certification, unencumbered.
- Unrestricted South Dakota RN and APRN licensure (midwifery role), or eligibility to obtain before start; prescriptive authority and DEA registration (Schedule II–V).
- Current BLS and NRP; ACLS preferred.
- Minimum 1 year of professional nurse-midwifery experience (GS-12 equivalent); GS-13 level requires demonstrated complex OB/GYN management and independent decision-making.
- IHS, FQHC or rural/underserved experience and AI/AN cultural competency strongly preferred.
- Must pass IHS credentialing and privileging, background investigation, and health requirements (MMR, varicella, Tdap, Hep B, TB, flu, COVID-19).
Compensation
Pay range: $83–$94 per hour blended, depending on experience and certifications.
|
Component |
Amount |
Notes |
|
Taxable hourly rate |
$57–$63 per hour |
W-2 taxable wage |
|
Per diem (non-taxable) |
$181 per day ($113 lodging + $68 M&IE) |
Approx. $22.63 per paid hour; GSA standard rate |
|
Blended hourly rate |
$83–$94 per hour |
Taxable + per diem + health & welfare benefit |
|
On-call |
$8 per hour on-call |
Paid on non-clinic hours per rotation |
|
Travel allowance |
$500 one-time |
Paid on start |
Professional liability coverage, credentialing support and onboarding are provided.
Application Process
- Submit your current resume.
- Provide 3 professional references.
- Provide copies of AMCB certification, SD RN/APRN license, DEA, BLS and NRP cards.
Job Responsibilities
Provide outpatient prenatal, postpartum, gynecologic, family planning, and women’s primary care at the Rosebud IHS Hospital clinic (Mon–Fri, 8 AM–5 PM).
Perform family planning procedures, including IUD and implant insertion.
Share 24/7 OB emergency on-call coverage for the Emergency Department with one other CNM, including federal holidays, with at least one CNM designated primary at all times.
Evaluate and stabilize OB emergencies in the ED (e.g., ectopic pregnancy, hyperemesis, miscarriage). Consult the on-call physician when a case exceeds CNM scope.
Provide intrapartum care as facility capabilities allow.
Screen for postpartum depression and anxiety (EPDS).
Document all care in the IHS electronic health record (RPMS/EHR).
Take part in quality improvement, peer review, and M&M review. Support IHS GPRA clinical measures (prenatal care, postpartum visits, STI and cervical cancer screening).
Report adverse events through the IHS ISTAR system. Complete required IHS training and follow mandatory child-abuse reporting rules.
Deliver culturally respectful, patient-centered care to American Indian/Alaska Native patients.
Qualifications
Graduate degree (MSN, MM, DNP, or equivalent) from an ACME-accredited nurse-midwifery program
Current, unencumbered AMCB certification as a Certified Nurse-Midwife
Unrestricted South Dakota RN and APRN licensure in the midwifery role, or eligibility to obtain it before start
Prescriptive authority under South Dakota law and DEA registration (Schedule II–V)
Current BLS and NRP certifications. ACLS preferred.
At least 1 year of professional nurse-midwifery experience. Complex OB/GYN case management and independent clinical decision-making are required at the higher grade level.
Experience in IHS, FQHC, or rural and underserved settings strongly preferred
Familiarity with AI/AN health disparities and culturally respectful care preferred
Ability to pass IHS credentialing and privileging, a federal background investigation, and health screening (MMR, varicella, Tdap, Hep B, TB, flu, COVID-19)
Willingness to work on-site in Rosebud, SD, with shared 24/7 OB on-call
Working Hours
Schedule: Full time, 2 positions
Clinic hours: Monday–Friday, 8:00 AM–5:00 PM, excluding federal holidays. Weekly hours are about 40. Clinic holiday work may be required.
On-call: Shared 24/7 OB emergency on-call during non-clinic hours, rotated equally between the two CNMs. At least one CNM is primary on-call at all times, including federal holidays. The rotation schedule is set before start and updated monthly.
On-call pay: $8/hr on non-clinic hours covered.
Contract term: 3-month base period with three 3-month options, up to 12 months.
Skills
Prenatal, postpartum, and gynecologic care
Women’s primary care
Family planning, including IUD and implant insertion
Obstetric emergency evaluation and stabilization
Intrapartum care
Fetal heart rate monitoring interpretation (NICHD terminology)
Shoulder dystocia, eclampsia, and postpartum hemorrhage (PPH) management
Maternal early warning systems (MEWS)
Postpartum depression and anxiety screening (EPDS)
Prescribing, including controlled substances (DEA Schedule II–V)
EHR documentation (RPMS/EHR)
Rural and underserved care
Cultural competency in AI/AN care
Quality improvement and peer review
Independent clinical decision-making and physician collaboration
Certifications: AMCB (CNM), BLS, NRP. ACLS is preferred.