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Form of workJob Summary
The Certified Nurse Midwife’s primary job function is to provide medical care and treatment to women, with an emphasis on reproductive health, under supervision of the Medical Director Midwifery; delivers infants and instructs patients in prenatal and postnatal health by performing the following duties.
Job Specific Competencies
1. Provides basic primary care to women of reproductive age, with an emphasis on pregnancy and reproductive health.
2. Participates in the initial examination of obstetrical patient and is assigned responsibility for care, treatment, and delivery of patient.
a. Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient’s statements to evaluate her condition, identify and modify risks as possible, and ensure that patient’s progress is normal.
b. Counsels patient on the need for follow up as appropriate during each patient visit.
c. Verifies and documents that the patient understands diagnosis, treatment and follow up recommendations.
d. Performs or orders appropriate laboratory tests, x-rays, and other tests.
e. Instructs patient on prenatal health practices.
f. Manages labor according to accepted community standards and in keeping with privileges.
g. Delivers infant and performs postpartum examination on mother and baby and treatments to ensure that mother and infant are responding normally.
3. Assesses patient needs for specialty referrals, diagnostic and in-patient care; makes referrals.
4. Consults with direct supervisor, mentoring physician, or Medical Director, specialists, pharmacists, nurses, or other health care professionals.
5. Provides additional services as determined by mutual agreement with the Medical Director.
6. Participates in continuing patient care to include postpartum care, family planning, contraceptive care, annual wellness visits, etc.
7. Maintains Medical Records.
a. Responsible for obtaining and recording patient histories and physical examinations.
b. Responsible for accurate, timely, and complete documentation in patient records.
8. Conducts classes, if needed, for groups of patients and family members to provide counseling and education regarding pregnancy, childbirth, and reproductive health.
9. Attends all required staff meetings and provider meetings; participates in CVCH committees or taskforce activities as directed by supervisor.
10. Leads by example and sets a standard of excellence for all team members.
a. Serves as a Role Model for a positive and professional approach to all interactions, education, and relationships.
11. Participates in audits and meets standards of CVCH Quality Improvement and Risk Management.
12. Responsible for maintenance of credentials essential for practice, to include licensure and any other certifications.
13. Assists the agency in adhering to all regulatory and accreditation requirements and guidelines.
14. Provides comprehensive and continuous primary care services in a patient centered medical home, including sanctioned non-clinic sites such as nursing homes, patient home, school based clinics, mobile clinics, and tele-health settings.
15. Additional Requirements:
a. Required to work on-call, sharing a continuous roster on a 24-hour, 7-day basis.
b. Maintain active or provisional staff membership of Central Washington Hospital; may maintain membership on other hospital medical staff as may become appropriate from time-to-time.
c. Maintain accessible phone service and maintenance of reliable transportation.
d. Maintain professional CNM licensure.
General Duties and Responsibilities
1. Performs other duties and tasks as assigned by supervisor.
2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
3. Conforms to safety policies, general housekeeping practices.
4. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
5. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
6. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
7. Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
8. Conforms to CVCH policies and Joint Commission and HIPAA regulations.
Job Specifications
1. Education: Completion of MSN, DNP or PhD in Nursing.
2. Certification/Licensure: Current Washington Advanced Registered Nurse Practitioner Midwife License; current board certification with the American Midwifery Certification Board; valid driver's license. Basic Life Support (BLS) required. ACLS or ATLS may be used to substitute for BLS.
3. Experience: Required 1 year experience as a Certified Nurse Midwife with diverse communities and low-income children and families and migrant/community health.
4. Language Skills: Bilingual (English/Spanish) preferred.
5. Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company’s computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background.
6. Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions.
7. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents.
8. Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions.
9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.
10. Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them.
Benefits
*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays, and CME benefits are prorated based on FTE
Benefit:
Coverage:
Effective:
Medical
Premera (Self Insured)
Preferred Provider
Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month
First of the month following the first date of employment.
Dental
Washington Dental
Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month
First of the month following the first date of employment.
Paid Leave
120 hours – Year 1
136 hours – Year 2
Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.
Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.
Extended Illness Bank (EIB)
Maximum accrual of 200 hours
PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.
Holidays
88 hours related to:
· New Year’s Day
· Memorial Day
· 4th of July
· Labor Day
· Thanksgiving Day
· Day after Thanksgiving
· Christmas Eve
· Christmas Day
· 3 Diversity Days
Holidays are based on an 8-hour day. Providers will receive a holiday pool of 88 hours as a 1.0 FTE at the beginning of each calendar year. Holiday pool hours must be used by December 31 of each calendar year; unused holiday pool hours will be forfeited. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below:
· Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
· May 1 – August 31: 2 diversity days (16 hours if 1.0 FTE)
· Sept 1 – Dec 31: 1 diversity day (8 hours if 1.0 FTE)
Please refer to the Paid Leave policy for additional details.
403(b) Retirement Plan
Lincoln Financial
150% CVCH match up to 3% of the employee’s contribution
Immediately.
Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.
Spanish Immersion
$2,000
Employer will reimburse Provider up to $2,000, for participating in Pop Wuj Spanish Immersion program in Guatemala, for a minimum 3-week period, prior to the Provider’s initial start date.
Benefit:
Coverage:
Effective:
CME
40 hours/ $3,000 per year based on 1.0 FTE
Available immediately. CME is loaded the first full pay period in January of each year and available to maintain licensure while working at CVCH. CME must be used by December 31 of each calendar year; unused CME will be forfeited. CME will be prorated based on start date into calendar year. CME is not available during provider’s termination notice period.
Licenses/Dues
DEA Certificate; Professional Recertification, WA State Medical License. Access to CVCH provided Epocrates and Up To Date $750 towards membership dues, subscriptions or misc. certification
Immediately.
Benefits are suspended once a Midlevel has tendered resignation, except as required to continue to work until separation date.
Employee Assistance Program
Mutual of Omaha
Free short-term counseling for employee and family
Immediately. Call 800-316-2796
Long-term Disability
Mutual of Omaha
Employee Only (variable)
First of the month following the first date of employment.
Basic Term Life
Mutual of Omaha
Employee Only (1x annual salary, up to $200,000)
First of the month following the first date of employment.
Group Accidental Death and Dismemberment (AD&D)
Mutual of Omaha
Employee Only (1x annual salary, up to $200,000)
First of the month following the first date of employment.
Supplemental Term Life
Mutual of Omaha
Employee / Spouse / Dependent(s)
First of the month following the first date of employment.
Voluntary AD&D
Mutual of Omaha
Employee / Spouse/ Dependent(s)
First of the month following the first date of employment.
Health Reimbursement Arrangement
RedQuote
Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.
First of the month following the first date of employment.
Flex Plan: Medical
RedQuote
Flex Plan: Maximum $3,200 per year
Direct Deposit available.
First of the month following the first date of employment.
Flex Plan: Dependent Care
RedQuote
Flex Plan: Maximum $5,000 per year
Direct Deposit available
First of the month following the first date of employment.
AFLAC
Supplemental insurance – cafeteria plan
First of the month following the first date of employment.
Benefit:
Coverage:
Effective:
Wellness Stipend
CVCH will reimburse staff up to $30 per month for a local gym membership
OR
CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)
Immediately. Once employee has submitted invoice to HR/Payroll department.
Cell Phone Discounts
Discounted monthly access fees
Discounted select accessories and special equipment
Available for personal cell phones, currently in place with AT&T & Verizon
Any questions regarding benefit eligibility or coverage should be directed to the Human Resources Department.
Compensation
$147,470- $164,503 (Based on experience and meeting Access, Quality and Citizenship Goals)
Blood/Fluid Exposure Risk
Category I
1. Tasks routinely involve ...
