(CNM) Certified Nurse Midwife - Inpatient OB/GYN - 134908

UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the "gold standard" for nursing excellence and is based on strengths in five key areas, which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011.

The UCSD Department of Obstetrics, Gynecology and Reproductive Sciences is composed of 78 Clinical and Research Faculty, Clinical Fellows, Residents, Project Scientists, and Postdoctoral Scholars. The department is composed of 7 divisions: Obstetrics and Gynecology, Maternal-Fetal Medicine, Gynecologic Oncology, Reproductive Endocrinology and Infertility, Hospitalist, Complex Family Planning and Urogynecologic and Reconstructive Surgery. The department is currently ranked 5th in the nation in NIH funding among OB/GYN departments.

The Inpatient Certified Nurse Midwife will work with full-time faculty members in the Department of Obstetrics, Gynecology, and Reproductive Sciences (specifically Obstetrics & Gynecology, Hospitalist, and Maternal Fetal Medicine Divisions) seeing patients primarily at the Jacobs Medical Center Labor & Delivery and Postpartum units. Some flexible assignments may include the Hillcrest Inpatient Obstetrics Team. This is a variable position, with 10 hour weekdays, weekends, and some night shifts. Duties include performing history and physical examinations of postpartum patients, participating in postpartum rounds, collaborating with our residents and faculty, coordinating care with our nursing, social work, lactation, pharmacy, and pediatrics teams, facilitating postpartum discharges. This will include management of patients that are status post vaginal and Cesarean deliveries. This may consist of common postpartum problems such as preeclampsia, anemia, intrauterine infection, ileus, engorgement, breastfeeding difficulties, and perineal pain. The APP will also provide instruction on family planning options and be able to perform or supervise the placement of long acting reversible contraception. Skills at performing limited bladder scanning are desired. Secondary components of this job include working in labor and delivery triage, supporting the antepartum team, and assisting in the OR, which are secondary parts of this job. May be required to perform antepartum care and deliveries. There may be some participation in clinical research studies.

The selected candidate should be comfortable working with a team of physicians but still be able to work independently. Our team includes trainees, and the midwife may participate in clinical education of CNM students, medical students, residents, and other health care trainees. This person should be a positive role model to all team members with respect to professionalism, teamwork, and patient-centered care. Performs duties in a manner that is culturally sensitive and appropriate with respect for individual autonomy, beliefs, and customs.

• Current State of California Registered Nurse (RN), Certified Nurse Midwife (CNM) license, and CNM furnishing certification.

• CNM Board Certified.

• BLS/CPR certification at time of hire with commitment to get OB ART within 6 months of hire date.

• NRP certification.

• Minimum of six (6) months of inpatient Certified Nurse Midwife experience is required.

• Demonstrated ability to provide obstetric services including antepartum, intrapartum and postpartum. Skill in patient interviewing, obtaining a concise medical history and acquiring pertinent data. Proficiency in documentation of patient conditions and outcomes. Able to perform delivery and repair.

• Demonstrated knowledge and skill in performing a comprehensive OB/GYN assessment and general medical examination, identifying medical problems and formulating an appropriate plan of action. Must be able to see patients independently.

• Experience interacting positively, constructively, and effectively with staff, physicians, patients and the general public.

• Experience in performing effectively under conditions of fluctuating workload and frequent interruptions.

• Strong computer skills and knowledge of Epic for retrieval of patient data (Computer skills required; Epic Preferred).

• Demonstrated experience providing patient education and counseling and developing and implementing long and short range treatment plans.

• Demonstrated experience in research techniques, such as following a protocol and collecting all data precisely.

• Strong interpersonal and organizational skills.

• Knowledge of the name, abbreviation, and purpose of various diagnostic tests/procedures, including proper scheduling and completion of necessary requisitions and consents.

• Knowledge of study formats, with ability to edit charts and resolve inconsistencies.

• Demonstrated skill at working in a clinical, educational and research setting.

• One (1) or more years of recent relevant clinical experience as a Midwife.

• Experience with OB triage evaluation and planning.

• Experience with first assisting.

• Ability to assist in the OR and perform initial assessments of early pregnancy and gynecologic patients.

• Demonstrated experience working in a clinical research environment.

• Experience with teaching and working with medical learners, including medical students, CNM students, and residents.

• Familiarity with diverse cultural practices, languages, and beliefs around childbirth and healthcare.

• Knowledge of what constitutes informed consent according to established UCSD Medical Center policy.

• Spanish language proficiency.

• The position will involve variable inpatient shifts, including weekdays, nights and weekends.
• Must be able to work various hours, days, shifts, on-call and locations based on the 24-hour Medical Center's business needs.
• Employment is subject to a criminal background check and pre-employment physical.
• Must be able to obtain UCSD Medical Staff privileges and maintain during employment. Due to advanced practice credentialing eligibility, clinical advanced practice experience must be within the last two years gained through school or work experience.
• Current UCSD NPIII employees may be hired at the NPIII level pending review and approval by Health Human Resources and the UCSD Advanced Practice Council.