Clinical Nurse Midwife · Labor and Delivery (Full Time)

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

This position is full time, 40 hours per week, day shifts with weekend rotation (1 weekend per month). Occasional, limited night shifts may be required based on department needs.

The BIDMC Nursing Mission is to build on a legacy of nursing excellence by caring with compassion, advancing the art & science of nursing, and advocating for the health of patients, families, and communities. This position provides direct patient care in an ambulatory care setting relative to physical diagnosis and therapeutic management. Works closely with faculty, fellows, residents and nursing staff to develop and coordinate a plan of care to meet the needs of the patient and their families. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department.

Primary Responsibilities:

All responsibilities below are in support of the academic teaching service, which cares for approximately 3,000 of BIDMC’s 5,000 annual deliveries — including patients of academic specialists, Maternal-Fetal Medicine teams, transfer patients, resident continuity clinic patients, and patients from affiliated Community Health Centers.

The CNM will function as a key clinical and educational leader within the inpatient academic obstetric service.

Intrapartum Support

Actively support intrapartum care on the academic obstetric service:

• Provide hands-on support for early labor management and labor inductions
• Participate in delivery coverage and collaborative labor floor management
• Support patient care in triage, which is currently staffed by APPs and residents with attending oversight
• Provide senior clinical support and collaborative management in triage and inpatient obstetric care as needed
• Collaborate closely with MFM physicians, OB/GYN attendings, nursing leadership, and the resident team to ensure seamless, safe, patient-centered care

Postpartum Care and Support

Postpartum care on the academic teaching service at BIDMC is provided in a risk-stratified manner: lowest-risk patients are managed by APPs, mid-risk patients by residents and labor floor attendings, and highest-risk patients by the MFM attending of the week. The CNM will play a central leadership role within this model:

• Oversee appropriate risk stratification of postpartum patients across teams, ensuring each patient is assigned to the appropriate level of care.
• Help coordinate postpartum patient flow and care distribution across teams to support safe, efficient inpatient care.
• Function with a high degree of clinical autonomy in the management of mid-risk postpartum patients, in close collaboration with attending obstetricians as needed.

Academic Teaching & Mentorship

Contribute meaningfully to the education of the next generation of obstetricians and Harvard Medical School students:

• Teach OB/GYN residents and Harvard Medical School students the principles and practice of physiologic birth
• Mentor residents in postpartum care management and intrapartum clinical decision-making
• Model midwifery-informed approaches to low-intervention, patient-centered obstetric care
• Participate in departmental education initiatives, quality improvement efforts, and interdisciplinary conferences as appropriate
• Opportunities exist for curriculum development, simulation education, interdisciplinary teaching, and scholarly collaboration based on candidate interests

Schedule

These positions are primarily daytime weekday roles, with occasional extended coverage needs:

• Primary shifts: Monday–Friday, 7:00 AM – 7:00 PM
• Occasional extended evening coverage
• Some weekend daytime and holiday day coverage•

Required Qualifications:

• Graduate degree in nurse-midwifery (MSN, DNP, or equivalent)
• Current certification with the American Midwifery Certification Board (AMCB)
• Active Massachusetts licensure (or eligibility to obtain prior to start)
• Strong foundation in intrapartum and postpartum care in a hospital setting
• Valid prescriptive authority from both the MA DPH-DCP and Federal DEA
• American Heart Association - Basic Life Support Certificate
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Preferred Qualifications:

• Experience midwife with several years of full-scope clinical midwifery experience
• Passion and experience with teaching/medical education
• Experience in a high-volume academic or tertiary-care obstetric setting
• Demonstrated commitment to teaching, mentoring, or clinical education
• Experience practicing within collaborative physician-midwife interdisciplinary care models
• Interest in quality improvement, research, or academic scholarship

Competencies:

Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.

Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.

Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.

Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

Team Work: Ability to lead collaborative teams for larger projects or groups both internal and external to the Medical Center and across functional areas. Results have implications for the management and operations of multiple areas of the organization.

Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. Age based Competencies:

Employees in this job must be competent to provide patient care to the following age groups:

Neonatal:Birth to 6 months, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.

Physical Nature of the Job:

Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.

Pay Range:

$146,000.00 USD - $250,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled