Certified Nurse Midwife

Summary/Objective

The Certified Nurse Midwife (CNM) is expected to be familiar with the philosophy, goals and objectives of the PCMH model, and work collaboratively with other members of the patient care team to achieve maximal health outcomes for NSHC patients. In this role, the CNM, under the supervision of collaborating physicians, assumes multiple clinical functions involved with the care of patients, which fall under his/her field of licensure and training. These services include: diagnosis, treatment, and coordination of care, for preventive and health maintenance to female patients of all ages, The CNM must meet and maintain credentialing guidelines of NorthShore Health Centers, as well as affiliated hospitals in Lake and Porter County, Indiana, as applicable, and must demonstrate clinical competency as a CNM.

Essential Functions

• Assessment of health status:
  • Obtains a relevant health and medical history
  • Identifies medical health risks and needs
  • Updates and records changes in health status
• Formulates Diagnosis and implements appropriate treatment plan designed to maximize the health of patients:
  • Orders appropriate diagnostic tests
  • Determines treatment plan of care
  • Prescribes appropriate pharmacological agents
  • Prescribes non-pharmacological agents
  • Develops a client education plan
  • Makes appropriate referrals to other health professionals and community agencies
• Maintains a process for systematic evaluation of patient status by:
  • Scheduling return appointments for follow-up care, as necessary, according to best practice standards of care
  • Determining the effectiveness of the plan of care through documentation of client outcomes
  • Reassessment and modification of care plan as necessary to achieve goals

• Seeks to promote maximal health among clinic patients by:
  • Providing educational opportunities for each patient
  • Incorporating patient’s input in the development of the treatment plan
  • Providing information needed to make health care decisions related to appropriate utilization of health care resources.
• Stays with obstetric patient during labor to reassure patient and to administer medication, as necessary.
• Performs uncomplicated delivery of infant, and performs postpartum examinations and treatments to ensure that patient and infant are responding normally.
• When deviations from standard are encountered during pregnancy or delivery, administers stipulated emergency measures, and arranges for immediate contact with collaborating OB/GYN Physician(s)
• Visits patient during postpartum period in hospital to examine and instruct patient in self care
• Responds to tasks and completes charting in a timely manner to prevent any delay in care and promote coordination of care.
• Participates in quality assurance reviews, peer reviews, etc. on a periodic basis, including systematic review of records and treatment plans
• Prepares reports and other documentation as required.
• Attends meetings and training sessions as required
• Participates as a team member in the provision of medical and health care by

collaborating with other care professionals to provide comprehensive care

• Executes other verbal or written specific assigned tasks, requiring similar or lesser

skills and abilities, some of which are continuing while others are occasional in

• nature
  

*These essential functions are a summary of the primary duties and responsibilities of the position, and are not intended to be a comprehensive listing of all duties and responsibilities. The position will include other duties as assigned and duties are subject to change at management's discretion.

Competencies

• Planning and strategic foresight
• Responsible Decision Making
• Integrity and accountability
• Innovation and creativity
• Adaptive and flexible
• Leadership, teamwork, and conflict resolution
• Professionalism and work ethic
• Empathy

Work Environment

Work is performed in an office environment. Involves frequent personal and telephone contact with patients, physicians, and other healthcare personnel. Work may be stressful at times. Interaction with others is constant and interruptive.

Travel

Travel outside of Northshore locations will be rare for this position.