Clinical CNM

Reports To: Owner/Clinical Director or designee
Collaborates Closely With: Lead Midwife, Midwives, Clinical Nurses, Admin Team
Employment Type: Part-Time Hourly (clinical work), Part-Time Shift (birth assisting)
Location: In-Person (Thursdays 9am-2pm), with some remote hours as approved by supervisor

Schedule: up to 15 hours/week clinical/admin hours, 1 birth assistant shift per week (birth assistant shifts are 12 on-call hours, equivalent to 4 working hours)

Compensation: $41.00/hour for clinical/admin hours, $150 per shift for birth assisting; see Employee Handbook for any applicable benefits for part-time employees

Review: Position and Compensation to be reviewed by end of February 2027

Position Summary

The Part-Time Clinical Certified Nurse-Midwife provides respectful, evidence-informed reproductive and primary women’s health care within New Birth Midwifery’s relationship-centered, physiologic model. The CNM will initially provide scheduled clinical care, prescription management, and birth-center support while helping expand the practice’s well-woman, contraception, and reproductive-health services.

This position is designed with a defined, sustainable scope. It does not include primary midwife call or responsibility for independently managing births unless those duties are added through a separate written agreement.

Core Responsibilities

Clinical CNM Care

• Provide scheduled gynecologic, well-woman, reproductive-health, and other approved clinical visits within scope and demonstrated competency.


• Assess, diagnose, treat, prescribe, refer, and provide follow-up care in accordance with Minnesota law, professional standards, practice policies, and collaborative relationships established by NBM.


• Provide contraceptive counseling and management, including prescribing birth-control methods and placing or removing IUDs when credentialed and approved by the practice.


• Support pregnancy-related clinical care as assigned, including evaluation of more complex concerns that benefit from CNM/APRN assessment or prescribing authority.


• Complete accurate, timely charting, orders, prescriptions, referrals, results review, and client communication.


• Recognize conditions requiring consultation, escalation, transfer, or referral and communicate promptly with the appropriate provider.

Well-Woman Program Development

• Partner with practice leadership and the existing CNM to develop a sustainable well-woman and reproductive-health service line.


• Help create or refine clinical workflows, standing procedures, supply needs, documentation templates, client education, and referral pathways.


• Share expertise in contraception, prescribing, and IUD services and provide collegial training to other qualified clinical team members.


• Participate in approved outreach, service planning, and quality-improvement work related to the program.

Integration into the New Birth Model

• Develop familiarity with physiologic, low-intervention, and relationship-based approaches used at NBM.


• Complete orientation and continuing education related to evidence-informed complementary and natural approaches used within the clinician’s legal scope and competency.


• Use shared decision-making and support client autonomy while maintaining clear safety boundaries and evidence-informed care.


• Collaborate respectfully across midwifery, nursing, birth-assistant, and administrative roles.

Birth-Assistant Shifts

• Work approximately one birth-assistant shift per week, based on the practice schedule and mutual agreement.


• When scheduled as a birth assistant, perform the defined birth-assistant role and follow the direction of the primary midwife unless an urgent safety concern requires action within the CNM’s scope and upon the agreement of the primary midwife.


• Birth-assistant shifts are paid under the established birth-assistant compensation structure. Any shift requiring designated CNM/provider responsibility will be scheduled and compensated separately at the applicable provider rate.


• Maintain clear role boundaries so that provider-level responsibility is not routinely assigned during a birth-assistant shift without explicit agreement.

Administrative and Professional Responsibilities

• Complete prescription follow-up, chart review, results management, referrals, care coordination, and client communication associated with assigned patients.


• Track time accurately and obtain prior approval for non-routine administrative or program-development projects.


• Attend required meetings, trainings, peer review, quality-improvement activities, and competency reviews proportionate to the role.


• Maintain client privacy, professional boundaries, dependable communication, and compliance with NBM policies.


• Participate in a culture of direct feedback, collaborative problem-solving, and mutual support.

Clinical Standards and Compliance

• Follow New Birth Midwifery Clinical Practice Guidelines, standing orders, credentialing parameters, and organizational policies.


• Comply with applicable state and federal regulations, HIPAA, OSHA, infection-control standards, and medication-management requirements.


• Participate in chart audits, peer or case review, emergency drills, accreditation activities, quality assurance, and risk-management work as assigned.


• Maintain confidentiality, ethical practice, and professional accountability in every role performed for NBM.

Education, Team Development, and Operational Support

• Maintain required licensure, certifications, continuing education, and demonstrated competencies.


• Support a learning environment through respectful consultation, skill-sharing, and feedback, including contraception and IUD education for qualified team members.


• Help keep assigned clinical spaces safe, clean, stocked, and prepared; report supply, medication, or equipment concerns promptly.


• Assist with required medication, equipment, safety, and service-line records applicable to assigned duties.

Required Qualifications

• Graduate degree from an accredited nurse-midwifery program and current AMCB certification as a Certified Nurse-Midwife.


• Current, unrestricted Minnesota RN and APRN/CNM licensure and prescribing authority, or eligibility to obtain them before providing care.


• Current BLS and NRP certification; additional certifications as required by NBM policy.


• Current professional liability coverage as required by the practice and completion of credentialing and privileging requirements.


• Clinical judgment sufficient to practice safely within assigned responsibilities and to seek consultation appropriately.


• Ability to work collaboratively within an out-of-hospital birth-center environment.

Preferred Qualifications

• Experience in a freestanding birth center, midwifery practice, outpatient gynecology, or reproductive-health setting.


• Demonstrated competency in contraception counseling, IUD placement and removal, and birth-control prescribing.


• Experience building clinical services, workflows, client education, or quality-improvement systems.


• Interest in physiologic birth, integrative care, and evidence-informed complementary approaches.

Initial Success Expectations and Six-Month Review

Integration will be supported through brief check-ins at approximately 30, 60, and 90 days to review workload, orientation needs, role clarity, and progress toward independent practice within the New Birth model. During the first six months, successful development in the role will include:

• Consistent, reliable completion of scheduled clinical, prescribing, and follow-up responsibilities.


• Increasing independence within NBM’s clinical workflows, documentation standards, and model of care.


• Safe integration of evidence-informed natural and complementary approaches appropriate to the role.


• Meaningful contribution to contraception and well-woman service development, including training and systems support.


• Effective collaboration with Heather and the broader NBM team without unnecessary duplication or unclear ownership.


• A sustainable workload and clear communication about capacity, scheduling, and boundaries.

At approximately six months, NBM will review role scope, clinical independence, reliability, program contribution, scheduled hours, and compensation. 90 day review will include a full assessment with the career band for the CNM band and compensation/duties/goals will be reviewed for an increase as deemed appropriate by the owner and agreement with the employee. Future increases are not automatic and depend on performance, sustained responsibilities, and organizational capacity.

Physical and Scheduling Expectations

• Ability to perform the essential functions of outpatient CNM care and the birth-assistant role, with reasonable accommodation when applicable.


• Ability to respond appropriately to clinical urgency, use electronic health-record and communication systems, and travel to the primary work location.


• Schedule may expand by mutual agreement as patient volume and well-woman services grow.

Acknowledgment

This description identifies the position’s primary responsibilities and is not intended to list every possible duty. Responsibilities may be adjusted based on licensure, competency, credentialing, client needs, and the evolving needs of New Birth Midwifery. Material changes to provider call or birth responsibility will be addressed separately.