Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 1011
Established Portland, Oregon Freestanding Birth Center - CNM or CPM
Alma Midwifery Services has a position open for a per diem, full time, or part time Certified Nurse Midwife or Certified Professional Midwife in a freestanding birth center practice. Oregon CNM or CPM LDEM license is preferred, but we are looking at all qualified applicants.
Preferably at least 2 years experience working as a midwife, preferably in community birth (home or birth center). If new grad, we may consider you for a fellowship program.
If no direct experience with community birth, all applicants must have a deep philosophical understanding and trust in unmedicated home/birth center birth
Up-to-date NRP and BLS
Desire to work in a small group practice attending both home and birth center birth
Ability to start orientation ASAP
Excellent trauma informed communication skills with deep listening ability and understanding of informed consent and shared decision-making
Ability to chart using EHR and working knowledge of best charting practices
Compatibility with an on-call schedule (Possibly alternating 1st and 2nd call every 24 hours for a 7 day stretch). Also possible to have per diem schedule.
Keen clinical skills: well-gyn care, pre- and postnatal care, and well-baby care up to 6 weeks of age
Additional preferred qualifications include: IBCLC, ARDMS ultrasound education, special interest in working with BIPOC and LGBTQIA+ folx, advanced mental health degree or interest, herbal medicine training, CBE certification, doula training.
About Alma Midwifery
CABC-accredited and state licensed mid-volume birth center: 12-14 births per month. Open and in good community standing since 2004 — a PDX Parent’s Choice birth center! We are getting busier and are ready to welcome a new member to our team.
Slow paced clinic days: Midwives spend an hour with each client for prenatal care and two hours for initial exam and history. On average, midwives see only eight clients per day. This type of care allows you to build a relationship with the people we serve.
On-call system is two tiered: 1st call and 2nd call on-call status requires 24/7 availability for approximately 14 days per month, including one weekend 1st call and one weekend 2nd call. All first call shifts include phone and triage work, reviewing/reporting labs, and answering client portal messages; some shifts include attending births.
Also would consider per diem candidate to cover for vacations, sick days, occasional clinic days, intrapartum coverage, etc.
Clinic schedule: 6 days per month from 9:00-19:00, including prep time in the AM. These long days allow Friday to be an off call day.
Births are attended by midwife and an assist. Often, a student midwife will also attend as Alma is also an educational site.
Home visits are also part of the responsibility of the 1st call midwife, with gas compensation provided.
We serve as diverse a population as Portland offers; LGBTQIA+ friendly.
Alma is the perfect place for a CNM/CPM that understands that the trade-off for working in this autonomous, slower-paced environment is a slightly lower salary than a busy hospital practice can provide.
Alma has the technology, medical equipment and medications expected of an evidence-based CABC-accredited birth center including: NST, ultrasound, anti-hemorrhagic medications, IV fluids and antibiotics, nitrous oxide, equipment and meds for the full NRP algorithm, CCHD screening, Client Care EHR program, Up-to-date subscription, and journal article access.
Alma Midwifery has a robust Continuous Quality Improvement program, which facilitates routine emergency and skills drills and educational inservices
DEA license fees
All this along with working mostly autonomously in a supportive group practice
If you meet the requirements and are interested in applying for this position, please send your resume/CV and cover letter.