Certified Nurse-Midwife

General Description:

The Certified Nurse-Midwife (CNM) provides comprehensive, evidence-based outpatient

women’s health and gynecologic care to patients across the lifespan within a Caring Health

Center setting. This role emphasizes preventive care, reproductive health, and management of common gynecologic and hormonal conditions. This position does not include intrapartum or delivery services. The CNM may perform initial prenatal evaluation during the first trimester and is responsible for coordinating a timely, structured transition of care to an affiliated obstetric provider for ongoing prenatal management and delivery. The CNM practices independently within the full scope authorized under Massachusetts General Laws and Massachusetts Board of Registration in Nursing regulations, and functions collaboratively within an interprofessional, team-based care model consistent with Caring Health Center’s mission of advancing health equity for underserved populations. All care is delivered through a trauma-informed lens, recognizing the impact of adverse experiences on health outcomes and centering patient safety, dignity, choice, and empowerment in every clinical encounter.

Reports to: Chief Medical Officer / Medical Director

Supervises: N/A

Salary/Status: Exempt

Minimum Requirements:

• Master’s or Doctoral degree from an ACNM-accredited nurse-midwifery program

• Current certification by the American Midwifery Certification Board (AMCB)

• Active Massachusetts RN and APRN/CNM licensure, or eligible and able to obtain prior to start

• Active DEA registration and Massachusetts Controlled Substance Registration (CSR) with full prescriptive authority

• Current BLS/CPR certification; ACLS preferred

Principle Responsibilities

1. Contraceptive Management and Family Planning

• Provide comprehensive, patient-centered contraceptive counseling encompassing all FDA-approved methods, including risks, benefits, alternatives, and patient values.

• Prescribe and manage all forms of hormonal and non-hormonal contraception

(combined oral contraceptives, progestin-only pills, patch, ring, injectable, emergency contraception).

• Perform insertion and removal of long-acting reversible contraception (LARC), including intrauterine devices (hormonal and copper IUDs) and subdermal

contraceptive implants.

• Conduct pre-procedure counseling, obtain informed consent, and perform - procedure follow-up.

• Troubleshoot and manage LARC-related complications within scope of practice.

2. Preventive and Routine Women’s Health Care

• Perform comprehensive well-woman examinations and periodic health assessments across the lifespan.

• Conduct cervical cancer screening (Pap smear and HPV co-testing) per current ACOG and USPSTF guidelines.

• Perform clinical breast examinations; evaluate breast complaints; order and follow

up on mammography and ultrasound per evidence-based guidelines; facilitate timely referral for suspicious findings

• Provide age-appropriate preventive counseling on health maintenance,

immunizations, nutrition, and lifestyle

3. Gynecologic Evaluation and Management

• Diagnose and manage common gynecologic conditions, including:

• Vulvovaginal disorders: bacterial vaginosis, vulvovaginal candidiasis, trichomoniasis, vaginitis

• Vaginismus and sexual health concerns

• Dysmenorrhea (primary and secondary) and pelvic pain

• Abnormal/dysfunctional uterine bleeding (AUB/DUB)

• Polycystic ovary syndrome (PCOS): diagnosis, metabolic counseling, cycle

regulation, fertility awareness

• Menopause and perimenopause: vasomotor symptom management,

genitourinary syndrome of menopause (GSM)

• Hormone replacement therapy (HRT): individualized systemic and local

regimens; monitoring and adjustment

• Order, interpret, and act on relevant laboratory and diagnostic studies

• Coordinate with gynecology or other specialists for surgical evaluation or complex

management as indicated

4. Sexual and Reproductive Health

• Screen, diagnose, and treat sexually transmitted infections (STIs) per CDC and Massachusetts DPH guidelines (chlamydia, gonorrhea, syphilis, HIV, hepatitis B & C, trichomonas)

• Provide partner notification counseling; connect patients with public health resources

• Provide reproductive health counseling, fertility awareness education, and preconception care

5. Prenatal Care and Care Transitions

• May perform initial prenatal evaluation during the first trimester and provide early pregnancy counseling.

• May initiate and coordinate appropriate prenatal laboratory and diagnostic workup.

• Execute structured, documented handoff to external obstetric providers for continued prenatal care and delivery.

• Ensure timely communication with receiving providers and accurate documentation through transitions of care.

6. Care Coordination and Team-Based Care

• Collaborate with primary care, behavioral health, nursing, medical assistants, social work, and care management staff.

• Participate in multidisciplinary case discussions, care planning meetings, and population health programs.

• Address social determinants of health impacting patient outcomes; connect patients with enabling services.

• Support panel management and proactive outreach for preventive care gaps.

7. Documentation, Compliance, and Quality

• Complete accurate, timely clinical documentation in the electronic health record

(EPIC) consistent with Caring Health Center UDS reporting requirements.

• Adhere to all Caring Health Center regulatory requirements, clinical protocols, and organizational policies including HIPAA.

• Participate in quality improvement initiatives, clinical audits, and performance benchmarking

• Meet established productivity, access, and quality metrics as defined by leadership

Preferred Qualifications

• Prior clinical experience in an FQHC, community health center, or safety-net setting

• Proficiency with EPIC or comparable EHR system

• Bilingual/bicultural ability (Spanish, Russian, Arabic, Portuguese, or other language reflective of the patient population)

• Demonstrated experience providing care to underserved, multilingual, or culturally diverse populations

• Training or experience in trauma-informed care and reproductive justice frameworks

Work Environment and Schedule

• 100% outpatient clinical role; no inpatient or delivery responsibilities

• Standard clinic hours aligned with organizational scheduling model

• Participation in site-based or cross-site coverage as operationally required

Performance Expectations

• Deliver high-quality, evidence-based care consistent with organizational and national clinical standards

• Maintain patient access and panel management expectations as defined by leadership.

• Achieve productivity targets established by the organization.

• Support team-based workflows to optimize patient experience and clinical efficiency

• Demonstrate commitment to health equity, cultural humility, and Caring Health Center’s mission.

Physical Requirements

• Ability to stand, sit, and move throughout clinical spaces for extended periods

• Manual dexterity required for clinical procedures including LARC insertion/removal

• Ability to lift or move items up to 25 lbs. occasionally

• Reasonable accommodations will be made for qualified individuals with disabilities

per ADA and Massachusetts law

Equal Opportunity Statement

Caring Health Center is an equal opportunity employer committed to fostering a diverse,

inclusive, and equitable workplace. We welcome candidates of all backgrounds and are

committed to recruiting providers who reflect the communities we serve.

Working Conditions:

1. This position may require the ability to work long and arduous hours.

2. This position requires the ability to use a computer workstation viewing a CRT.

This position requires compliance with Caring Health Center’s compliance standards, including its Standards of Conduct, Compliance Program, and policies and procedures. Such compliance will be an element considered as part of the regular performance evaluation.

This job description describes the general nature and level of work expected of this

position. It is not exhaustive and may be amended as organizational needs evolve.

Employment remains at-will unless otherwise governed by a collective bargaining agreement.