The Dartmouth Health Manchester-Bedford Obstetrics, Gynecology & Nurse-midwifery team is seeking a Certified Nurse-midwife (CNM) to join a busy practice with eight board eligible OB/GYN physicians, certified nurse-midwives, two women’s health nurse practitioners and one physician’s assistant with a supportive administration team. Our midwives are highly respected and the midwifery model of care is at the center of way we deliver healthcare.

This is a full time, full scope midwifery position, averaging 36 clinical hours per week divided between the office and hospital setting. Our collaborative practice model involves working 12-hour shifts, with our physician colleagues, while providing inpatient care.  In the outpatient setting, our midwives provide pregnancy and postpartum care, gynecologic healthcare including preconception care, family planning services, sexual and reproductive healthcare.  Our midwives also assist with the education of 2^nd year obstetric residents from Dartmouth Hitchcock Medical Center and precepting of nurse-midwifery students.    

Our collaborative practice group covers one busy community hospital providing comprehensive obstetrics, gynecology & nurse-midwifery services with 24/7 midwifery care for patients in the Bedford/Manchester region of New Hampshire, attending approximately 800 deliveries per year.

Our office offers comprehensive obstetrics, gynecology and nurse-midwifery care with on-site laboratory and imaging, access to genetic counselors, maternal fetal medicine physicians and Dartmouth Health subspecialists.

Opportunity Highlights: 

• Engaged clinicians and staff who are invested in optimal patient outcomes and satisfaction
• Cohesive, competent, and energetic group of midwives, nurse practitioners, and physicians with a shared philosophy of care
• Practice group that is committed to provide high quality and evidence-based care
• Unwavering commitment to provide exceptional care for the economic and socially challenged high risk population in the community that we serve
• Caring and professional staff of nurses, medical assistants and secretaries
• Excellent call schedule, supportive administration, quality care, and a focus on provider and patient satisfaction
• Opportunity to participate in the education of Dartmouth Health second-year obstetric residents and precepting of nurse-midwifery students
• Opportunities for leadership available for appropriate candidates
• Integrated Dartmouth Health multi-specialty referral network, including eConsultation 
• Competitive compensation plan adjusted regularly per ongoing market analysis; generous continuing education allowance
• System wide advanced practice provider leadership structure, representation and opportunities for growth within the

Our office practice offers:

• Collaborative on-site consultative services with board-certified subspecialists in Maternal Fetal Medicine, Gynecologic Oncology, and Urogynecology
• Wide-range of office-based procedures including diagnostic hysteroscopy
• American Institute of Ultrasound Medicine (AIUM) certified imaging services with 3 machines, fully staffed with ultrasound technologists
• Licensed genetic counsellors
• Certified laboratory services 

The community hospital where we deliver care has:

• 800 deliveries per year
• Level III Maternal Care
• Level III NICU Care (.24 weeks) 
• Robotic technology with Da Vinci Surgical System 
• 24/7 anesthesia coverage

The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income tax or sales tax, this beautiful area combines history, industry and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth-Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Norris Cotton Cancer Center, the Children’s Hospital at Dartmouth Health; 4 affiliated hospitals and 30 ambulatory clinics across the region. With destinations like Boston, New York, the Seacoast, the Lakes Region, the White Mountains, and ski country within driving distance, the opportunities – both professional and personal – make New Hampshire the ideal place to work and play.

Minimum Qualifications:

• Master’s degree

Required Licensure/Certification Skills:

• Certified Nurse Midwife licensed to practice in the State of New Hampshire
• Board certified by the American Midwifery Certification Board (AMCB)
• Federal DEA
• Cesarean First Assist (will train if needed)

• Graduate of an accredited APRN academic program
• National specialty certification as a Certified Nurse Midwife

1. Abide by the Dartmouth-Hitchcock Bylaws for the Professional Staff and Code of Conduct.
2. Obtain comprehensive or focused history and perform physical exam.
3. Determine and order appropriate screening and diagnostic tests and studies.
4. Obtain informed consent for treatment diagnostic and therapeutic procedures and studies.
5. Interpret and evaluate test and study results.
6. Develop and implement treatment plans based on relevant findings.
7. Prescribe medications, treatments and medical devices in accordance within specialty scope of practice and applicable rules and regulations.
8. Initiate referrals to other providers as necessary.
9. Initiate admission/discharge of patients (APPs do not have admitting privileges).
10. Provide consultation to patients in accordance within specialty scope of practice.
11. Complete appropriate documentation.
12. Provide patient and family centered care.
13. Provide education and counseling regarding the management of acute and chronic illnesses and injuries. Encourage behavioral change and assist with self-management skills to improve overall health, within specialty scope of practice.
14. Demonstrate advocacy that insure the patient’s right to privacy, confidentiality and informed consent.
15. Serve as a preceptor/mentor for new Advanced Practice Providers (APP) APP students and medical students.
16. Assume responsibility to maintain RN and APRN licensure; national certification in specialty area, and DEA registration.
17. Attend continuing education programs to ensure ongoing professional growth and development.
18. Perform other duties as required or assigned.

• Eligible for RN licensure in the State of NH
• Eligible for APRN licensure in the State of NH
• Eligible for Federal DEA Registration
• BLS certification