Nurse Midwife (#RH1170)
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$72.78-$88.46 Hourly / $12,615.20-$15,333.07 Monthly / $151,382.40-$183,996.80 Yearly


Under general supervision of a physician, manages women's health care focusing on pregnancy, childbirth, the postpartum period, care of the newborn and the family planning and gynecological needs of women; and does related or other work as required in accordance with Rule 3, Section 3 of the Civil Service Rules.


Incumbents in this class are responsible for the management of patients within their scope of practice. Incumbents have completed the educational requirements for nurse midwife and are responsible for the management of patients within their scope of practice. As more experience is gained, the Nurse Midwife functions with more independence.


  • Elicits, records and/or reviews medical histories and performs acute primary care, annual, periodic and various other routine physical examinations utilizing the problem-oriented medical records or other appropriate systems; provides general and specific health and medical instructions to patients, clients and families.
  • Coordinates individual and family health management, utilizing physicians resources or community agencies; provides guidance, instruction, treatment and referral in such areas as family planning, sexually transmitted diseases (STD), Acquired Immune Deficiency Syndrome (AIDS), drug abuse, child care and hygiene; assists patients with selection, fitting and placing of appropriate contraceptive devices.
  • Performs early diagnostic examinations including vision, hearing, pap smears and other diagnostic tests; may order laboratory tests, x-rays, electrocardiograms and other diagnostic tests; may collect specimens for, perform and interpret selected laboratory tests and take action on abnormal tests as necessary; provides immunizations and gives injections.
  • Identifies basic to complex medical conditions; determines if patient's medical, surgical and psychiatric problems require immediate consultations with the physician; treats conditions and manages stable phases of chronic illnesses on consultations with or following specific protocols established by physicians, including dispensing and/or administering medication when indicated; alerts appropriate medical agencies of potential community health problems as encountered.
  • Provides routine prenatal care and postpartum follow-up for mothers; provides comprehensive health screening assessments; provides treatment of illness. Admits/evaluates clients in Family Maternity Center; independently manages clients or co-manages with attending physician, clients who may be at higher risk. Independently attends deliveries of these clients, manages second, third and fourth stages of labor. Refers clients outside scope of practice. Discharges both antepartum and postpartum clients independently.
  • Observes and counsels and supports patients in the area of psychosocial problems and inter-relationships; provides emergency treatment or referral for patients with severe emotional upsets.
  • May work in clinics; may make home and school visits; may lead ancillary clinic staff; may coordinate clinic activities; may orient and oversee nursing students, nurse midwifery students, medical students and other providers.
  • Provides for quality assurance through review and audit of clinic charts to assure adequate medical management and follow-up; provides consultation to other providers.
  • Keeps records and completes form, questionnaires and billing forms as required.
  • Attends meetings and workshops; serves on committees as assigned; provides consultation and assistance in areas of specialty to other areas of Health Care Services; participates in and may conduct in-service training.
  • Performs other duties as directed by the Chairperson for the Department of Obstetrics and Gynecology.


Education: Completion of an approved nurse midwife educational program recognized by the American College of Nurse Midwives.

License and Certificates: Possess a current valid California Registered Nurse license and a valid California Nurse Midwife Certificate. Must possess a valid California Nurse Midwife furnishing number within one year of appointment to the class of Nurse Midwife. 


Professional nursing; women's health care, pregnancy, childbirth, care of the newborn. menopause and family planning; a wide range of medical conditions affecting women and children; various diagnostic tests; treatment protocols for various medical conditions; various medications used to treat a variety of conditions; health screening assessment methods and techniques; psychosocial factors affecting women's health.


Perform a variety of diagnostic tests; identify various medical conditions and determine appropriate action; monitor women in childbirth and take appropriate action; establish effective work relationships with others; coordinate women and family health care.


Mobility-Frequent standing and walking is required; occasional pushing/pulling; occasional bending/squatting; occasional walking; Lifting-Frequent lifting duties required of 5-70+lbs.; occasional restraining, lifting/turning of heavy objects and/or people; Vision-Constant overall vision; color perception; eye-hand coordination is required; occasional reading and close-up work; Dexterity-Constant holding, reaching, grasping and writing; Hearing/Talking-Constant hearing and talking in person and on the telephone; frequent hearing faint sounds; Emotional/Psychological-Occasional exposure to death, grief and trauma; constant public contact; occasional contact with hazardous materials; constant concentration and decision making is required.

San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

CLASS: RH1170; EST: 12/1/2003;