Certified Nurse Midwife

Akicita Federal is hiring Certified Nurse-Midwives (CNMs) to provide full-scope obstetric and gynecological care at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients across outpatient clinic and emergency department settings.
- Attend and manage normal vaginal deliveries, including repair of first- and second-degree lacerations and episiotomies per facility policy
- Evaluate and stabilize obstetric emergencies including antepartum hemorrhage, eclampsia, preterm labor, PROM, ectopic pregnancy, and miscarriage
- Conduct initial prenatal intake examinations, including comprehensive health history and physical assessment
- Respond to the Emergency Department for OB on-call coverage within a timeframe not to exceed 60 minutes from notification
- Perform annual well-woman examinations including physical assessment, clinical breast examination, and pelvic examination
- Provide full-scope family planning services including implant and IUD insertion and removal
- Document all patient encounters in the Rosebud IHS Hospital electronic health record on the day of service
- Participate in quality improvement initiatives, peer review, and morbidity and mortality review related to obstetric and gynecological care
Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m. for outpatient clinic services. All CNMs share a rotating 24/7 on-call responsibility for obstetric emergencies during non-clinic hours, including federal holidays, with at least one CNM designated as primary on-call at all times.