Certified Nurse Midwife - Clinical Director

Job Description:

The CNM Clinical Director, as appointed by the governing body, will function in accordance with the CDPHE Standards for Hospitals and Health Facilities: Chapter 22 – Birth Centers, and the CABC Indicators of Compliance with Standards for Birth Centers as defined by the Commission for Accreditation of Birth Centers (CABC). The CNM Clinical Director shall have the authority, responsibility, and accountability for clinical services provided by the facility and will fulfill the CNM Clinical Director responsibilities as outlined in Part 5 of the CDPHE Chapter 22 Standards for Birth Centers. The appointed CNM Clinical Director shall be a clinical provider, as defined in Part 2.7 of these rules, and have the necessary professional scope of practice, as regulated under Title 12 of the Colorado Revised Statutes, to supervise the facility’s clinical providers. The CNM Clinical Director, individually or with a committee of the facility’s clinical providers, shall recommend and enforce rules, regulations, and policies for the proper organization and conduct of the facility’s clinical providers, and be the formal clinical liaison with the governing body for Birth Center of Denver (BCD).

The CNM Clinical Director will be one of the facility’s clinical providers and supervises the facility’s clinical services. The CNM Clinical Director will provide full-scope nurse-midwifery care within the BCD Clinical Practice Guidelines and must meet the criteria for Certified Nurse-Midwives as defined by the Saint Joseph Hospital (SJH) Medical Staff Bylaws, Clinical Rules, Medical Staff Rules as well as the BCD Clinical Staff Bylaws. The CNM Clinical Director will function in accordance with the American College of Nurse-Midwives Standards for Nurse-Midwifery Practice and work in a collaborative relationship with nurse-midwives, physicians, attending physicians and residents from the SJH OB/GYN Residency Program.

The CNM Clinical Director shall designate in writing one of the facility’s other clinical providers to act as the CNM Clinical Director when the appointed CNM Clinical Director is temporarily absent. The designated clinical provider shall have the appropriate clinical privileges to carry out the responsibilities of the CNM Clinical Director.

Birth Center of Denver is an independent licensed facility that is owned and operated by Saint Joseph Hospital, Inc, with its own set of Certified Nurse-Midwife (CNM) privileges and bylaws that are separate from Saint Joseph Hospital. Certified Nurse Midwives will be provided by the Front Range Medical Group, who are exclusively leased back to Birth Center of Denver, and are dedicated to covering nurse-midwifery services only at Birth Center of Denver.

CNM Clinical Director responsibilities include:

Regulatory

• Ensure the Birth Center is in compliance with regulatory agencies (CPDHE, CABC) that include readiness for licensed survey and accreditation site visits.
• Recommend and enforce rules, regulations, and policies for the proper organization and conduct of

the facility’s clinical providers.

• See regulatory requirements of CNM Clinical Director role below under Clinical Care Guidelines and Policies & Procedures.

Quality

• Responsible for implementing, maintaining and assuring the quality of client care services through the BCD Continuous Quality Improvement (CQI) program and create plans to address any deficits.
• Oversight of quality initiatives and quality improvement projects, including KPIs specific to Birth Center of Denver.
• Provide ongoing evaluation of the professional clinical performance of all CNMs and RNs who practice at the Birth Center. This includes regular learning opportunities, skills assessments, and competencycheckoffs throughcompliancewithquarterlyRQIskillscheckoffs,e-learningmodules, emergency drills, and annual competency training for all clinical caregivers
• ConductregularchartreviewsforbirthsandtransfersofcaretoSJH
• Providearegularreviewof birthcentermetricsofsuccessincludingSafety,Quality,Patient Experience, APP experience, Caregiver Experience, Access, and Financial Stewardship.
• Oversee the initial orientation and ongoing continuing education of all CNMs and RNs at the Birth CenterinaccordancewiththeBCDClinicalPracticeGuidelines,BCDClinicalCareGuidelinesand BCD Policies & Procedures.
• Investigate,whennecessary,theprofessionalconductofallCNMsand/orcasesthatmayrequire follow-up through peer review, root cause analysis, CDPHE and CABC Review Committee.
• Ensurecontractedclinicalservicesareperformedinaccordancewiththefacility’sapplicablepolicies and procedures.
• Ensurethecoordinationofprofessionalmedicalconsultant servicesandreferralsprovidedwithinthe facility.

ClinicalCareGuidelines,Policies,andProcedures

• Developnewandmodifyexistingclinicalguidelines,policiesandproceduresforrecommendationto thegoverningbodyforitsconsiderationandapproval.Suchclinicalpoliciesandproceduresshallbe in accordance with national standards for midwifery care, respect cultural diversity, and include, but not be limited to the following as referenced in the CDPHE Chapter 22 Regulations Part 5.2(D):

o   Clientcare,asrequiredbyPart8.2.

o   Emergencycareandemergentandnon-emergenttransport,asrequiredbyPart 9.1.

o   Registration,admission,anddischarge,asrequiredbyPart10.1,

o    Storage,dispensing,andadministrationofmedicationsandintravenousfluids,asrequired by Part 13.2.

o   Infectioncontrol,asrequiredbyPart3.4(F).

o   Clientrecords,asrequiredbyPart11.1.

·       Ongoingdevelopment,implementation,revision andeducationofBCDClinicalCareGuidelinesand policies and procedures that guide and support the provision of care at the Birth Center of Denver.

o   This includes review at staff meetings, annual reviews, and presentation of proposed updatestotheBCDAdvisoryCommitteeand/ortheIntermountainHealthSaintJoseph Hospital Governing Board(s) and Committee(s).

BirthCenterPrivileges

• Recommendclinicalprivilegestothegoverningbodyforeachindividualclinicalproviderandauxiliary or contracted staff member for approval in accordance with Part 3.4(G) of the CDPHE Chapter 22 Regulations.
• Recommend clinical privileges for any clinical provider, auxiliary staff member, or contracted clinical staffmemberwhoislicensed,certified,orregisteredunderTitle12oftheColoradoRevisedStatutes shall not exceed the individual’s regulated professional scope of practice.
• Recommendclinicalprivilegesshallnotexceedthescopeofservicesprovidedbythe facility,regardlessofanindividual’sregulatedscopeofpractice.
   

Meetings/Collaboration

Requiredmeetingattendance at
BirthCenterof Denver:

• §  BCDAdvisoryCommitteemeetings
• §  BCDCommittees:
• ·       PeerReview
• ·       BCDQualityCommittee
• BCDCredentialsCommittee
• Regular 1:1 meeting with Administrative Director of Birth Center of Denver
• BCD Clinical Staff Monthly Meetings (Leader):
  • This meeting is synonymous with the monthly OB Dept hospital meetings since BCD has its own set of clinical privileges
  • Critical Event Team Training (CETT) and Emergency Drills are extended meetings to meet regulatory emergency drill requirements
• BCD Collaborative Transfer Liaison Committee
• Other local and enterprise meetings as requested

• Saint Joseph Hospital:
  • OB/GYN department meeting (clinical staff member)
  • Women’s & Infants Service Line meeting (member)
  • Participation in MAGNET meetings/initiatives as needed
  • Quarterly meetings with BCD Administrative Director and Women’s Service Line Director
  • Other local care site specific and enterprise meetings as requested
• Intermountain Health/Front Range Medical Group
  • Peaks IMH Midwifery Council Meeting
  • Front Range Women’s Site Lead meeting
  • All provider meetings

• Other local and enterprise meetings as requested

Human Resources

• Have regular touchpoints with individual CNMs (at least quarterly) and document formal check-ins biannually.
• Ensure new provider and clinical staff orientation and onboarding are completed.
  • 30,60,90-day check-ins to optimize new provider onboarding.
• Assuring personnel files are maintained and up to date per CDPHE, CABC and Intermountain Health Human Resource standards.
• Create psychological safety for all caregivers and coach caregivers, with their dyad operational lead when appropriate, to have candid and kind conversations to resolve behavioral and interpersonal issues.
• Mentor, coach and support birth center CNMs who directly report to the BCD CNM Clinical Director. Provide corrective action and counseling as needed in collaboration with BCD leadership, Med Group leadership and HR.

Culture and Community

• Participate in Birth Center of Denver and SJH outreach and community education to foster the Intermountain, BCD, and Saint Joseph Mission and promote business growth initiatives.
• Create a culture of well-being and community within the birth center.
• Engage in development and growth opportunities for BCD CNMs.
• Identify and escalate facility, care team and patient operational inefficiencies which contribute to patient and provider distress and engage in a solution-focused process.
• Model, set expectations, and hold others accountable for a positive culture.
• Problem solving with clinic templates, staffing, process improvements, same-day access, recruitment, onboarding, days off, holidays, call coverage and commensality.
   

The above details the essential functions of your position. The list below is also considered to be essential functions of your position and all employees within SCL Health are expected to meet the following in their day-to-day work:

• Be available to work as scheduled and to pick up additional shifts when needed
• Be willing to accept stretch assignments
• Be willing to accept coaching, supervision and work well with others
• Berespectfulofallwithwhomyouinteractandfollowthe IntermountainHealthMission,Vision, Values and Service Behaviors.
• BeincompliancewiththedrugandalcoholpolicyasstatedintheEmployee Handbook
• Bewillingtolearnthroughrecommendedleadershipcoursesandoptionalreading,including:
• o   Empowering conversations
• o   Disruptingeverydaybias
• o   Leadingchange
• o   OtherresourcesontheIntermountainleadershiplearningsite
• Annualperformancereviewwithsupervisortoreviewperformance,FTEallocation,andsuccessionplanning

Minimum Required Qualifications

• Graduate from an accredited school of nursing
• Bachelor’s Degree in Nursing
• Master’s Degree (Nursing, Public Health)
• Graduation from an ACNM accredited nurse-midwifery education program
• Five years full-scope nurse-midwifery practice
• Effective verbal, written and interpersonal communication skills​
• Currentlicense topractice nursinginColorado
• RegisteredasanAdvancedPracticeNursein Colorado
• ColoradoPrescriptiveAuthority
• CurrentDEANumber
• CurrentACNM Certification
• BLS
• NRP

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Preferred Qualifications

• ExperienceasaclinicalleaderinaCNM hospital based practice
• ExperienceasaCNMand/ordirectorwithina birth center setting

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Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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