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. \n \n $228,800 - $235,050 a year - Graduate of a nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME); degree must be a Master of Science in Nursing with a nurse-midwifery specialty, Master of Midwifery, Doctor of Nursing Practice, or equivalent graduate or higher-level degree from an accredited institution - Current, active, unencumbered national certification as a Certified Nurse-Midwife (CNM) issued by the American Midwifery Certification Board (AMCB) - Current, valid, unrestricted licensure as a Registered Nurse and Advanced Practice Registered Nurse in any state in the US with the eligibility to obtain licensure before services begin in the State of South Dakota. - Prescriptive authority consistent with South Dakota law and active DEA registration (Schedule II–V) - Current Basic Life Support (BLS) certification from the American Heart Association - Current Neonatal Resuscitation Program (NRP) provider certification from the American Academy of Pediatrics Before your first day - Favorable preliminary background investigation determination required before any patient care may begin - Documented TB screening within the last 12 months (negative TB skin test or IGRA) and COVID-19 vaccination documentation required - Completion of IHS credentialing and privileging before providing patient care \n What sets candidates apart: - Experience in Indian Health Service facilities, federally qualified health centers, or other rural or underserved community settings - Current Advanced Cardiac Life Support (ACLS) certification from the American Heart Association About Akicita FederalAkicita Federal is a Native American-owned federal contractor delivering healthcare, clinical, IT, and program-support services across the Indian Health Service, the Department of Veterans Affairs, and other federal agencies. We hire the people who do the work — clinicians, analysts, engineers, support staff — and we treat them like the professionals they are. Equal Opportunity EmployerAkicita Federal is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Akicita Federal complies with the Indian Preference provisions of the Indian Self-Determination and Education Assistance Act (P.L. 93-638) where applicable.