Licensed Midwife

Overview Join our community-based maternity care team as an Oklahoma Licensed Midwife. In this role, you will provide skilled, compassionate, evidence-informed midwifery care to families throughout normal pregnancy, labor, birth, postpartum, and newborn transition. The Licensed Midwife supports physiologic birth, informed decision-making, appropriate risk assessment, emergency preparedness, and timely consultation, referral, or transfer when indicated. This position is ideal for a midwife who is confident in out-of-hospital birth, committed to client-centered care, and able to practice within Oklahoma law, administrative rules, professional standards, and facility protocols. Responsibilities Provide prenatal, intrapartum, postpartum, and newborn care for clients who are appropriate for Licensed Midwife care under Oklahoma law and rules. Conduct thorough client assessments, including health history review, vital signs, physical assessment, fetal assessment, risk screening, and ongoing evaluation of maternal and fetal well-being. Develop and maintain individualized care plans based on client needs, informed choice, clinical findings, and applicable midwifery standards. Provide education and counseling related to pregnancy, nutrition, fetal development, labor preparation, physiologic birth, comfort measures, breastfeeding, postpartum recovery, newborn care, and warning signs. Attend births in approved practice settings, including birth center, home birth, clinic, office, or hospital settings if privileges are held. Monitor labor progress, fetal heart tones, contractions, maternal vital signs, hydration, bleeding, pain coping, and overall clinical status throughout labor, birth, and immediate postpartum. Perform procedures within Oklahoma LM scope and facility policy, which may include venipuncture, specimen collection, IV insertion, medication administration, injections, neonatal prophylaxis, and repair of appropriate perineal lacerations. Recognize deviations from normal pregnancy, labor, birth, postpartum, or newborn transition and initiate appropriate consultation, referral, emergency care, or transfer. Maintain readiness for obstetric and newborn emergencies, including postpartum hemorrhage, shoulder dystocia, neonatal resuscitation, maternal stabilization, and emergency transport coordination. Document all care accurately and promptly in the electronic health record, including assessments, informed choice discussions, care plans, medications, procedures, consultations, referrals, transfers, and postpartum/newborn follow-up. Maintain compliance with HIPAA, Oklahoma LM rules, informed choice and disclosure requirements, birth documentation standards, facility policies, and professional expectations. Collaborate respectfully with physicians, hospitals, EMS, laboratories, sonographers, nurses, doulas, lactation professionals, and other members of the client's care team as clinically indicated. Participate in quality assurance activities, peer review, emergency drills, chart review, continuing education, and facility improvement processes. Experience and Qualifications Current Oklahoma Licensed Midwife credential in good standing, or eligibility for Oklahoma LM licensure prior to employment. Current CPM or CM credential, if applicable to licensure pathway. Current CPR/BLS and neonatal resuscitation certification. Experience providing prenatal, labor, birth, postpartum, and newborn care in community birth settings. Strong understanding of normal pregnancy, physiologic birth, postpartum recovery, newborn transition, lactation, anatomy, physiology, pharmacology, infection control, and emergency recognition. Competence in fetal heart tone assessment, maternal vital signs, labor assessment, newborn assessment, charting, client education, and informed choice counseling. Ability to perform clinical skills within LM scope and facility policy, including venipuncture, specimen collection, IV therapy, medication administration, injections, and suturing when appropriately trained and authorized. Experience using EMR or EHR systems for timely and accurate clinical documentation. Ability to identify risk factors, maintain appropriate boundaries of care, and arrange consultation, referral, or transfer when a client's condition falls outside normal parameters. Strong communication skills with clients, families, staff, consulting providers, hospitals, EMS, and community partners. Commitment to respectful, family-centered, culturally aware, trauma-informed midwifery care. Preferred Qualifications Prior experience in a birth center or established home birth practice. Experience with Oklahoma LM rules, birth center protocols, informed choice documentation, emergency drills, and transport planning. Experience with lab ordering, newborn screening coordination, birth certificate filing, and postpartum/newborn follow-up workflows. Teaching, precepting, peer review, or quality improvement experience. Position Summary This is a meaningful opportunity for a Licensed Midwife who values safe, individualized, community-based maternity care. The ideal candidate is clinically grounded, calm under pressure, respectful of client autonomy, committed to normal physiologic birth, and prepared to act decisively when consultation, referral, emergency treatment, or transfer is needed.

Pay:

$70.00 - $140.00 per hour

Benefits:

Flexible schedule Professional development assistance

Work Location:

In person