Certified Nursing Midwife - Department of Health (2325) (2023)


Published:October 20, 2022


Emma Perez-emma.perez@sfdph.org

Apply using SmartRecruiters, the application portal for the City and County of San FranciscoKnow more

(Video) Certified nurse midwife vs Women’s health nurse practitioner

Department:Public health
working class: 2325-Nurse midwife

Salary range:US$ 168.324,00 - US$ 266.292,00
Kind of paper:Permanent Civil ServiceWhat does this mean?
Hours: Total Time
Type of exam:Position-Based Tests
Ruler:rule of 10What does this mean?
List type:Forbidden

Work hours:Part-time and full-time
Change:Miscellaneous. Day, evening, night, weekend and/or holiday shifts may be required depending on the position.
Compensation:$185,510 to $266,292 annually

The mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all Franciscans. SFDPH strives to fulfill its mission through the work of two main divisions: San Francisco Health Network and Population Health.

San Francisco Health Network is the city's only comprehensive care system and has locations throughout the city, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and more than 15 health centers in primary care.

Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) is an essential part of the San Francisco healthcare system, serving approximately 100,000 patients annually and providing 20% ​​of the city's hospital care. Recognized as one of the best hospitals in the country, we serve the community with a full suite of inpatient, outpatient, emergency, diagnostic and psychiatric services for adults and children 24 hours a day.

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The Certified Nurse Midwife (CNM) will join San Francisco's oldest hospital midwifery practice, attending deliveries in a state-of-the-art family birthing center. This clinical setting offers expanded options for patients, including nitrous oxide, as well as ongoing support for physiological delivery, demonstrated by collaboration with community doula programs and one of the lowest C-section rates in California. ZSFG nurse midwives are members of a collaborative interprofessional team with a shared commitment to providing respectful and culturally appropriate care to all patients and their families.

The list resulting from this recruitment can be used to fill current and future Nurse Midwife positions over the next six months.

Under the general direction of nursing, the CNM operates within an organized system for the delivery of health care as a member of an interprofessional team. The CNM provides midwifery care at the Obstetrics, Gynecology and Obstetrics Clinic, Family Maternity Center and postpartum unit. In collaboration with the physician, essential job functions include the following:

  • Antepartum care (either 1:1 or CenteringPregnancy) in collaboration with Comprehensive Perinatal Services Program staff members and social service agencies;
  • Attention and intrapartum detection in the Maternity Center;
  • Postpartum care (inpatient and outpatient);
  • Family planning;
  • Supply of medicines according to standardized procedures;
  • Clinical education of midwifery students, medical students, and residents;mi
  • Documentation of care through electronic medical records.

The 2325 Certified Nurse Practitioner performs other related duties as assigned.


1.LICENSE: Possession of a valid California Registered Nurse (RN) License issued by the California Board of Registered Nursing;mi

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2.LICENSE:Possess a valid Certified Nurse Midwife Certificate issued by the California Board of Registered Nursing;mi

3.LICENSE:Possession of a current Nurse Midwife Provision Number issued by the California Board of Registered Nursing;mi

4.CERTIFICATION:Hold National Board Certification as a Certified Nurse Midwife by the American Board for the Certification of Midwifery.

Applicants must meet the minimum eligibility requirement by the final submission date, unless otherwise noted.

Education VerificationAnd experience:Applicants may be required to provide verification of their educational qualifications and experience at any time during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verification of foreign education credits or diploma equivalency, can be found athttps://sfdhr.org/how-verify-education-requirements.

Observation:Falsifying education, training or work experience or attempted application fraud may result in disqualification from this and future employment opportunities with the City and County of San Francisco.

As of October 14, 2016, to be placed in the appropriate salary bracket, your application must contain verifiable work history as a registered nurse and certified nurse midwife for up to 21 years. A resume cannot replace the need to fully complete your job application.

Salary Placement Information

Minimum Qualification Supplementary Questionnaire (MQSQ) (Weight: Qualification):Candidates who meet the minimum qualifications will be invited via a separate link to complete the MQSQ as part of the online job application. This MQSQ is designed to collect specific information about a candidate's experience in relation to the minimum qualifications for this position. Applicants must also complete the official form. It is essential that applicants provide complete information to identify their education, experience, and training. The MQSQ will be used to assess whether the candidate has the minimum required qualifications.Provide proof of your licenses and certifications by uploading them to your app.

Training and Experience Evaluation/Supplementary Questionnaire (SQ) (Weight: 100%):The SQ will be sent to qualified applicants who demonstrate that they meet the minimum requirements. Candidates must submit the full SQ by the stated deadline and the answers in the SQ cannot be changed after submission. A passing score must be achieved on the SQ to be placed/ranked on the Eligible List. Candidates will be placed in rank order according to their final SQ score. Once the confidential eligible score list/score report is adopted, the department may administer additional screening procedures to make a final hiring decision. The SQ is designed to measure knowledge, skills, and/or abilities in job-related areas that have been identified as critical to satisfactory performance in this role. All relevant experience, education and/or training must be included in the request for review during the qualification process. The department may administer additional job-specific selection procedures to make final hiring decisions.

Eligible list length:The list resulting from this review process will be6 months.
Certification Rulefor the list of eligible candidates resulting from this examination will beten point rule.

Racial Equity

  • Commitment to providing first-class care and services to all members of the DPH service population, with increased sensitivity and awareness of racially, ethnically, and culturally diverse DPH workforce members and patient populations.
  • Desire and commitment to lead and participate in work against racism, racial justice and equity that affects the quality of patient care and improvements in employee experiences; along with the commitment and willingness to promote and promote change in these areas.
  • Desire to work, network with, serve and support a diverse workforce and patient population.
  • Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

Additional Information on Employment in the City and County of San Francisco

COVID-19 Policies
Personal Protective Equipment (PPE)
Medical examination before hiring
Electronic Health Record (EHR)
Note about ICARE
Other working conditions and important information
Information about the hiring process.
conviction history
Employee Benefits Overview
Equal Employment Opportunity
disaster service worker
ADA accommodations
veterans preference
right to work
Copies of Application Documents
diversity statement

Ad Terms:Applicants should be guided solely by the provisions of this announcement, including requirements, deadlines, and other details, unless superseded by federal, state, or local laws, rules, or regulations. Typing errors can be corrected by posting the correction on the Human Resources website.

The terms of this notice may be appealed under Civil Service Rule 111A.35.1. The standard for reviewing such appeals is 'abuse of discretion' or 'lack of rationale' for establishing the job description, minimum qualifications and/or certification rule. Appeals must include a written statement of the items in dispute and the specific reasons why the items cited constitute an abuse of discretion by the Director of Human Resources. Appeals must be submitted directly to the Executive Director of the Civil Service Commission within five business days of the date of publication of the public notice.

Opening date: 10/13/22
pos. #
01062628, PBT-2325-127500, Entrance

EMPLOYMENT STATUS:All employees of the City and County of San Francisco are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-dose or single-dose vaccine. Any new employee must provide proof of full immunization status to be appointed. Any new employee who is routinely assigned or occasionally enters high-risk settings must provide proof of having received a COVID-19 booster vaccine by March 1, 2022 or as otherwise eligible.


The City and County of San Francisco encourages women, minorities, and people with disabilities to apply. Applicants will be considered without regard to gender, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, history of cancer, or genetic characteristics), HIV/AIDS status, information genetics, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other category protected by law.

(Video) Women's Health Nurse Practitioner Salary, Job Duties, & Education Requirements


How many questions are on the AMCB exam? ›

The national certification examination in nurse-midwifery and midwifery consists of 175 questions in a multiple-choice format.

What's the difference between a certified nurse midwife and a certified midwife? ›

A CNM is a registered nurse who graduates from a nurse-midwifery program, while a certified midwife is not a registered nurse. Instead, CMs have a healthcare-related degree or educational background and they graduate from a midwifery program.

Is using a certified nurse midwife a good idea? ›

A safe option for low-risk pregnancies

According to studies, CNMs provide more access to prenatal care, lower cesarean birth rates, and babies with higher birth weights.

What does certified nurse midwife mean? ›

A nurse midwife specializes in women's reproductive health and childbirth. Nurse midwives provide care to women from adolescence through menopausal years. For pregnant women, they provide care during prenatal visits, attend the birth, and provide care after the baby is born.

What is the pass rate for the CNM exam? ›

The exam itself lasts four hours and consists of 175 multiple choice questions. In 2019, the pass rate was 77.2% which was a decrease from the previous four years ((91.8% in 2015, 93.9% in 2016, 90.5% in 2017, 80.8 in 2018).

How many questions do you need to pass Cmsrn? ›

To earn either certification, you will need to pass a 150-question exam, 25 questions of which are unscored. The exams are computer-based, and you'll have 3 hours to complete either exam. To apply to take the exam, visit the ANCC or MSNCB website. Both the RN-BC and CMSRN exams are offered at Prometric testing centers.

Is a CNM better than NP? ›

Certified nurse-midwives supervise births, which women's health NPs do not have the licensure to do. Women's health nurse practitioners can act as primary care providers, unlike certified nurse-midwives, and provide care for women throughout their lifespan, not just during pregnancy.

Is a midwife a qualified nurse? ›

The qualifications you'll need

To become a midwife you'll need a degree in midwifery, which takes three years to complete. If you're already a registered adult nurse, you can undertake a shorter course instead, which takes 18 months.

Is a labor and delivery nurse different from a certified nurse midwife? ›

What Is the Difference Between an L&D Nurse and a Certified Nurse Midwife? L&D nurses and nurse midwives are RNs, but a nurse midwife has more advanced training and certification. Nurse midwives may also work with patients throughout pregnancy—not just labor and delivery.

What states are best for certified nurse midwives? ›

Best-Paying States for Nurse Midwives

The states and districts that pay Nurse Midwives the highest mean salary are West Virginia ($163,190), Utah ($143,890), California ($137,070), Massachusetts ($129,360), and New York ($126,170).

What state pays the most for certified nurse midwives? ›

Geographic profile for Nurse Midwives:
StateEmployment (1)Hourly mean wage
New York790$ 62.31
Florida500$ 46.97
Texas490$ 44.85
Minnesota340$ 56.14
1 more row

Why use a midwife instead of a doctor? ›

Many women choose a midwife over a doctor because they want additional emotional support before, during and after delivery. A midwife will get to know you, your family and your preferences over the course of your pregnancy.

What is another name for a certified midwife? ›

Today, five types of midwives provide varying levels of care to women and newborn babies: Certified Nurse-Midwife (CNM) Certified Midwife (CM) Certified Professional Midwife (CPM)

What are the initials for certified nurse midwife? ›

Certified Nurse-Midwives (CNMs) and Certified Midwives (CMs) are educated in graduate-level midwifery programs accredited by the Accreditation Commission for Midwifery Education (ACME).

What are the credentials for CNM nursing? ›

To become a CNM, registered nurses must graduate from a master's or higher-level nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME) and pass the national Certified Nurse-Midwife Examination through the American Midwifery Certification Board.

What is the hardest exam for nurses? ›

The National Council Licensure Examination, or NCLEX, is a critical exam that every nursing student must take to become a licensed nurse. Passing the NCLEX is essential to begin your nursing career, but it is also one of the most challenging exams you will ever take.

What state has the lowest NCLEX pass rate? ›

9, 2022. Last year, 63.88 percent of registered nursing students passed the NCLEX, down from 64.79 percent in 2021 and 68.92 percent in 2020. Florida has had the lowest NCLEX pass rates in the country since 2017, according to The Tampa Bay Times.

What is a good score on a nursing exam? ›

HESI Score Conversion Chart
> 90090% to 100%Excellent
850 to 89980% to 90%Above Average
800 to 84975% to 80%Average
< 799< 75%Failure

What score do you need to pass the CMSRN exam? ›

The passing scaled score for the CMSRN exam will be 95 through May 14, 2023. The new passing scaled score for the CMSRN exam may change on and after May 15, 2023, but the exact score needed to pass the exam will not be released until August 17, 2023.

How many times can you take the CMSRN exam? ›

Candidates who fail the CMSRN certification exam can apply to retake the exam one week after their last exam date. They must submit a new application and fee with each subsequent attempt.

What is the scoring of the CMSRN exam? ›

The exam includes 150 multiple-choice questions, and you have three hours to complete the test. To earn medical surgical certification, you must get a score of 95, which equates to getting about 71% of the questions correct.

What is the difference between a nurse-midwife and a nurse? ›

The difference between a registered nurse and a Certified Nurse-Midwife is that a registered nurse supports the care of a patient by carrying out orders from a provider (a physician or a Certified Nurse-Midwife, for example), while the Certified Nurse-Midwife has an increased scope of practice that allows them to ...

Is a RN higher than a NP? ›

Is a nurse practitioner higher than a registered nurse? A nurse practitioner is an advanced practice registered nurse. The scope and authority granted to a nurse practitioner is greater than that of a registered nurse.

What is higher than a NP? ›

Doctor of Nursing Practice (DNP)-Prepared Practitioner

The Doctor of Nursing Practice is a terminal nursing degree, meaning that it is the highest possible practice-based degree in nursing.

Is a maternity nurse a midwife? ›

Midwives support mothers through pregnancy and labour and in the time immediately after birth. Whereas a maternity nurse will work with the mothers once the baby has been born and for the first few months of the baby's life.

Are midwives in high demand? ›

Job growth for certified nurse midwives is strong—7.5% through 2031, according to the BLS.

Why do I want to be a midwife? ›

"I'm fascinated by the science and experience of pregnancy, labor and postnatal care. I've studied these topics extensively because I'm passionate about making sure that women and couples preparing for the birth of a child have the most knowledgeable and prepared guides helping them through this time.

Do midwives have to draw blood? ›

Most of the tests can usually be done at one time, and the midwife will usually take blood from your arm at one of your first visits. Some tests may be repeated routinely later in your pregnancy.

Can midwives diagnose? ›

Myth #3: Midwives can't prescribe medications and order tests. CNMs are fully licensed to prescribe medication including pain medication and birth control. They can also order lab tests, diagnose conditions and counsel patients.

Can a nurse deliver a baby? ›

The need for nurses in the U.S. has never been greater. Labor and delivery nurses, who assist in the safe delivery of babies and care for new mothers, are in particularly high demand, as we saw a rise in newborns in 2021. After all, nearly 3.7 million babies were born in the U.S. last year.

Where is the best place to work as a nurse midwife? ›

Top 5 Places for a Certified Nurse Midwife to LiveCrystal Carter
  • California. Average Salary: $159,590. Location Quotient: 1.21.
  • Utah. Average Salary: $133,680. Location Quotient: 1.15.
  • Mississippi. Average Salary: $127,960. Location Quotient:
  • New York. Average Salary: $125,780. ...
  • Minnesota. Average Salary: $123,600.

How to become a midwife without a nursing degree in the US? ›

To become a midwife without a nursing degree, you must take online courses. Continuing education classes offered by the American College of Nurse-Midwives (ACNM) are generally accredited and state-approved. You can also consider certifications from other professional organizations.

How much does a registered midwife earn in USA? ›

$94,500 is the 25th percentile. Salaries below this are outliers. $162,000 is the 90th percentile. Salaries above this are outliers.

Which type of midwife makes the most money? ›

The median annual salary is around $56,000. The certified nurse-midwife who works in home care generally makes the most, around $65,000 to $70,000 per year. The midwife frequently travels to patients' homes to monitor the progress of the pregnant mother and observe the pregnancy.

What is the highest paid certified nurse? ›

What is the highest-paid nurse? Certified Registered Nurse Anesthetists! Earning $195,610 annually, CRNAs earn significantly more than any other type of nurse or nursing specialty.

How many certified nurse midwives are there in the US? ›

There are over 7,004 certified nurse midwives currently employed in the United States. 94.0% of all certified nurse midwives are women, while 6.0% are men. The average age of an employed certified nurse midwife is 42 years old.

Do midwives give ultrasounds? ›

Some of the health services a midwife may provide include: Prenatal appointments and routine pregnancy monitoring. Ultrasounds and prenatal blood work. Attending to birth and newborn care.

Can a nurse deliver a baby without a doctor? ›

Under California state law, nurse midwives may only practice and deliver health care services under the supervision of a licensed physician.

Can midwives prescribe medication? ›

Myth: Midwives don't prescribe medication.

CNMs are actually licensed to prescribe medications ranging from birth control to HRT, and everything in between. “At the same time, midwives try to give pregnant women enough support up front so they require fewer interventions during the birthing process,” Weatherly says.

How many questions are on a family medicine board? ›

Like the one-day examination, FMCLA covers topics that represent the breadth of family medicine and requires 300 questions to be answered. You will have up to four years to complete this, which allows for some quarterly breaks, if needed along the way. To learn more, download the FMCLA Candidate Information Booklet.

How many questions is the nurse practitioner certification exam? ›

The exam allows 3.5 hours to answer 175 questions (150 scored plus 25 pretest questions that are not scored). For exam prep resources, scroll down to view Study Aids. If you do not pass a certification exam, learn about retesting.

What is a passing score for Med Surg certification? ›

Your certification is valid for five years. The Medical-Surgical Certification exam is scored on a scale of 100 to 500, with 350 the minimum passing score. If you did not pass, your report will include information on each domain to help you focus your study efforts.

How many questions are on the ABIM critical care board? ›

60 questions

What is a passing score on family medicine board exam? ›

Minimum passing standard is 380. 2. First-time takers can be applying for initial certification or continuing their certification, but they are not testing on this occasion due to a prior failure.

What is the pass rate for family medicine boards? ›

State or RegionTotal Examinees (n)Pass Rate (%)
South Dakota6392.1
South Carolina30391.1
48 more rows

What is the hardest board exam in the medical field? ›

1. MCAT. Before being admitted to medical school in the U.S., Canada, Australia, or the Caribbean Islands, you'll need to take the Medical College Admission Test (MCAT). Used for over 90 years, tens of thousands of would-be physicians sit for the exam each year.

How many times can you fail NP boards? ›

What happens if I fail the exam? ANCC: If you fail the ANCC FNP exam you will have the ability to retake the test after 60 days of the last testing date; however, you cannot take the exam more than three times in any 12 month period.

What is a passing score on the nurse practitioner exam? ›

AANP Family Nurse Practitioner certification exam consists of 150 questions. Scoring works on a scale of 200 to 800 points with a minimum passing score of 500.

How hard is the RN test? ›

NCLEX Pass Rates

The second-attempt pass rate for domestically-educated students taking the test was 45.56%. These results demonstrate that it is a pretty difficult test. The questions are designed to test your critical thinking, knowledge of the nursing process, and assessment skills.

What is a good nursing score? ›

The average TEAS score will vary for different nursing programs and schools. However, the average TEAS score tends to be between 65% and 75%. This would be classified in the “proficient” TEAS score range (reference the table above).

What score do you need to pass the nursing exam? ›

While it's possible to pass the NCLEX after answering all 135, it's also possible to pass the test with a minimum of 70 questions or any number in between. Keep in mind NCLEX has a time limit of five hours. If you haven't answered enough questions correctly when the clock runs out, you will fail the test.

What percent correct is needed to pass ABIM? ›

In order to get an ABIM passing score, you need to score at least a 366, which is 64% of questions correct on the ABIM exam. The 2022 ABIM certification pass rate was 87% and the maintenance of certification exam pass rate was 94%.

What happens if you don't pass ABIM boards? ›

What Happens If You Fail an ABIM Certification Exam? If you fail the ABIM certification exam, you can retake the exam two more times for a total of three attempts. If you fail three attempts of the ABIM exam, you will need to wait one year before registering for the exam again.

What happens if you fail ABIM twice? ›

If the physician fails twice in a row and then takes a year off, they can still register for an ABIM certification exam the following year.


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