NURSE-MIDWIFE (Certified Nurse-Midwife)

Nurse-Midwife

Salary: $145,687.20 - $218,074.56 Annually

Location: Los Angeles County, CA

Job Type: Full time

Job Number: Y5359G

Department: HEALTH SERVICES

Application filing period will begin on May 29, 2026 - Continuous

We will keep accepting applications until all vacancies are filled. The application window may close unexpectedly once we have enough qualified candidates.

Under medical direction, provides care to mothers and babies through the maternity cycle of antepartum, intrapartum, post-partum, and neonatal for the medically uncomplicated patient and provides gynecological care, including family planning.

LA Health Services is LA County's integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers, Emergency Medical Services (EMS), Correctional Health Services, and community-based programs that connect people to care where they are.

We serve as the safety net for more than 10 million residents, providing care regardless of ability to pay, insurance coverage, or immigration status. As one connected system, we deliver extraordinary care—from prevention and primary care to emergency, specialty, trauma, and recovery services across Los Angeles County.

With more than 2.9 million visits annually and a workforce of over 23,000 dedicated staff, LA Health Services is proud to deliver high-quality, compassionate, and accessible care to everyone, no matter how they come through our doors.

To advance the health of our patients and our communities by providing extraordinary care.

The team member we are looking for will be assigned to the Department of Obstetrics and Gynecology and work under the administrative direction of supervising nurse-midwives and the medical direction of physicians. These positions are responsible, within legal restrictions and agency policy, for managing routine pregnancy cases by providing comprehensive care across the antepartum, intrapartum, postpartum, and neonatal phases. The Nurse-Midwife exercises independent judgment in determining whether the mother and fetus are progressing within normal limits of obstetrical and gynecological practice or whether a patient's condition requires referral to a physician.

Reviews the patient's chart and searches for abnormalities that would indicate anything other than a normal birth.

Obtains patient's medical history and performs an evaluative obstetrical examination, including taking vital signs, checking neurological reflexes, listening to fetal heartbeat, taking external measurements of the uterus, locating the position of the fetus and estimating its size and weight, and examining breasts and nipples.

Performs internal pelvic examination to determine the extent of dilation, station, and position of the fetus and general condition of the membranes.

Interprets the results of each element of the obstetrical examination with normal ranges and determines whether consultation with a physician is indicated.

Draws blood and completes routine laboratory request forms.

Performs hematocrit analysis by centrifuging a blood sample, examining it with a microscope, and recording the results for review by a physician.

Functions under standing orders by a physician when a patient is admitted for delivery and manages the patient during labor, starting IVs, administering medications, prepping the patient, instructing the patient in labor procedures, giving supportive counseling to the patient, maintaining surveillance of progress in labor, and keeping the physician informed of progress or impending problems.

With indications of impending delivery, notifies a physician and transfers the patient to the delivery room.

Assists the patient in the delivery room by giving emotional support to the patient and performs delivery procedures, including pudendal block, episiotomy, and repairs and resuscitation of the newborn.

Makes periodic postpartum visits to the mother and baby to evaluate condition and progress and to instruct the mother in recuperative procedures and baby care.

Participates in the informal training of nurses and students and the refresher program for nurse-midwives.

Provides gynecological care to healthy women under medical direction, including performing pelvic examinations to screen for cancer and other abnormalities and referring cases to physicians.

Provides direct family planning services such as fitting diaphragms and intrauterine devices and dispenses oral contraceptives.

Counsels and provides referrals regarding family planning.

Applicants must meet all of the requirements under one of the following options: 1. A current and active license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND - 2. A current and active certificate to practice as a Nurse-Midwife issued by the California Board of Registered Nursing. -AND - 3. Current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association.

Out-of-class experience will not be accepted for this examination. No withhold will be allowed. Required licensure and certifications must be valid and unrestricted at the time of filing.

Credit will be given to applicants who possess the following desirable qualification: Experience as a Certified Nurse-Midwife.

This exam will consist of an evaluation of experience based on application information, the desirable qualification, and supplemental questionnaire responses, weighted 100%. Applicants must achieve a passing score of 70% or higher on the examination in order to be included on the eligible list.

We process applications as we receive them. If you pass the assessment, we will place you on a list for 12 months. Hiring managers within DHS will use this list to fill vacancies as they become available.

You may be required to work evenings, nights, weekends, and holidays, depending on operational needs.

We only accept applications filed online. Applications submitted by U.S. mail, fax, or in person are not accepted. Apply online by clicking on the "Apply" green button at the top right of this posting.

This website can also be used to get application status updates. New email addresses need to be verified. This only needs to be done once per email address and can be done at any time by logging in to and following the prompts.

This is to enhance the security of the online application and prevent incorrect email addresses. Please fill out the application completely. Provide relevant job experience, including employer's name and address, job title, beginning and ending dates, number of hours worked per week, and description of work performed.

We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in the refusal of the application or the rescission of the appointment.

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Federal law requires that all employed persons submit their Social Security number, so include yours when applying.

All applicants must file their application using their own user ID and password. Using anyone else's user ID and password may erase a candidate's original application record.

For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.

The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non-discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race; sex; gender; sexual orientation; or any other characteristic protected by State or federal law.

The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities.

The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about conviction history unless you receive a conditional offer of employment.

Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States.