Lead Certified Nurse Midwife

Advanced Practice Nurse Midwife Specialty

Lead Certified Nurse Midwife
Dartmouth-Hitchcock Keene - Keene, NH

The Lead Certified Nurse Midwife (CNM) has continuous responsibility and accountability for the management of the Cheshire Medical Center (CMC) Nurse Midwifery Service and directs the CNMs in providing health care to patients within the Department of Obstetrics and Gynecology at Cheshire Medical Center.  As a member of the department leadership group, the Lead CNM reports to the Chair, Department of Obstetrics and Gynecology, in an integrated practice environment and provides leadership to CNMs in research, educational, consultative, and legislative arenas in accordance with the vision and mission of the department and organization.

Key Responsibilities:

  • Provide overall strategic guidance of the midwifery team, working closely with physician and nursing  leadership in advancing a culture of excellence in an integrated midwifery service, to include various disciplines.
  • Lead the group in collaborative practice with attending physicians, residents, APRNs, nurses and support staff.
  • Work directly with the Chair, Department of Obstetrics and Gynecology, Administrative Directors, and Women and Children’s Health Unit (WACHU) leadership.
  • Supervise the clinical and professional activity of the CNMs.  Serve as a role model.
  • Articulate and support performance expectations established in collaboration with the Department Chair, which provide for the highest quality patient care and consistency in clinical care standards, driven by evidence based clinical practice, safety requirements, and clinical outcomes monitoring.
  • Assure that clinical practice of CNMs meet current standards.
  • Develop and support clinical, research, and educational activities.
  • Participate in departmental QA/QI systems and other evaluative and clinical improvement activities in collaboration with the Department Chair.
  • Identify, respond to, and investigate potential and actual risk management issues.
  • Mentor individuals in the achievement of goals in accordance with the mission and initiatives of the Department of Obstetrics and Gynecology, Cheshire Medical Center, and Dartmouth-Hitchcock Health.
  • Work with the ObGyn Administrative Director and Associate Practice Manager in planning and reviewing the budget related to CNMs.
  • Facilitate new CNM orientation, on-boarding and on-going staff development.
  • Monitor and modify staffing patterns to ensure adequate clinical coverage.
  • Assure that licensing, certification, credentialing, and privileges are maintained and current for CNMs.
  • Facilitate positive relationships within the DH system as well as with affiliate members.
  • Perform functions of the CNM role as outlined in the job description with the exception of having a lighter clinical load to provide protected administrative time to perform expected functions as the Lead CNM.  This position is a 1.0 FTE with 0.8 FTE Clinical/0.2 FTE Administrative distribution.

Dartmouth-Hitchcock Keene (D-H Keene) is a 150 physician and associate provider, multi-specialty community practice and a division of the Dartmouth-Hitchcock system based in Lebanon, New Hampshire. This diverse group of professionals is committed to quality and patient safety, continuous process improvement and clinical measurement. D-H Keene is a nationally recognized leader in population health and patient-centered medical home. It is innovative and collaborative in its use of integrative medicine, value-based care, accountable-care models and electronic medical records. It is the largest community practice in the 650+ physician Dartmouth Hitchcock Health System which boasts a leading medical center and medical school.

The jointly-affiliated hospital, Cheshire Medical Center, is a 169 bed, Level III community hospital. It is only the 14th hospital ever to be named an American Hospital Association “Living the Vision” awardee (2013) and is both the 2010 New Hampshire Healthcare Business of the Decade and 2014 New Hampshire Healthcare Business of the Year.

The community of Keene is a picturesque, college-town in the Monadnock Region of Southwestern New Hampshire. New Hampshire boasts no income tax. The cost of living, stable real estate market and excellent schools and neighborhoods makes Keene an ideal place to call home.

Minimum Qualifications:

  • Master's degree with a minimum of 5 years of clinical experience is preferred.
  • Demonstrated management and leadership experience with a reputation for building clinical excellence directing high quality clinical activities.
  • A strong understanding of healthcare delivery in a community setting.
  • Active involvement and leadership in professional organizations and/or ACNM state affiliate is strongly preferred, but not required.
  • Strategic problem solver who can create effective solutions for change in collaboration with the Department Chair, others within Cheshire Medical Center, the community, and the Dartmouth-Hitchcock Health System.
  • A strong communicator and diplomat who is able to inspire and effectively communicate with wide and diverse audiences at all levels of the organization and externally. A mentor and developer of people who motivates others to be team players.
  • A management style that seeks to share information and welcomes input into the decision-making process.
  • A role model of personal and professional integrity.

Required Licensure/Certification:

  • Certified Nurse Midwife, currently licensed in the state of NH or eligible for such licensure
  • Certification by the American Midwifery Certification Board


Dartmouth-Hitchcock is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

Please fill out these 5 fields below as we initially categorize all applicants by education category and specialty. Upon submission of this brief form, you will be directed to our full application for this specific position. A full application must be submitted to be considered for each career opportunity.