Certified Nurse Midwife (CNM) or Nocturnist (CNM) - Duke Birthing
Center
Work Arrangement:
Requisition Number: 273948
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOSPITAL
Date: Sep 10, 2026
At Duke Health, we're driven by a commitment to compassionate care that
changes the lives of patients, their loved ones, and the greater community. No
matter where your talents lie, join us and discover how we can advance health
together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North
Carolina, which is consistently ranked among the best in the United States.
The largest of Duke Health's four hospitals with 1062 patient beds, it
features comprehensive diagnostic and therapeutic facilities, including a
regional emergency/trauma center, an endo-surgery center, and more.
Job Location(s)
Duke University Hospital and Duke Regional Hospital
Job Summary
The Duke Birthing Center Advanced Practice Provider is a CNM who provides
direct patient care services for antepartum, intrapartum, postpartum and
gynecology patients. This practice includes primary as well as specialized
care provided in multiple locations including inpatient units and OB triage in
the Duke Birthing Center, Duke Regional Hospital and outpatient clinics
(Harris &Smith OB-GYN, Durham OB-GYN and Durham County Health Department. The
Birthing Center APP performs physical exams, collects and documents data,
conducts diagnostic and therapeutic procedures, orders and schedules
laboratory studies and professional consultations, prescribes appropriate
interventions and medications and coordinates the care and discharge of
patients. The APP contributes to excellence in patient care, research,
teaching and provides leadership to the organization.
Job Duties and Responsibilities
Clinical Expert
Collaborate with attending physician(s) and healthcare team to assess,
diagnose, plan, set priorities and realistic outcomes, and evaluate the
effectiveness and cost efficiency of patient care.
Provide /coordinate clinical practice for patients at Duke University
Hospital and Duke Regional Hospital being followed on the OB service
through established protocols.
Round daily on patients to assess, diagnose, plan treatment, set
priorities and realistic outcomes, and evaluate the effectiveness and cost
efficiency of obstetrical patient care;
Provide evidence-based clinical care by actively engaging in review of
literature
Assess patients for change in status and institute appropriate
interventions. Initiate emergency interventions to stabilize the patient
until physician support arrives.
Communicate verbally and in writing all pertinent patient information to
supervising MD, referring MD, nursing staff, home health, and other
relevant healthcare providers.
Document in patients' chart all relevant data including but not limited to
results of diagnostic tests; laboratory results; patients' condition and
response to therapies/interventions; communications with supervising MD.
Provide leadership and coordination of care and services for the OB-GYN
Service.
Utilize prescriptive privileges for identified patient population and in
accordance with Duke and NC Board of Nursing regulations.
Role model competence in advance nursing skills and provides evidence-
based practice.
May order and/or perform the following procedures:
Order Laboratory and or diagnostic procedures for
Term labor
Preterm labor
Cesarean delivery
Postpartum care (including insertion and removal of intrauterine devices and Nexplanon)
Gynecological care/Primary care including pap smears and STD testing
Insertion and interpretation of external and internal fetal monitoring
(CNM only)
Insertion and interpretation of tocodynamotor and intrauterine pressure
catheter (CNM only)
Identification of vaginal and perineal lacerations including degree of
tear. (CNM only)
Identify common vaginal infections using microscopy
Neonatal circumcision
Assist attending in the OR
Limited obstetrical ultrasound
Educator
Assess educational needs of the Duke nursing staff and healthcare team
members and provide one-on-one as well as formal education as needed
Implement and evaluate appropriate educational programs for nursing staff,
MDs, and other healthcare providers as appropriate.
Role model and precept healthcare learners through contractual agreements.
Assess educational needs of patients/families and provide culturally
sensitive patient/family interventions as indicated. Use non-technical
language when educating patients/families. Document educational
interventions in the patient's medical record.
Research Utilization and Investigation
Utilize current research and evidence-based decision-making in all
clinical practice.
Incorporate clinical research in the development and implementation of
standards of care.
Support IRB approved clinical research/trials though a variety of
activities including but not limited to: obtaining consent; ordering
diagnostic tests; recording laboratory & diagnostic results; administering
therapeutic interventions; and reporting patient outcomes including
toxicities or adverse events.
Participate in interdisciplinary quality improvement and/or research
activities.
Participate in measuring and documenting outcomes.
Consultant
Provide expertise and resource information to other healthcare providers,
patients and families, and the community at large related to maternal and
fetal diseases, procedures, interventions, and conditions.
Implement and evaluate appropriate educational programs for referring MDs
Develop, implement and evaluate standards of care/practice
guidelines/policies and procedures/care maps/protocols within area of
specialization.
Develop programs and projects in areas of expertise to facilitate the
attainment of the goals and objectives of the Duke University Hospital and
Duke University Health System.
Professional Leadership and Development
Role model Advanced Practice Nursing through conduct, communication,
dress, leadership, ethical decision-making, critical thinking and problem-
solving skills.
Participate in at least one professional organization.
Demonstrate responsibility for professional practice through active
participation in OB/Gyn Department, CAP Department, and professional
organizations.
Share clinical expertise, program accomplishments, and research findings
with other professionals through written publications, oral presentations,
posters, continuing education, etc.
Maintain all professional requirements for licensure and certification.
Job Eligibility Requirements
Education
CNM: Graduate of accredited MSN or DNP Nurse Midwifery Program
Certification
CNM: CNM
License
CNM: Current and unrestricted RN license issued by or recognized by the NCBON
with approval to practice as a CNM.
Experience
CNM: Prefer 1+ years inpatient CNM experience including delivery
Physical and mental requirements
Able to clearly articulate scope of practice, and practices within those
guidelines as a Nurse Practitioner / Physician Assistant or Certified
Nurse Midwife in the state of North Carolina and within the Duke
University Health System.
Able to independently seek out resources and work collaboratively to solve
complex problems
Able to communicate clearly with patients, families, visitors, healthcare
team, physicians, administrators, leadership, and others.
Able to use sensory and cognitive functions to process and prioritize
information, perform health assessments, treatment, and follow-up.
Able to use fine motor skills
Able to record activities, document assessments & interventions; prepare
reports and presentations;
Able to use computer and learn new software programs
Able to provide leadership in clinical area of expertise and in meeting
organizational goals
Able to navigate the Hospital and DUHS to provide clinical expertise to
specific patient populations
Able to withstand prolonged standing and walking with the ability to move
or lift at least fifty pounds
Able to remain focused and organized
Able to work collaboratively with all levels of personnel
Job Hours
APPs will work an average of 40 hours each week inpatient and/or outpatient.
Outpatient: Monday through Friday 4- or 8-hour days in the clinics. Inpatient:
Sunday through Saturday 8- or 12-hour days/nights rotating in the hospital.
This schedule may be modified by DUHS Center for Advanced Practice leadership
to meet the hospital and clinical needs.
Duke is an Equal Opportunity Employer committed to providing employment
opportunity without regard to an individual's age, color, disability, gender,
gender expression, gender identity, genetic information, national origin,
race, religion, sex (including pregnancy and pregnancy related conditions),
sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation,
creativity, and belonging. Our collective success depends on the robust
exchange of ideas—an exchange that is best when the rich diversity of our
perspectives, backgrounds, and experiences flourishes. To achieve this
exchange, it is essential that all members of the community feel secure and
welcome, that the contributions of all individuals are respected, and that all
voices are heard. All members of our community have a responsibility to uphold
these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include
essential job functions that require specific physical and/or mental
abilities. Additional information and provision for requests for reasonable
accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
