At Houston Methodist, the Lead Nurse Midwife NWD position is an Advance Practice Nurse (APN), an advanced clinical leader and scholar who functions at the Expert level of Benner's model of clinical practice responsible for managing and providing women's health care services related to pregnancy, childbirth, the postpartum period, family planning and routine gynecological needs. In addition to performing the duties of a Nurse Midwife, this position leads and coordinates interprofessional activities, focusing on clinical practice, consultation, education, and research, incorporating evidence into practice. The Lead Nurse Midwife NWD position uses expert communication skills to serve as patient and family advocate to educate, mentor and coach staff in clinical practice, assuming an advanced leadership role in analyzing systems to anticipate and or reduce risk and improve patient safety and quality. In addition to responsibilities which include contributions at the department and house-wide levels, with expectation to collaborate, manage, and lead system-wide and national initiatives, this position functions as a clinical provider maintaining and promoting health of the patient requiring women's health care. **PEOPLE ESSENTIAL FUNCTIONS** + Role models and coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Partners with the interprofessional health care team to facilitate communication with patient and family across the continuum of care. + Serves as a preceptor by mentoring others regarding care of defined populations in resource utilization and time management. Teaches coworkers to develop comprehensive plans of care in collaboration with patients and families, incorporating individual differences and preventive planning. + Conducts self in a manner that is congruent with cultural diversity, equity, and inclusion principles. Fosters staff engagement by demonstrating active listening, requesting, and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Initiates recommendations towards improvement of department scores for employee engagement, i.e., peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Conducts quality, timely, license-appropriate, patient care, under physician supervision, for a defined patient population(s), identifying normal/abnormal health characteristics, recognizing subtle cues to change in patient condition and focusing on identified expected unit/optimal outcomes, individualized to the patient. + Prioritizes care based on the patient's needs, abilities, and preferences. Advocates for patients/families concerning ethical conflicts; develops supportive policies and guidelines, offers educational resources; empowers patients/families to speak/represent selves when possible. + Leads interprofessional healthcare team with issue resolution. Drives initiates to meeting department target for patient satisfaction. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Roles models, by example, safe and effective care to complex patients and leads interprofessional care planning for identified patient populations by initiating outcome, quality, and safety improvement activities. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes. + Anticipates/prevents and resolves/elevates early declines in patient condition and emergent situations. Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s). Labors with the patient and may deliver the baby. + Leads/assists in improvements/initiatives in patient safety processes at the clinic and service line level, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety. + Leads and supports colleagues and staff in conducting evidence-based practice/performance improvement projects and implementing findings. Facilitates active involvement of others in team meetings, department activities and process improvement initiatives. **FINANCE ESSENTIAL FUNCTIONS** + Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to department specifications. + Measures and analyzes resource allocation based on patient needs and staff experience, knowledge, and skills; contributes to department plans for resource utilization and capital needs. Identifies cost saving or revenue opportunities. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Leads colleagues and staff in identifying areas for improvement in patient care or department operations and developing solutions by participating in department projects or interprofessional team activities. Submits noteworthy resources and best practice advances for consideration for implementation. + Generates and communicates new ideas to lead the team to creative strategies that improve quality or service and impact the department and address organization or department priorities. + Serves as instructor in continuing education or formal program and expert consultation. Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis. This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. **EDUCATION** + Master of Science - Advance Practice Nurse Certified Nurse Midwife (CNM) **WORK EXPERIENCE** + Five years experience as an Advanced Practice Nurse, Certified Nurse Midwife **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days **OR** + RN-Temp - Registered Nurse - Temporary State Licensure within 60 days **AND** + APRN - Advanced Practice Registered Nurse - Texas Board of Nursing **AND** + CNM - Certified Nurse Midwife (AMCB) **AND** + AP - Prescriptive Authority - Texas Board of Nursing **AND** + DEA - Narcotics License (DEA) -- Drug Enforcement Administration (DEA) registration **AND** + BLS - Basic Life Support (AHA) **AND** + ACLS - Advanced Cardiac Life Support (AHA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations + Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security + Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles + Demonstrates highly developed assessment, clinical, documentation, and analytical skills + Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care + Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components + Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families + Demonstrates proficient time management skills + Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + Uniform No + Scrubs Yes + Business professional Yes + Other (department approved) No **ON-CALL*** _*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._ + On Call* Yes **TRAVEL**** _**Travel specifications may vary by department**_ + May require travel within the Houston Metropolitan area Yes + May require travel outside Houston Metropolitan area No **Company Profile:** Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment. Houston Methodist is an Equal Opportunity Employer. Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.