Certified Nurse Midwife (CNM) + CNM Fellowship | Supportive Birth Center Opportunities

Salary

o $104,000+ DOE for experienced midwives

o $94,000 for new graduate fellowship (one year)

Benefits

• 401(k)

• Dental insurance

• Disability insurance

• Health insurance

• Paid time off

• Vision insurance

• $5K Relocation Reimbursement

• CEU allowances

• Potential for an annual bonus after 3 years

About Beginnings Birth Center

Beginnings Birth Center is a freestanding birth center in Colorado Springs, Colorado, committed to high-quality, evidence-based midwifery care and professional independence. We are seeking a full-time Certified Nurse-Midwife (CNM) to join our experienced and collaborative team.

This position is ideal for a midwife who values clinical judgment, continuity of care, and the ability to practice without unnecessary interference. Community birth experience is strongly preferred, though not required for candidates with strong clinical skills and a desire to grow in community birth.

Scope of Practice

Midwives at Beginnings provide full-scope care, including

• Antepartum, intrapartum, and postpartum care

• Newborn care

• Family planning and routine well-woman care

The Practice Environment

At Beginnings, midwives are trusted to practice to the full extent of their education, training, and licensure. We prioritize thoughtful clinical decision-making, informed consent, and individualized care over rigid protocols or productivity-driven medicine.

You will have

• Time to know clients and provide continuity of care throughout pregnancy, birth, and postpartum

• The ability to educate thoroughly and partner with families in real decision-making

• A practice culture that respects midwifery expertise and professional responsibility

• Collaborative relationships with consulting physicians when appropriate — not supervision

Our goal is to deliver excellent care to families while building a sustainable, long-term professional home for midwives.

Why Work at Beginnings?

• Practice true, full-scope midwifery

• Build meaningful relationships through continuity of care

• Support clients in making informed decisions using evidence, experience, and common sense

• Work in a practice that values professionalism, accountability, and long-term sustainability

• Be part of a small, mission-driven team where your voice and judgment matter

_New Graduate CNMs are encouraged to apply._

Fellowship Structure & Commitment

The CNM Fellowship is a full-time, structured, intensive training position designed to prepare a midwife for long-term practice at Beginnings Birth Center. Due to the significant investment in training and mentorship, this fellowship is not intended as a short-term or temporary role.

The fellowship includes approximately

• 8–10 clinic days per 4-week period

• 8–12 twenty-four-hour call shifts per 4-week period

• Participation in team and practitioner meetings

• Required emergency training days and drill days

• Weekend call every 2–3 weekends

• Holiday coverage in rotation with staff CNMs

Transition to Staff Midwife Role

• The fellowship is designed to transition into a full-time Staff Certified Nurse-Midwife role after 12 months, contingent on the fellow remaining in good standing.

• Orientation during the fellowship lasts no longer than four months.

• Following orientation:

o Independent call is expected

o Independent clinic functioning is expected

o Ongoing consultation and support are provided as appropriate

If transitioned into the Staff CNM role, no additional orientation period is provided. All fellowship hours count toward Colorado RXN prescriptive authority requirements, as applicable.

Commitment Expectation

Applicants should apply with the understanding that the fellowship represents a mutual commitment. Beginnings invests heavily in training and mentorship, and fellows are expected to pursue long-term employment upon successful completion of the fellowship.

CNM Education & Qualifications

• Master’s degree (required)

• Master’s or Doctorate degree in Nursing

• Certified Nurse-Midwife certification through the American Midwifery Certification Board (AMCB)

• Active RN and APRN licenses in the State of Colorado (or pending)

• Meets continuing competency requirements of Colorado and AMCB

• Current NRP and BLS certifications

• Commitment to trauma-informed care

• Ability to be added to the practice’s malpractice insurance policy

Preferred Experience, Skills & Qualities

• Previous experience in a community birth setting

• Strong focus on safety and client/family experience

• Ability to remain professional and compassionate in high-stress situations

• Desire to positively impact a small organization

• Knowledge of complementary therapies and holistic health

CNM Responsibilities

• Participate in direct patient care and on-call rotation

• Manage care across maternity, newborn, and well-woman services in accordance with ACNM, AABC, and Beginnings Birth Center standards

• Perform clinical skills as outlined in the CNM Skills Checklist

• Practice evidence-based care consistent with national standards

• Maintain a working cell phone with hotspot capability during on-call and patient admissions

• Supervise orientation and functioning of birth assistants

• Assume delegated operational responsibilities, including acting in the Director’s absence

• Participate in administrative duties such as staff meetings and chart reviews

• Engage in continuous quality improvement, emergency drills, and in-service programs

• Maintain certifications and required CEUs

• Serve as an advocate for nurse-midwifery and community birth

• Participate annually in:

o At least one professional organization

o One community outreach activity

o One liaison role with a local organization

o One peer review forum

Commute / Relocation Requirement

• Ability to reliably commute or relocate to Colorado Springs, CO 80920

• Must live within 20 minutes of the birth center (required)

Application Question(s)

• Are you certified as a nurse midwife by the American Midwifery Certification Board (AMCB)? (yes or no)
• Do you have active RN and APRN licenses in the State of Colorado or a state within the Nurse Licensure Compact? (yes or no)

Education

• Master's (Required)

Experience

• previous community birth setting : 1 year (Preferred)

License/

Certification

• NRP and BLS certifications (Preferred)

Ability to Commute

• Colorado Springs, CO 80920 (Required)

Work Location: In person