NURSE-MIDWIFE

Workplace Reviews

Job Description

EXAM NUMBER Y5359G TYPE OF RECRUITMENT We encourage applications from anyone! FILING DATE: The 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. What does a Nurse-Midwife do? 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. WHY WORK FOR US 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. Explore our one system of hospitals and community health centers: Our Locations – Health Services Los Angeles County For additional information regarding DHS, please visit www.dhs.lacounty.gov Check Out Our Outstanding Benefits! We offer one of the strongest public-sector benefits packages in the country. Join us and discover a rich selection of health care options, robust retirement plans, and the flexibility to work, relax, and rejuvenate as you reach your fullest personal and professional potential. Click here to see comprehensive information regarding County employee benefits. DHS is seeking motivated career-driven individuals to join our team. Whether you’re working in community clinics or hospitals, this is an opportunity to grow your career while serving diverse communities across LA County. Our Mission: 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. Essential Job Functions What You'll Be Doing: 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. Requirements REQUIREMENTS TO QUALIFY 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. LICENSE REQUIREMENT INFORMATION: Ensure the Certificates and Licenses Section of the application is completed. Provide the title(s) of your required certification(s) and/or license(s), the number(s), date(s) of issue, date(s) of expiration, and the name(s) of the issuing agency for the required certification(s) and license(s) specified above. Required license(s) and certificate(s) have to be active and unrestricted, or your application will not be accepted. Applicants are required to attach a legible copy/image of the BLS certificate/e-card to their application at the time of filing or provide it by emailing the document within (7) calendar days of filing their application online, to aharraway@dhs.lacounty.gov. Applications submitted without evidence of the required BLS certification will not be accepted. 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. NOTE: The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing, a certificate to practice as a Nurse-Midwife issued by the California Board of Registered Nursing, and evidence of BLS certification must be presented during the selection process and/or prior to appointment/start date being established. Required license(s) and/or certification(s) must be valid and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/or certification(s) must be active and unrestricted. DESIRABLE QUALIFICATION: Credit will be given to applicants who possess the following desirable qualification: Experience as a Certified Nurse-Midwife Applicants claiming experience in a state other than California must provide their registered nurse license AND nurse-midwife certification numbers from that state to the application at the time of filing. Be sure to include the license and certification information in the License and Certificates section of the application. Out-of-state experience illustrated on the application without verifiable evidence of licensure and certification will not be considered. PHYSICAL CLASS III (MODERATE): This class requires that the incumbent stand or walk most of the time, with bending, stooping, squatting, twisting, reaching, working on irregular surfaces, occasional lifting of objects weighing over 25 pounds, and frequent lifting of 10-25 pounds. Additional Information EXAMINATION CONTENT: 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. ELIGIBILITY INFORMATION: 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. Applicants who are successful in this examination and are added to the eligible register may not apply for this examination for twelve (12) months following the date of being placed on the eligible register. Applications received before expiration from the eligible register will be rejected. Applicants who applied and did not meet the Requirements when submitting their application may reapply 30 days after their most recent application date. AVAILABLE SHIFTS: You may be required to work evenings, nights, weekends, and holidays, depending on operational needs. APPLICATION AND FILING INFORMATION: 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 https://www.governmentjobs.comand 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. Copying verbiage from the Requirements or class specification as your work experience will not suffice to demonstrate that you meet the requirements. Doing so may result in an incomplete application and may lead to disqualification. EMAIL VERIFICATION INFORMATION: We will send notifications to the email address indicated in the application, so it is important that you provide a valid email address. If you choose to unsubscribe or opt out of receiving our emails, it is possible to view notices by logging into governmentjobs.com and checking the profile inbox. It is every applicant's responsibility to take steps to view correspondence, and we will not consider claims for missing notices to be a valid reason for rescheduling an exam part. Register the domains below as approved senders to prevent email notifications from being filtered as spam/junk mail. aharraway@dhs.lacounty.gov noreply@governmentjobs.com info@governmentjobs.com SOCIAL SECURITY NUMBER: Federal law requires that all employed persons submit their Social Security number, so include yours when applying. NO SHARING OF USER ID, E-MAIL, AND PASSWORD: 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. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: 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. ANTI-RACISM, DIVERSITY, AND INCLUSION (ARDI): The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. The County is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst races. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices. DEPARTMENT CONTACTS: •Department Contact Phone: (213) 288-7000 •Teletype Phone: (800) 735-2929 •California Relay Services Phone: (800) 735-2922 •Please reference Exam Number: Y5359G in all communications during the application process. COUNTY OF LOS ANGELES Employment Information Any language contained in the job posting supersedes any language contained below. This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: 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. For more information, please visit: https://employee.hr.lacounty.gov/eeo-programs/. Testing Accommodations for Applicants: The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit: https://hr.lacounty.gov/accessibility/. Fair Chance: 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. The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. Qualified applicants with arrest or conviction records will be considered for employment in accordance with County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952). Employment Eligibility: Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States. Career PathFinder: Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application at http://career-pathfinder.hr.lacounty.gov. Veteran’s Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. For more information on veteran’s credit, please visit: https://file.lacounty.gov/SDSInter/dhr/205102_PPG_115.pdf (Download PDF reader) Revised September 2025