Nurse Midwife (2325) - Department of Public Health - 162331

apartment City and County of San Francisco location_onSan Francisco, CA 94110, US

Company Description

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

This is a Position-Based Test conducted in accordance with CSC Rule 111A. Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/

Application Opening: Friday, February 6, 2026
Application Deadline: Application filing will close on or after Friday, February 13, 2026
Salary: $193,804 to $308,074 Annually
Appointment Type: Permanent Civil Service
Recruitment ID: PBT-2325-162331

Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose.

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.

The Certified Nurse-Midwife (CNM) will join the longest-standing hospital-based midwifery practice in San Francisco, attending births in a state-of-the art Family Birth Center. This clinical setting offers expanded options to patients, including nitrous oxide, as well as ongoing support of physiologic birth, demonstrated by collaboration with community doula programs and one of the lowest cesarean-section rates in California. ZSFG nurse-midwives are members of a collaborative, interprofessional team with a shared commitment to providing respectful, culturally appropriate care to all patients and families.

The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list.

Job Description

Under general nursing direction, the CNM functions within an organized system for the delivery of healthcare as a member of an interprofessional team. The CNM provides nurse-midwifery care in the Obstetrics, Midwifery, & Gynecology Clinic, Family Birth Center, and postpartum unit. In collaboration with the physician, the essential job functions include the following:

Antepartum care (both 1:1 and Centering Pregnancy) in collaboration with Comprehensive Perinatal Services Program team members and social service agencies.
Intrapartum care and Birth Center triage.
Postpartum care (inpatient and outpatient).
Family planning.
Furnishing of medication.
Clinical education of nurse-midwifery students, medical students, and residents.
Documentation of care via electronic medical record.
The 2325 Certified Nurse Midwife may perform other related duties as assigned/required.

Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications/

Qualifications

License and Certification:

1. Possession of a valid license as a Registered Nurse issued by the California State Board of Registered Nursing.

2. Possession of a valid California Nurse-Midwife license.

3. Possession of certification by the American Midwifery Certification Board.

4. Possession of a valid Nurse-Midwife Furnishing Number issued by the California Board of Registered Nursing.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

One-year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.

Spanish language skill proficient to provide midwifery care.

Verification of Education and Experience:

Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications.

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/.

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

Additional Information

Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Training and Evaluation: (Weight: 100%)

The training and evaluation questionnaire is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to:

Knowledge of medications and their appropriate use during antepartum, intrapartum, postpartum, and family planning phases of care. Knowledge of methods and procedures for assessing and managing the health of the pregnant/birthing person, risk factors, and potential complications. Knowledge of signs, symptoms, and potential effects or conditions that present risk to the pregnant person and/or their baby. Ability to communicate effectively with patients and their support people from diverse backgrounds. Ability to order and/or perform and interpret common laboratory tests and diagnostic imaging tests. Ability to perform a complete and accurate physical exam and standard medical procedures required for antepartum, intrapartum, postpartum, and family planning.

Candidates must achieve a passing score on the Training and Evaluation questionnaire to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Certification
The certification rule for the eligible list resulting from this examination will be the Rule of the list Scores.

Eligible List/Score Report:
A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director.

To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments.

Terms of Announcement and Appeal Rights:

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/.

The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Additional Information Regarding Employment with the City and County of San Francisco:

Where to Apply

All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process.

Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.

Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110.

Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues.

Applicants will receive a confirmation email from [email protected] that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

If you have any questions regarding this recruitment or application process, please contact the analyst, Juan Pablo Gonzalez at [email protected] or (628)271-7243.

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

POSITION #01062628

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

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Abundant natural resources, including easy access to Lake Michigan, make it the perfect choice for biking, boating and skiing. Our local area is also home to several international companies including Stryker, Pfizer and Kellogg. Bronson’s Culture Statement: At Bronson, we believe all people should have full and equal access to opportunities to live healthy lives and are committed to achieving that access across our health system. We are building a culture of belonging in an environment free of prejudice, negative bias, and stereotypes for those we employ and for the communities we serve. We are striving to employ the best teams in the communities we serve to enhance the quality of care we provide and the interactions we have with our patients, families, colleagues, and communities. We have a strategic focus on living our values by showing respect, building trust, uncovering, and addressing avoidable and unjust conditions that negatively impact individual health and wellbeing. We dedicate ourselves to seeing and advocating for all, removing barriers to care, and reducing disparities to conscientiously fulfill our mission that all have full and equal access to the opportunities to live healthy lives: Together, we advance the health of our communities. Master's degree (MSN or MS in Nursing) preferred with a minimum of 2 years of recent clinical experience related to area of practice. Previous teaching experience preferred. BSN with midwifery certificate will be considered. Certification as an Advanced Practice Nurse in specialty area of practice (must be in good standing and valid in the state of Michigan). Maintenance of Basic Life Support (BCLS) Certification Maintenance of Neonatal Resuscitation Program (NRP) Certification • Must be able to operate and perform basic computer programs associated with documentation and record keeping in the department. • Effective interpersonal relationship and communication skills that are applied to multiple group interactions. • Collaborates effectively with interdisciplinary groups. • Communicates clearly and efficiently both verbally and in writing Practitioner • Demonstrates expertise in performing comprehensive assessments utilizing expert knowledge base and experience to identify and manage and meet the needs of high-risk, complex patients. • Identifies assessment, diagnostic strategies, and therapeutic interventions within the plan that reflect current evidence, including data, research literature, and expert clinical knowledge. • Includes the synthesis of patients’ values and beliefs regarding nursing and medical therapies. • Identifies patient/family/community health care and education needs and collaborates in the development, implementation, and evaluation of teaching programs and materials that is appropriate to the patient’s developmental level, learning needs, readiness to learn and cultural values and beliefs. • Provides physical care to patients as necessary to meet patient care outcomes or education needs of staff. • Identifies expected outcomes that incorporate cost and clinical effectiveness, patient satisfaction and continuity and consistency among providers. • Collaborates with physicians, nursing personnel and other health care professionals to identify expected outcomes that incorporate scientific evidence and are achievable through implementation of evidenced-based practice. Informs the patient of the risks, benefits and outcomes of healthcare regimens. • Evaluates progress toward attainment of outcomes. • Uses prescriptive authority, procedures, referrals, treatments, and therapies in accordance with state and federal laws and regulations. • Provides patients with information about intended effects and potential adverse effects of proposed prescriptive therapies along with information regarding cost, alternative treatments and procedures, as appropriate. Consultant • Shares expertise, particularly for complex patients, through the consultative process with all members of the health care team and provide recommendations that facilitate change. • Synthesizes data, information, theoretical frameworks and evidence when providing consultation. • Provides consultation to administrative, supervisory, and other health care staff in area of expertise to address health care issues. • Assures that healthcare team efficiency and preferences are consistently addressed in implementing a multidisciplinary plan of care that involves the patient in decision-making and negotiating role responsibilities. • Develops standards of care (via policies, procedures, protocols) to address the needs of focused patient populations utilizing evaluation analysis to recommend process or structural changes. Educator • Acts as educational resource to nursing staff in utilization of clinical paths, effective care planning collaborating with others in identifying discharge planning, and evaluating health information resources, such as the Internet, within the area of practice for accuracy, readability, and comprehensibility to help patients access quality health information. • Improves clinical skills and abilities and application of scientific knowledge for various levels of health care providers. • Uses principles and skills of teaching and learning in clinical practice to instruct patients/families, colleagues, and community about health, health problems, and health care issues. • Participates in interdisciplinary teams that address ethical risks, benefits and outcomes. Leadership • Evaluates the adequacy, accessibility, and availability of nursing and other healthcare services to the patient. • In collaboration with others, implement changes that enhance both quality of care and healthcare team functions. • Designs, organizes, and evaluates systems of health care, community support and environment using principles of continuous improvements and cost/benefit analysis. • Consistently guides staff in professional development by acting as a mentor and supports the use of clinical guidelines linked to positive patient outcomes. • Coordinates system and community resources that enhance delivery of care across continuums. • Mentors other registered nurses and colleagues as appropriate. • Participates with interdisciplinary teams that contribute to role development and advanced nursing practice and health care and that address ethical risks, benefits, and outcomes. • Maintains a working knowledge of applicable Federal, State and Local laws and regulations, the Corporate Compliance Program, Code of Ethics, as well as other policies and procedures in order to insure adherence in a manner that reflects honest, ethical and professional behavior. Research • Uses and disseminates current and relevant nursing research to identify and investigate clinical nursing problems and to improve nursing practice and patient care. • Participates in planning, implementing and/or evaluating nursing research studies. • Assists in researching and developing standards of practice, policies and procedures, and quality assurance procedures. • Contributes to nursing knowledge by conducting or synthesizing research that discovers, examines, and evaluates knowledge, theories, criteria, and creative approaches to improve healthcare practice. • Formally disseminates research finding through activities, such as, presentations, publications, consultation, and journal clubs. Professional Development • Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. • Engages in a formal process seeking feedback regarding own practice from patients, peers, professional colleagues and others. • Obtains and maintains professional certification, if available, in area of expertise. • Maintains knowledge of current trends and developments in the field by reading, related seminars, conferences and other resources. • Contributes to a positive work climate and team participation. Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 8610 Bronson Womens Services Downtown (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!