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This position is located within the Medical Staff Division, with the Navajo Area Indian Health Service. The incumbent has responsibility for providing clinical services not limited to general women's health, pregnancy, and newborn infant care...
• The staff Certified Nurse Midwife is responsible for the diagnosis, care, and treatment of patients.
• Provides independent, preventative, and therapeutic obstetric and gynecological care.
• Practice independently to the full extent of midwifery scope of practice and in collaboration with physicians for high acuity cases.
• Provide emergency care on labor and delivery as required in collaboration with the healthcare team. First assist in cesarean sections as needed.
• Provide initial newborn examinations and assessments immediately after each delivery. Consult with on-call pediatrician as needed for complicated, high-acuity and emergent cases.
• Work in close partnership with other members of the healthcare team including nursing and other clinical providers
• Certified Nurse Midwives are all members of the Medical Staff and will be credentialed and privileged by the Medical Executive Committee.
• *Note: This is an Open Continuous Announcement; applicants will be referred when vacancies occur.

The first Cut-off date for receipt/referral of applications to be considered for available vacant positions will be 15 days after the JOA open date.

Your resume and any documents submitted will be retained for eight months and may be used at any time during this period. After 8 months, you must reapply to this announcement in order to be considered.

Conditions of Employment

Must pass pre-employment examination.

Selectee may be subject to a probationary period

U.S. Citizenship is required

Selective Service Registration is required for males born after 12/31/1959

This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.

Confidential Financial Disclosure Form required.

Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities.

COVID-19 vaccination is required for all selectees prior to entrance on duty.

The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or maintained during employment, the employee will be subject to adverse actions, up to and including removal from Federal service.

On-call hours or standby duty may be required.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.

You will need to set up direct deposit so we can pay you.

Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process.


To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

Basic Requirement(s)

Education for Advanced Practice Nurse Positions: For Advanced Practice Nurse (APN) positions, applicants must possess a graduate or higher level degree in nursing from an accredited educational program in the area of expertise or specialty indicated by the position. Areas of specialties for positions include, but are not limited to, Acute Care, Anesthesia, Community Health, Family, Geriatric, Home Health, Midwifery, Neonatal, Oncology, Pediatric, Psychiatric, Allergy and Immunology, Women's Health, Cardiovascular, Dermatology, Occupational Health, Orthopedic, Respiratory, or other specialties identified for the position.

Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.

Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Additional License Requirements for Advanced Practice Nurse Positions: Applicants for Advanced Practice Nurse positions must be licensed or registered by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in the clinical specialty required by the position.

GS-09: In addition to the above requirements, applicants must meet one of the following requirements:
• Possession of a master's degree in professional nursing with a Midwifery specialty.

GS-11: In addition to the above requirements, applicants must meet one of the following requirements:
• Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; or
• At least one full year of professional nursing experience (equivalent to the GS-9 grade level) and possession of a master's degree from a professional nursing educational program with specialty as Nurse Midwife. Your resume must demonstrate at least one (1) year of Professional Nursing Experience related to the specialty of a Advanced Practice Nurse (Nurse Midwife) equivalent to at least the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provide care in essentially normal cases for a group of mothers and babies throughout the maternity cycle within the framework of a medically directed health service. Manage the care of normal antepartum women including teaching, counseling and support. Take health history, and perform and record the obstetrical physical evaluation. Evaluate and review findings with the physician and expectant mother. Manage labor, including teaching and support. Perform the following procedures: start intravenous infusions; administer analgesia according to standing orders; perform local anesthesia; manage and control normal spontaneous deliveries but does not perform forcep deliveries; record the labor and delivery; and sign and complete birth certificate. Perform and records physical evaluation of newborns. Manage care of normal newborn including nutrition, elimination and activity.

GS-12: In addition to the mandatory license and education described above under Basic Requirements:
• Applicants must have at least one or more full years of professional nursing experience that is equivalent to GS-11. Your resume must demonstrate at least one (1) year of Professional Nursing Experience as an Advanced Practice Nurse (Nurse Midwife) equivalent to the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Perform complete history and physical examination; prescribe medicines appropriately, when indicated utilize internal and external fetal monitoring, intrauterine pressure catheters, perform ultrasonography, assist during cesarean sections, interpret and documents lab and testing results. Independently manages normal spontaneous labor and vaginal delivery, supporting laboring woman, provide intravenous analgesia as indicated or consults with anesthesia. Perform episiotomy as needed and repair as needed. Collaborate in the care of newborns as needed including resuscitation of infants according to guidelines for neonatal advanced life-support. Recognize and promptly respond to obstetric complications and emergency, provide initial urgent management. Appropriately consult, collaborate or refer to a physician during emergencies, regarding care of high risk patients and in any situation beyond midwifery scope of practice. Teach and inform patients and family members to promote knowledgeable participating in their own care. Participle in quality assurance activities.
• *Note: This is an Open Continuous Announcement; applicants will be referred when vacancies occur.


This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed.

Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

This position is covered by a Bargaining Unit.

Government Housing may be available, based on location.

Recruitment or relocation incentives may be authorized. At least a 1 year service agreement will be required.

The Indian Health Service (IHS), National Health Service Corps (NHSC), And The Health Resources And Services Administration (HRSA) Have Student Loan Repayment Programs For Qualifying Health Disciplines. This Is a Competitive Process Separate From The Hiring Process. Opportunities For LRP Are Based On Agency Hiring Priorities And Availability Of Funds. For Additional Information Please Visit

For IHS - http://www.ihs.gov/loanrepayment/

For NHSC - https://nhsc.hrsa.gov/loanrepayment/

For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps

This position has promotion potential to the GS-12 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

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• Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

Navajo Area Indian Health Service

PO Box 9020

Window Rock, AZ 86515

Kayenta AZ USA


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