First Assistant Jobs in Spokane, WA (NOW HIRING)

Quilted Health partners to advance the sustainability of midwifery care models and supports midwives to meet the needs of the communities they serve. We exist because we believe that the entire maternity care experience before, during, and after birth should be better and that pregnant people and their families want high quality care that is more accessible and personal. We envision a world where equity and access are at the center of reproductive care for all people - a world where all people, regardless of race, gender, geography, ability, or income have access to evidence-based, inclusive, and delightful care. At a time when the US ranks the worst among OECD countries for maternal health outcomes, this work is unquestionably important and necessary.
We are designing our services to meet the needs of pregnant people and their families, and to bring the most innovative and evidence-based care model to them. We are also thoughtfully designing our model to scale to communities large and small. We strive to make care accessible and inclusive, delightful to all who interact with it, and view technology as an enabler of continuous connection and engagement. We are deeply committed to creating a purpose-filled, sustainable, and rewarding professional career for our team members.
Job Description
Quilted Health is seeking a Certified Nurse Midwife who is committed to delivering evidence based, client-centered care both in-person and virtually with technology. You are a great candidate if you are excited about the potential of a new care model, embrace technology as a tool to assist you in delivering better care, and believe that our communities need and deserve a new, more accessible, sustainable standard of care.
Our Certified Nurse Midwives (CNMs) provide care in a team-based approach, focusing on prenatal, childbirth, postpartum, gynecologic, and family planning needs. You will provide care for your own and across your team's client panels in a virtual or outpatient clinic setting, and support labor and delivery in a hospital setting. You will have the opportunity to influence and develop new processes, design new services, and be part of an exciting, dynamic team of providers, operators, technologists, and designers who are all focused on a singular mission to improve the health of pregnant people and their families. Strong candidates have a demonstrated history of commitment to culturally-sensitive, trauma-informed midwifery care across diverse populations. You are familiar with the intersections of social determinants of health and perinatal outcomes. You bring creative ideas and initiative to integrate clinical care innovation with systems-level change that reduces disparities in perinatal outcomes.
Responsibilities - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Participation in and development of clinical practice guidelines
• Collaborating with other teams (tech, marketing, operations) to support clinical care processes
• Engagement in both Quilted Health Meetings and hospital based meetings for quality or perinatal care
• Provide prenatal, intrapartum and postpartum care for Quilted Health clients
• Provide gynecologic and family planning care for Quilted Health clients
• Miscarriage management
• Basic knowledge of both Medicaid and commercial insurance plans
• Electronic Fetal Monitoring
• Contraception counseling and administration
• Substance use and domestic violence recognition and counseling
• Current knowledge of obstetric and gynecological health issues and trends
• LARC insertion and removal
• Coordinating social support services for patients

Required Qualifications

• 2+ years experience as a CNM in hospital or birth center
• Active Registered Nurse license in Washington state
• Active Advanced Registered Nurse Practitioner (ARNP) license with prescriptive authority in Washington state
• National certification with the American Midwifery Certification Board
• BLS and NRP certification by date of hire
• Experience managing and delivering care to diverse populations with complex and varied needs
• Current knowledge of obstetric and gynecological health issues and trends
• Successful track record obtaining and maintaining hospital privileges and insurance credentials
• Experience managing labor & birth in the hospital setting or birth center
• Electronic Fetal Monitoring
• Contraceptive Counseling and administration
• Substance use and domestic violence recognition and counseling

Preferred Clinical Skills

• Basic Ultrasound Skills (1st/2nd trimester dating, IUD visualization, confirmation of fetal position)
• Capability to be first assist for c-sections or willingness to train as such
• Nexplanon and IUD insertion/removal
• Experience and familiarity with perinatal mental health in the CNM scope of practice, including diagnosis and pharmacologic treatment of common perinatal mood and anxiety disorders
• VBAC experience preferred
• Miscarriage management
• Proficiency in a second language
• Understanding of social determinants of health and willing to give whole person care (including partnering with community care to support patients needs)
• Basic knowledge of both Medicaid and commercial insurance plans

$125,000 - $140,000 a year
Please include CV/resume, cover letter, and three references in your application.
The duties and responsibilities set forth above are not intended to be an exhaustive list of all functions, responsibilities, skills, and abilities. The employer reserves the right to to assign additional functions and responsibilities as deemed necessary. This document does not represent a contract of employment, and the company reserves the right to change the job description.
Quilted Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment. You may have important skills we haven't thought of. Please don't hesitate to apply and tell us about yourself in your cover letter, even if you don't have every skill listed. We are committed to fostering a diverse and inclusive organization by building an equitable environment for people from all backgrounds and experiences to succeed.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.