H-1B Visa Certified Nurse Midwife Jobs
Certified Nurse Midwife roles qualify as H-1B visa specialty occupations because the position typically requires at least a master's degree in nurse-midwifery. Hospitals, birth centers, and OB/GYN practices sponsor H-1B petitions for CNMs, but you'll need an active APRN license in the state where you'll practice before your employer can file.
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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; Reposted: September 18, 2026
- Application Deadline: Application filing will close on or after Friday, September 25, 2026
- Salary: $95.0375 to $151.0750 Rate per hour
- 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:
- Possession of a valid license as a Registered Nurse issued by the California State Board of Registered Nursing.
- Possession of a valid California Nurse-Midwife license.
- Possession of certification by the American Midwifery Certification Board.
- 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:
- Information About the Hiring Process
- Conviction History
- Employee Benefits Overview
- Equal Employment Opportunity
- Disaster Service Worker
- ADA Accommodation
- Veterans Preference
- Right to Work
- Copies of Application Documents
- Diversity Statement
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 notification@smartrecruiters.com 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 juanpablo.gonzalezsa@sfdph.org 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.
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; Reposted: September 18, 2026
- Application Deadline: Application filing will close on or after Friday, September 25, 2026
- Salary: $95.0375 to $151.0750 Rate per hour
- 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:
- Possession of a valid license as a Registered Nurse issued by the California State Board of Registered Nursing.
- Possession of a valid California Nurse-Midwife license.
- Possession of certification by the American Midwifery Certification Board.
- 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:
- Information About the Hiring Process
- Conviction History
- Employee Benefits Overview
- Equal Employment Opportunity
- Disaster Service Worker
- ADA Accommodation
- Veterans Preference
- Right to Work
- Copies of Application Documents
- Diversity Statement
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 notification@smartrecruiters.com 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 juanpablo.gonzalezsa@sfdph.org 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.
See all 64+ H-1B Visa Certified Nurse Midwife Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Certified Nurse Midwife
Verify your APRN license transfers across states
CNM licensure is state-specific and must be active before your employer files the H-1B petition. If you're relocating, confirm the new state's APRN application timeline, since some boards take three to five months to process out-of-state applications.
Confirm your degree meets specialty occupation requirements
USCIS requires a U.S. bachelor's or higher in a directly related field for H-1B eligibility. CNM programs now universally require a master's or doctoral degree, so check that your credential evaluation explicitly states equivalency to a U.S. master's in nurse-midwifery.
Target hospitals enrolled in E-Verify for sponsorship
Employers filing H-1B petitions for cap-subject cases must participate in E-Verify. Large hospital systems and federally funded health centers are almost always enrolled. Confirm E-Verify enrollment before investing time in an application, since non-enrolled employers can't complete the hiring process.
Search Migrate Mate for verified H-1B CNM employers
Filter by occupation and review each employer's DOL Labor Condition Application filing history on Migrate Mate. This shows you which health systems have actively sponsored CNM roles, so you're targeting employers with a real track record rather than guessing.
Ask your employer about the LCA prevailing wage level
Your employer must certify your offered wage meets or exceeds the DOL prevailing wage for CNMs in your geographic area. Use OFLC Wage Search to look up the wage level before negotiating your offer, since a Level I wage signals a junior classification that may not reflect your experience.
File during the H-1B cap window if you're not cap-exempt
If your employer isn't a nonprofit hospital, university, or government research facility, your petition is subject to the annual 85,000-visa cap and April registration window. Missing registration by the USCIS deadline means waiting a full year, so confirm your employer's cap-exempt status early.
H-1B Visa Certified Nurse Midwife: Frequently Asked Questions
Does a Certified Nurse Midwife role qualify as an H-1B specialty occupation?
Yes. CNM positions qualify because they require at least a master's degree in nurse-midwifery under current APRN scope-of-practice standards. USCIS evaluates both the theoretical and practical application of specialized knowledge, and CNM programs satisfy both criteria. Your employer will document the degree requirement in the H-1B petition and Labor Condition Application filed with DOL.
Can I work as a CNM on H-1B while my petition is pending?
If you're already in H-1B status with a current employer, cap-gap protections can extend your authorization during a transfer. If you're transitioning from F-1 OPT or another status, you generally can't start until USCIS approves the petition or your employer files for premium processing. Confirm the exact start-date rules with your employer's immigration counsel before giving notice at your current position.
How do I find CNM employers who actively sponsor H-1B visas?
Migrate Mate shows verified LCA filing history by occupation, so you can identify hospitals, birth centers, and women's health practices that have sponsored CNM roles in the past. This is more reliable than applying broadly and asking during interviews, since employers with no LCA history for your role may lack the internal process to sponsor you efficiently.
Does my NCLEX-RN certification count toward H-1B eligibility for CNM roles?
NCLEX-RN demonstrates RN licensure but doesn't substitute for the specialty degree requirement. USCIS focuses on your CNM-specific credential, which means your master's or doctoral degree in nurse-midwifery and your national certification from AMCB or ACNM carry more weight in the petition than your underlying RN license alone.
What happens to my H-1B status if I change CNM employers?
Your new employer must file an H-1B transfer petition before your first day of work. Under AC21 portability rules, you can start with the new employer once the transfer petition is filed and your previous H-1B was approved and you've been in valid status. The O*NET occupation code for CNMs should remain consistent across both petitions to avoid specialty occupation scrutiny during the transfer.