OPT Certified Nurse Midwife Jobs
Certified Nurse Midwife jobs on OPT require active APRN licensure, which varies by state and can take weeks to process after graduation. Most CNM roles are clinical and employer-sponsored, so starting your job search before your OPT start date and targeting health systems with active hiring pipelines is essential.
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Job Summary:
Provides independent and collaborative primary healthcare and management of care to women before, during and after pregnancy, including care of the newborn, in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization.
Job Responsibilities:
- Obtains patient history and performs assessment via observation, interview, and examination.
- Plans, implements, and evaluates patient care plans.
- Monitors, records, and communicates patient condition as appropriate.
- Performs appropriate emergency interventions and appropriately consults attending physician regarding complications and emergencies.
- Provides education/counseling to patient and patient's family with respect to pregnancy, childbirth, care of the newborn, contraception, family planning, and gynecological care.
- Provides care in the context of promoting age and culture-appropriate informed choices, shared decision making and the right to self-determination.
Skills and Attributes:
- Requires critical thinking skills and decisive judgment.
- Works under minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
Position Requirements:
Work Experience
- No experience required
Education
- Master's degree or higher in Nursing required upon hire
Licensure/Certification/Registration
- APRN - Licensed as an Advanced Practice Registered Nurse in the state of Kentucky required upon hire AND
- RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire AND
- Midwife - Certified Nurse-Midwife certification through American Midwifery Certification Board (AMCB) required upon hire
Organizational Responsibilities:
- Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests. Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.
Additional Job Information:
- This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description.
- The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.
Standard ADA Settings:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands: (Clinical-Office/Clinic)
Standing: Frequently
Walking: Frequently
Sitting: Occasionally
Lifting 0-25 lbs.: Rarely
Lifting 25-75 lbs.: Rarely
Lifting over 75 lbs.: Rarely
Carrying 0-25 lbs.: Rarely
Carrying 25-75 lbs.: Rarely
Carrying over 75 lbs.: Rarely
Pushing/Pulling 0-25 lbs.: Frequently
Pushing/Pulling 25-75 lbs.: Occasionally
Pushing/Pulling over 75 lbs.: Occasionally
Climbing: Occasionally
Bending/Stooping: Frequently
Kneeling: Occasionally
Crouching/Crawling: Occasionally
Reaching: Frequently
Talking: Frequently
Hearing: Frequently
Repetitive Foot/Leg Movements: Rarely
Repetitive Hand/Arm Movements: Frequently
Keyboard Data Entry: Frequently
Running: Rarely
Vision: Depth Perception: Frequently
Vision: Distinguish Color: Frequently
Vision: Seeing Far: Frequently
Vision: Seeing Near: Frequently
Hazardous Drug Risk Exposure:
Risk Level: Low-Risk
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.
Weekend Requirements: As Needed
Work Hours: M-F
Status: Full Time - 1.0 FTE (80 hours per pay period)
Entity: Owensboro Health Medical Group
Department: Obstetrics & Gynecology Leitchfield
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Get Access To All JobsTips for Finding OPT Sponsorship in Certified Nurse Midwife
Prioritize health systems over private practices
Large hospital networks and academic medical centers are more likely to have HR infrastructure for OPT work authorization. Small private practices often lack experience with F-1 students and may decline without understanding the process.
Get your APRN license application in early
State board processing for APRN licensure can take four to eight weeks. Apply as soon as your program allows so your license is ready when you start your job search, not after you receive an offer.
Clarify OPT directly in your cover letter
Briefly state that you have OPT work authorization valid for 12 months and are eligible to work without employer sponsorship during that period. Removing ambiguity upfront keeps hiring managers from passing on your application prematurely.
Target states with CNM scope-of-practice advantages
Full-practice authority states like Oregon, New Mexico, and Montana allow CNMs to practice independently, expanding your employer options significantly. Restrictive states require physician collaboration agreements, which narrows the pool of roles available to new graduates.
Ask about H-1B sponsorship timelines during interviews
CNMs qualify for H-1B visa as a specialty occupation. Ask potential employers early whether they sponsor H-1B petitions and when they typically initiate the process, so you can plan around the annual April filing deadline.
Highlight STEM-adjacent coursework if your program qualifies
Some CNM programs may qualify for the 24-month STEM OPT extension if the CIP code is classified under a qualifying STEM field. Verify your program's classification with your DSO before applying, as this significantly extends your authorized work period.
Certified Nurse Midwife OPT: Frequently Asked Questions
Can I work as a Certified Nurse Midwife on OPT without employer sponsorship?
Yes. OPT work authorization allows you to work for any employer in a role directly related to your field of study, without the employer needing to sponsor a visa during your OPT period. You will need both your OPT EAD card and an active state APRN license before you can begin practicing clinically.
Does my CNM degree qualify for STEM OPT extension?
It depends on your program's Classification of Instructional Programs code. Some nursing and midwifery programs are listed under STEM-designated CIP codes, which would make you eligible for a 24-month STEM OPT extension. Check with your Designated School Official before assuming eligibility, as not all CNM programs qualify regardless of program content.
How do I find CNM employers willing to hire OPT students?
Migrate Mate is the recommended starting point. It surfaces CNM job postings from employers with a track record of hiring international students on OPT and work visa sponsorship. Filtering by role and work authorization type helps you focus on employers who understand the process rather than those who will screen you out at the resume stage.
Do CNM roles qualify for H-1B sponsorship after OPT ends?
Yes. Certified Nurse Midwifery is a specialty occupation under H-1B criteria because the role typically requires at minimum a master's degree in nursing or midwifery. Employers in hospital systems, federally qualified health centers, and academic medical centers are among the most common H-1B sponsors for CNMs. Confirm sponsorship willingness before accepting an offer.
What happens if my OPT EAD is still pending when my employer wants me to start?
You cannot begin work until your EAD card is physically in hand. Clinical roles like CNM are not eligible for cap-gap or other pre-card start exceptions. Plan your application timeline so your EAD arrives before your intended start date, and communicate the timeline clearly with your employer to avoid losing the offer.