OPT Midwife Jobs
Midwife roles in the U.S. require state licensure, clinical credentialing, and an employer willing to sponsor OPT work authorization. Most positions sit in hospital systems, birth centers, and federally qualified health centers that routinely file H-1B visa petitions, making them realistic targets during your 12-month OPT window.
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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 Midwife
Verify your credentials transfer before applying
Most states require AMCB or NARM certification before issuing a midwifery license. Confirm your foreign credentials are evaluated and your state license is in hand before targeting employers, since many won't start OPT paperwork without active licensure.
Target hospital systems with active H-1B histories
Large hospital networks and academic medical centers file H-1B petitions every year, which signals they have immigration infrastructure in place. Prioritize employers with dedicated HR immigration teams, not independent birth centers that may have never sponsored a foreign national.
Use OFLC Wage Search to anchor your salary ask
Employers must pay the DOL prevailing wage for your role, location, and experience level when sponsoring OPT-to-H-1B transitions. Running an OFLC Wage Search before negotiations shows you understand the floor and prevents low offers that would later fail LCA certification.
Flag E-Verify enrollment when screening employers
STEM OPT extension requires your employer to be enrolled in E-Verify. Midwifery qualifies as a STEM occupation under SOC 29-9099, so confirming E-Verify status at the offer stage protects your ability to extend OPT by 24 months instead of exhausting your 12-month window.
Start H-1B paperwork at least six months before OPT expires
H-1B petitions for the April lottery must be filed months before cap registration opens. Use Migrate Mate to map your OPT end date against the H-1B timeline, so your employer knows exactly when they need to act to keep your status uninterrupted.
Clarify on-call and per-diem arrangements in your offer letter
OPT requires employment that matches your authorized role and hours. Midwifery positions often include irregular on-call shifts or split-site assignments across multiple facilities, which USCIS scrutinizes. Get your offer letter to specify your primary employer of record and expected weekly hours before signing.
Midwife OPT: Frequently Asked Questions
Does a midwifery role qualify for the STEM OPT extension?
Yes, midwifery is classified under SOC code 29-9099 in O*NET, which falls within a STEM-designated field. That makes you eligible to apply for the 24-month STEM OPT extension after your initial 12-month OPT period, provided your employer is enrolled in E-Verify and your role meets the practical training criteria set by USCIS.
Do I need a U.S. state license before an employer will sponsor my OPT?
Almost always. Midwifery is a licensed profession in every state, and most hospital systems and birth centers won't submit OPT-related paperwork until you hold a valid state credential. If your foreign training requires a credential evaluation before licensure, start that process before graduation so you're not losing OPT time while waiting on paperwork.
How do I find midwifery employers who already sponsor international workers?
DOL LCA disclosure data shows which employers have filed Labor Condition Applications for midwifery and related clinical roles. Migrate Mate surfaces this data so you can filter by employer and role type, giving you a targeted list of hospital networks and health systems that have sponsored international workers before, rather than approaching employers cold.
Can I work at multiple birth centers or hospital locations on OPT?
OPT authorizes you to work for a single employer of record in your authorized field. If your position involves assignments across multiple facilities, your primary employer must be clearly identified and listed as the OPT employer. Informal multi-site arrangements that lack a single sponsoring entity can put your status at risk, so clarify the employment structure in your offer letter before starting.
What happens to my OPT status if my employer can't file an H-1B petition in time?
If your employer misses the H-1B cap registration window and you're on standard 12-month OPT, your work authorization ends when OPT expires. If you've secured the STEM OPT extension, you gain an additional 24 months of runway, which covers the next H-1B registration cycle. Planning your timeline around USCIS's April registration window is critical for midwifery roles where finding a new sponsoring employer mid-year is difficult.