PRN Birth Center Registered Nurse

Flourish Wellness & Birth Co. PLLC; South Dakota; Hybrid; USD 55,000 - 83,000; Part time

Job summary

Flourish Wellness + Birth Co. (Flourish Wellness & Birth Co. PLLC) seeks a dedicated Registered Nurse to join a small birth team in a PRN capacity.

You will care for mothers, babies, and families during labor, birth, and the immediate postpartum period in an out-of-hospital birth center setting, aligned with physiologic birth and trauma-informed care. Our team includes Certified Nurse Midwives and birth nurses.

Qualifications

• Associates or Bachelor’s degree in Nursing from an accredited program.
• Active SD RN license or pending licensure.
• BLS certification current or willingness to obtain before care.
• NRP certification current or willingness to obtain during onboarding.
• Labor & Delivery experience preferred but not required.
• Strong clinical judgment and calmness during emergencies.
• Interest in physiologic birth and out-of-hospital birth care.

Responsibilities

• Provide safe, compassionate nursing care for maternal and newborn patients in an out-of-hospital birth center setting.
• Collaborate with CNMs and birth team to support families through labor, birth and postpartum period.
• Be flexible with PRN/on-call schedule and respond promptly when called.
• Attend labor and births and provide postpartum or newborn home visits when scheduled or needed.
• Maintain readiness to respond to emergencies while upholding physiologic birth philosophy.

Skills

Clinical assessment

Nursing judgement

On-call readiness

Patient communication

Education

Associate’s/Bachelor’s in Nursing

Active SD RN license

BLS certification

NRP certification

Job description

At Flourish Wellness + Birth Co.., we believe birth is a beautiful, transformative experience, and that every family deserves compassionate, individualized, and evidence-based care.

We are looking for a dedicated and compassionate Registered Nurse to join our small, supportive birth team in a PRN capacity.

Our birth nurses play an incredibly meaningful role in caring for mothers, babies, and families throughout labor, birth, and the immediate postpartum period. We value nurses who bring not only strong clinical skills and sound judgment, but also a genuine passion for physiologic birth, informed decision-making, and the unique experience of out-of-hospital birth care.

While Labor & Delivery experience is strongly preferred, it is not required. We recognize that nurses from emergency medicine, critical care, NICU, and other inpatient settings bring valuable skills and perspectives to our team. If you have a strong nursing foundation, a heart for supporting families, and an interest in learning more about birth center care, we would love to hear from you!

This position offers a flexible PRN schedule, the opportunity to develop meaningful relationships with families, and the chance to work alongside an experienced and collaborative team of Certified Nurse Midwives and birth nurses.

JOB SUMMARY

The PRN Birth Center Registered Nurse provides safe, compassionate, and individualized nursing care for maternal and newborn patients in an out-of-hospital birth center setting.

Working collaboratively with Certified Nurse Midwives and other members of the birth team, the RN supports families throughout labor, birth, and the immediate postpartum period while honoring Flourish’s philosophy of physiologic birth, trauma-informed care, informed consent, education, and empowerment.

Our nurses are an essential part of creating a calm, supportive, and safe environment where families feel respected, informed, and confident in their birth experience.

EDUCATION AND EXPERIENCE

• Associate’s or Bachelor’s degree in Nursing from an accredited nursing program.
• Active RN license in the State of South Dakota, or pending licensure.
• Current BLS certification, or willingness to obtain prior to providing patient care.
• Current NRP certification, or willingness to obtain during onboarding.
• Previous Labor & Delivery experience is strongly preferred and will receive priority consideration, but is not required.
• Previous inpatient nursing experience, especially Emergency Department, ICU, Critical Care, or NICU experience, will also receive strong consideration.
• Previous experience with community birth, out-of-hospital birth, maternal-newborn nursing, or postpartum care is valued but not required.
• Strong clinical assessment skills, sound nursing judgment, and the ability to remain calm and respond effectively during emergencies.
• Genuine interest in physiologic birth, family-centered care, and supporting the out-of-hospital birth model.
• Willingness to participate in ongoing education, emergency preparedness, and training specific to birth center nursing.

We understand that birth center nursing is a unique specialty. We welcome nurses who are eager to learn, grow, and bring their previous clinical experience into this meaningful area of care.

PRN SCHEDULING AND ON-CALL EXPECTATIONS

This is a flexible PRN, on-call position designed to support our birth team while allowing nurses to maintain other professional and personal commitments.

• Approximately 3–5 on-call shifts per month.
• Weekend call rotation approximately every 4th–6th weekend.
• Holiday coverage is shared among the birth nursing team, generally requiring no more than one holiday per year.
• Major and minor holidays rotate, and some years may not require any holiday coverage.

What does being on call mean?

During an assigned call shift, the RN must remain available and within a close enough radius of the birth center to respond promptly when needed.

On-call responsibilities may include attending labor and births, providing immediate postpartum care, assisting with unexpected clinical needs, and completing 24-hour newborn visits when scheduled or needed during the assigned shift.

Because birth is unpredictable, flexibility and responsiveness are important parts of this role. While nurses are not required to be physically present at the birth center throughout their entire call shift, they must remain reachable, available, and prepared to respond when called.

Nurses must live within 30 miles of Sioux Falls or make arrangements to remain in the area during assigned call shifts at their own expense.

COMPENSATION

Compensation for this PRN position is structured around the unique nature of out-of-hospital birth care.

• Birth attendance is compensated through a designated birth stipend.
• Additional clinical responsibilities, including postpartum or newborn home visits, may be compensated at an hourly rate.
• Specific compensation details will be discussed during the interview process.

This structure allows flexibility while recognizing the important role our nurses play in supporting families throughout their birth and postpartum experiences.

THE NURSE WE HOPE TO FIND

We are looking for someone who is clinically capable, compassionate, dependable, and genuinely excited about the opportunity to support physiologic birth.

Our ideal nurse understands the importance of being prepared for emergencies while also appreciating the beauty of allowing normal birth to unfold with patience, encouragement, and minimal intervention when appropriate.

We value team members who are humble, willing to learn, confident in their clinical abilities, and committed to providing respectful, individualized care.

Most importantly, we hope to find someone who shares our passion for caring for mothers and babies and who would enjoy being part of a close-knit team that truly supports one another.

If you have spent your nursing career in a hospital setting but have always been curious about birth center nursing, we encourage you to consider this opportunity. Your experience may be exactly what our team needs!

We would love to connect with nurses who feel drawn to this unique and rewarding area of care.