She coordinates the Evidence Based Care course for graduate nurse-midwifery and family nurse practitioner students. Janelle began her career as a direct entry midwife in California and had a home birth practice for a decade before returning to school to become a CNM. She was the first CNM to obtain hospital privileges in her community in Southeast Alaska, and had a dual home/hospital birth practice for two years there before moving to southeast Washington state where she owned and managed a freestanding birth center, as well as continued offering home or hospital births for several years. At Present, along with being a faculty member she is a midwife laborist at a community hospital.