OB Care Coordinator (3653)

CVHS HEALTH SERVICES • Farmville, VA

2d • $19 - $37 • Hybrid

About The Position

This is a full-time hybrid role requiring onsite support at CVHS Farmville at least 3 days a week. The OB Care Coordinator will utilize the nursing process to assess, plan, implement, coordinate, and evaluate care for obstetric patients. This role involves identifying and managing high-risk obstetric patients, developing individualized care plans, providing education, and coordinating referrals to various specialty services. The coordinator will monitor patient compliance with appointments, assist with access to resources, and collaborate with providers to ensure completion of necessary screenings and treatments. Responsibilities also include performing hospital admission and discharge follow-up, coordinating postpartum care, and monitoring quality metrics related to maternal and infant health. The position requires participation in multidisciplinary case reviews, accurate electronic medical record documentation, and serving as a patient advocate. The role supports population health initiatives and quality improvement activities in women's health and maternal care.

Requirements

• Valid, unrestricted nursing license.
• Graduate of an accredited program for Registered Nurses.
• Licensed by the Virginia State Board of Nursing.
• At least 5 years of general patient care experience as a Licensed Nurse.
• 2 years as a Care Coordinator or Case Manager, preferred in women's health, labor and delivery, maternal-child health, OB/GYN.
• Current CPR certification.

Nice To Haves

• Bachelor’s Degree in Nursing or related field.
• Ability to work independently.
• Maintain confidentiality.
• Excellent written and verbal communication skills.
• Knowledge of community resources and experience with high risk populations.
• Knowledge of Medicaid maternity programs, WIC, maternal health quality measures, and community resources.
• Ability to work collaboratively with the community, patients, families and other members of health care team.

Responsibilities

• Utilize the nursing process to assess, plan, implement, coordinate, and evaluate care for obstetric patients.
• Identify and manage high-risk obstetric patients including those with chronic medical conditions, behavioral health concerns, substance use disorders, social determinants of health needs, adolescent pregnancy, advanced maternal age, and previous adverse pregnancy outcomes.
• Conduct comprehensive maternal risk assessments and develop individualized care plans.
• Provide prenatal and postpartum education, including nutrition, breastfeeding, safe sleep, family planning, warning signs in pregnancy, and newborn care.
• Coordinate referrals to Maternal-Fetal Medicine, behavioral health, social work, nutrition services, lactation support, community health workers, and other specialty services.
• Monitor compliance with prenatal and postpartum appointments and conduct outreach to patients who miss appointments.
• Assist patients with transportation, insurance issues, Medicaid enrollment, WIC enrollment, and access to community resources.
• Collaborate with providers to ensure completion of recommended prenatal screenings, laboratory testing, vaccinations, ultrasounds, and postpartum follow-up.
• Perform hospital admission and discharge follow-up for obstetric patients and newborns.
• Coordinate postpartum follow-up and ensure completion of postpartum visits within recommended timeframes.
• Assist with transitions of care between prenatal, delivery, postpartum, pediatric, and primary care services.
• Monitor quality metrics related to maternal and infant health, including prenatal care utilization, postpartum visit completion, low birth weight, breastfeeding support, and maternal health outcomes.
• Participate in multidisciplinary case reviews and high-risk pregnancy conferences.
• Maintain accurate and timely documentation in the electronic medical record.
• Demonstrate comfort with translation services to assist a non-English speaking population.
• Serve as a patient advocate while supporting patient-centered goals and informed decision-making.
• Support population health initiatives and quality improvement activities related to women's health and maternal care.
• Provide comprehensive case management with a focus on cost saving, continuity, quality and self-management as indicated.
• Serve as patient, family, facility advocates while honoring patient choices and setting patient centered goals.
• Connect patients and families with needed and available community resources.
• Follow up with clients and agencies as appropriate to document use/success of referral.
• Utilizes effective skills in managing, teaching, negotiating and collaborating with multidisciplinary team.
• Promotes a team-based patient-centered medical practice model through leadership and practice.
• Communicates with administrative and provider staff to ensure nursing staff efforts are supporting the model.
• Documents in the electronic medical records.
• Creates care plans for specific populations of patients based on need.
• Assists with transition of care from hospital discharge to follow-up after visit with PCP.
• Is responsible for the nursing management of a population of focus, based on the needs of the organization and/or site.
• May receive referrals from staff within the site, Care Coordinator(s), hospital/insurance staff, the patient and/or caregiver/family.
• Assists with follow up and scheduling of appointments as needed.
• Completes necessary reports and maintains records of data as required.
• Acts as the floor nurse for the contracted OB/GYN providers at all assigned locations.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level