OB Care Coordinator (4402)

Cvhs Health Services•Fredericksburg, VA

About The Position

The OB Care Coordinator uses the nursing process to assess, plan, implement, coordinate, and evaluate care for obstetric patients. The role manages high-risk obstetric patients, conducts maternal risk assessments, develops individualized care plans, and provides prenatal and postpartum education. The coordinator connects patients and families with clinical and community resources, coordinates referrals and follow-up, and supports transitions between prenatal, delivery, postpartum, pediatric, and primary care services. The position provides comprehensive case management focused on cost savings, continuity, quality, and patient self-management. It supports a team-based, patient-centered medical practice model through collaboration with providers, nursing staff, patients, families, community agencies, and multidisciplinary teams. The coordinator monitors maternal and infant health quality measures, participates in case reviews and quality improvement activities, maintains documentation and records, and acts as the floor nurse for contracted OB/GYN providers at assigned locations. Other duties may be assigned.

Requirements

Graduate of an accredited Registered Nurse program.
Unrestricted nursing license; must be licensed by the Virginia State Board of Nursing.
At least 5 years of general patient care experience as a licensed nurse.
Current CPR certification.
Ability to work independently.
Ability to maintain confidentiality.
Excellent written and verbal communication skills.
Knowledge of community resources and experience working 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 the healthcare team.
Knowledge of the nursing process and clinical aspects of care.

Nice To Haves

Bachelor’s degree in Nursing or a related field preferred.
2 years of experience as a Care Coordinator or Case Manager preferred, ideally in women's health, labor and delivery, maternal-child health, or OB/GYN.

Responsibilities

Assess, plan, implement, coordinate, and evaluate care for obstetric patients using the nursing process.
Identify and manage high-risk obstetric patients, including patients with chronic medical conditions, behavioral health concerns, substance use disorders, social determinants of health needs, adolescent pregnancy, advanced maternal age, or previous adverse pregnancy outcomes.
Conduct comprehensive maternal risk assessments and develop individualized care plans.
Provide prenatal and postpartum education on topics including nutrition, breastfeeding, safe sleep, family planning, pregnancy warning signs, 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 prenatal and postpartum appointment compliance 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 postpartum visits are completed within recommended timeframes.
Assist with transitions of care among prenatal, delivery, postpartum, pediatric, and primary care services, including follow-up after hospital discharge and primary care visits.
Monitor maternal and infant health quality metrics, 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 electronic medical records and complete required reports and records.
Use translation services to assist patients who do not speak English.
Advocate for patients and families while supporting patient-centered goals, patient choices, and informed decision-making.
Support population health initiatives and quality improvement activities related to women's health and maternal care.
Connect patients and families with available community resources and follow up with clients and agencies to document referral use and outcomes.
Use effective skills in managing, teaching, negotiating, and collaborating with the multidisciplinary team.
Promote a team-based, patient-centered medical practice model and communicate with administrative and provider staff to support the model.
Manage a population of focus based on the needs of the organization or site; receive referrals from site staff, care coordinators, hospital or insurance staff, patients, and caregivers or family members.
Assist with follow-up and appointment scheduling as needed.
Act as the floor nurse for contracted OB/GYN providers at assigned locations.
Perform other duties as assigned.