OB Care Coordinator

CVHS HEALTH SERVICES•Fredericksburg, VA

4d•$30 - $38

About The Position

The OB Care Coordinator provides nursing care coordination and case management for obstetric patients, with a focus on high-risk pregnancies, continuity of care, quality, cost savings, and patient self-management. The role uses the nursing process to assess, plan, implement, coordinate, and evaluate care, and develops individualized plans based on comprehensive maternal risk assessments and population needs. The coordinator provides prenatal and postpartum education; connects patients and families with clinical, social, and community resources; coordinates referrals and transitions among prenatal, delivery, postpartum, pediatric, and primary care services; and follows up on appointments, hospital admissions and discharges, and referrals. The role also maintains electronic medical record documentation, completes required reports, monitors maternal and infant health quality measures, participates in multidisciplinary case reviews and quality improvement activities, and serves as a patient advocate. The position acts as the floor nurse for contracted OB/GYN providers at assigned locations and performs other duties as assigned.

Requirements

Graduate of an accredited Registered Nurse program.
Licensed by the Virginia State Board of Nursing; valid, unrestricted nursing license required.
At least 5 years of general patient care experience as a licensed nurse.
Current CPR certification.
Ability to work independently and maintain confidentiality.
Excellent written and verbal communication skills.
Knowledge of community resources and experience with high-risk populations.
Ability to work collaboratively with the community, patients, families, and other members of the healthcare team.

Nice To Haves

Bachelor's degree in Nursing or a related field preferred.
Two 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.
Knowledge of Medicaid maternity programs, WIC, maternal health quality measures, and community resources.

Responsibilities

Use the nursing process to assess, plan, implement, coordinate, and evaluate care for obstetric patients.
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 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 support 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 support completion of postpartum visits within recommended timeframes.
Assist with transitions of care among prenatal, delivery, postpartum, pediatric, and primary care services, including follow-up after hospital discharge and visits with a primary care provider.
Monitor maternal and infant health quality measures, 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 and complete required reports and records of data.
Use translation services to assist patients who do not speak English.
Advocate for patients and families while honoring patient choices, supporting informed decision-making, and setting patient-centered goals.
Support population health initiatives and quality improvement activities related to women's health and maternal care.
Provide comprehensive case management focused on cost savings, continuity, quality, and self-management as indicated.
Connect patients and families with available community resources and follow up with clients and agencies to document referral use and success.
Use effective management, teaching, negotiating, and collaboration skills with multidisciplinary teams.
Promote a team-based, patient-centered medical practice model through leadership and practice; communicate with administrative and provider staff to ensure nursing efforts support the model.
Manage a population of focus based on organizational or site needs and receive referrals from site staff, care coordinators, hospitals, insurers, patients, or caregivers and 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.