RN - High Risk OB Care Manager

Legacy Community Health•Houston, TX

7d•Onsite

About The Position

This exciting RN opportunity is supported by grant funding currently secured through August 2027. Although future funding cannot be guaranteed, there is a strong possibility of grant renewal. As with all grant-funded positions, continued employment is dependent on the availability of funding. In addition, our organization regularly offers a variety of RN and other clinical opportunities, and employees are encouraged to explore internal career advancement options throughout their employment. We are seeking a compassionate, experienced, and highly skilled Registered Nurse (RN) – High Risk OB Care Manager to join our maternal health team. This specialized role is responsible for providing high-risk perinatal care coordination, maternal health support, transitions-of-care management, and clinical triage services for pregnant and postpartum individuals with increased medical, behavioral health, or social risk factors. The RN High Risk OB Care Manager plays a critical role in improving maternal health outcomes by strengthening care coordination across the prenatal, delivery, and postpartum continuum. This position supports efforts to reduce severe obstetric complications, improve postpartum follow-up, and ensure equitable, culturally responsive care for high-risk patients. Working collaboratively with physicians, advanced practice providers, Care Management teams, Perinatal Navigators, and Care Team Assistants, the RN Care Manager will help patients successfully navigate complex healthcare needs while promoting positive maternal and infant health outcomes.

Requirements

Graduate of an accredited, State Board-recognized nursing education program.
Current and unrestricted Registered Nurse (RN) license in the State of Texas.
Current CPR/BLS certification.
Minimum 3 years of experience as a Registered Nurse.
Strong clinical assessment and triage skills specific to prenatal and postpartum populations.
Knowledge of maternal health conditions and risk factors impacting pregnancy and postpartum recovery.
Excellent patient education and counseling skills.
Ability to manage multiple priorities and respond effectively in urgent situations.
Strong interdisciplinary communication and collaboration skills.
Proficiency with EHR documentation and population health management tools.
Experience utilizing technology-enabled care management workflows.
Commitment to culturally competent, equitable, and trauma-informed care.
Strong organizational and critical thinking abilities.

Nice To Haves

Prior OB inpatient clinical experience strongly preferred.
Experience in maternal health, care management, case management, population health, or care coordination preferred.

Responsibilities

Provide RN-level telephonic and electronic triage for obstetric-related calls, messages, and patient concerns.
Identify urgent maternal symptoms requiring immediate evaluation, including: Severe hypertension, Hemorrhage, Infection, Red-flag postpartum symptoms.
Educate patients regarding warning signs, care transitions, and appropriate next steps.
Escalate clinical concerns to providers based on urgency and clinical protocols.
Document assessments, interventions, and provider communications accurately in the electronic health record (EHR).
Manage a caseload of high-risk prenatal and postpartum patients.
Conduct proactive outreach, ongoing assessments, and follow-up care coordination.
Develop individualized care plans focused on: Chronic disease management, Postpartum recovery, Follow-up appointment compliance.
Coordinate referrals, specialty care appointments, diagnostic testing, and supportive services.
Work closely with Care Team Assistants and Care Management staff to identify and address barriers to care such as transportation, medication access, communication challenges, and social determinants of health.
Coordinate hospital-to-clinic transitions following delivery.
Obtain and review hospital discharge summaries.
Reconcile medications and ensure continuity of care.
Facilitate timely follow-up for patients at elevated risk of severe obstetric complications, including: Hypertensive disorders of pregnancy, Cesarean or surgical complications, Postpartum hemorrhage, Infection, Preterm birth, Positive mental health screenings.
Provide education on postpartum recovery, warning signs, and when to seek urgent medical attention.
Support prenatal and postpartum clinic visits by reinforcing provider care plans.
Assist with patient flow and clinical care coordination.
Ensure laboratory testing, referrals, and follow-up services are completed according to standing orders and clinical protocols.
Provide patient education and real-time clinical assessments during office visits.
Deliver culturally responsive, trauma-informed education related to: Prenatal health, Postpartum recovery, Chronic disease management, Maternal warning signs, Basic newborn care.
Support patient self-management activities, including home blood pressure monitoring and symptom tracking.
Engage family members and caregivers in care planning when appropriate.
Promote health literacy and patient engagement throughout the care journey.
Participate in maternal morbidity and mortality reduction initiatives.
Support quality improvement projects focused on maternal health outcomes.
Maintain timely and accurate documentation within the EHR.
Contribute to monitoring and reporting key performance indicators, including: Postpartum follow-up completion, Blood pressure reassessment after hypertensive disorders, Depression and anxiety screening follow-up, Referral completion rates.
Support grant-related reporting and compliance requirements as needed.