OB Care Coordinator

Central Virginia Health Services, Inc.; Fredericksburg (VA); On-site; USD 70,000 - 90,000; Full time

Job summary

Central Virginia Health Services, Inc. is seeking a dedicated RN Care Coordinator to support obstetric patients, including high-risk pregnancies, across multiple locations in Virginia.

The role emphasizes comprehensive care planning, patient education, and coordination with Maternal-Fetal Medicine and social services. The ideal candidate will have an active Virginia RN license, 5+ years of patient care, and 2+ years in care coordination or case management within women's health.

Qualifications

• Graduate of an accredited RN program.
• Licensed by the Virginia State Board of Nursing.
• At least 5 years of general patient care experience as an RN.
• 2 years as a Care Coordinator or Case Manager, preferred in women's health.

Responsibilities

• Assess, plan, implement, coordinate and evaluate obstetric care.
• Identify and manage high-risk obstetric patients.
• Provide prenatal and postpartum education.
• Coordinate referrals to obstetric and maternal health services.
• Monitor appointments and outreach to patients who miss visits.
• Assist with transportation, insurance issues, Medicaid, WIC enrollment.
• Document in the EMR and maintain care plans.
• Serve as patient advocate and support informed decision-making.

Skills

Nursing process

Care coordination

Team collaboration

Translation support

EMR documentation

Education

RN license (VA)

BSN preferred

Tools

EMR software

Job description

ESSENTIAL JOB FUNCTIONS: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.Knowledge and use of the nursing process to assess, plan, implement and evaluate patient care. Have a strong knowledge of clinical aspects of 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 recordsCreates care plans for specific populations of patients based on needAssists with transition of care from hospital discharge to follow-up after visit with PCPIs responsible for the nursing management of a population of focus, based on the needs of the organization and/or siteMay receive referrals from staff within the site, Care Coordinator(s), hospital/insurance staff, the patient and/or caregiver/familyAssists 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 locationsPerforms other duties as assigned.KNOWLEDGE, SKILLS, AND ABILITIES:Valid, unrestricted nursing license.Registered Nurse, Bachelor’s Degree preferred, 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.EDUCATION, TRAINING AND EXPERIENCE:Graduate of an accredited program for Registered NursesLicensed by the Virginia State Board of Nursing.At least 5 years of general patient care experience as a Licensed Nurse2 years as a Care Coordinator or Case Manager, preferred in women's health, labor and delivery, maternal-child health, OB/GYN.Current CPR certification.