Benefits- Paid Time Off & Paid Company Holidays
- Medical, Dental, Vision & Life Insurance
- Flexible Spending Account (FSA)
- 403(b) Retirement Plan with Company Match
- Short-Term & Long-Term Disability
- $0 Copay for Legacy Provider visits
- $0 Copay for prescriptions filled at Legacy Pharmacies
- Travel Insurance & Pet Insurance
- Subsidized Gym Membership
- And much more!
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Location: Legacy Montrose Allen Parkway - 2929 Allen Pkwy. Houston, TX 77019
Registered Nurse (RN) – High Risk OB Care Manager(Job Overview)Schedule: Monday-Friday (8AM-5PM)Bring your compassion, clinical expertise, and passion for maternal health to a meaningful opportunity supporting pregnant and postpartum individuals with complex medical, behavioral health, and social needs. As the RN High Risk OB Care Manager, you will help patients navigate high-risk perinatal care, transitions of care, maternal health support, and clinical triage across the prenatal, delivery, and postpartum continuum.
Your work will help strengthen care coordination, promote equitable and culturally responsive care, and reduce severe obstetric complications while improving postpartum follow-up and maternal and infant health outcomes. You will collaborate with physicians, advanced practice providers, Care Management teams, Perinatal Navigators, and Care Team Assistants to make each patient’s care journey safer, more connected, and more supportive.
This 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. Legacy Community Health also regularly offers a variety of RN and other clinical opportunities, giving you the opportunity to explore internal career advancement throughout your employment.
Why This Opportunity Matters- Make a direct difference in community maternal healthcare and perinatal outcomes.
- Support high-risk patients through complex prenatal, delivery, and postpartum transitions.
- Build meaningful relationships through compassionate education, care navigation, and ongoing follow-up.
- Join a collaborative, interdisciplinary maternal health team.
- Contribute to maternal morbidity and mortality reduction initiatives and quality improvement efforts.
- Grow your career through internal clinical opportunities and professional development pathways.
- Help address barriers to care and support equitable, culturally responsive, trauma-informed care.
Key Responsibilities- OB and postpartum triage and clinical assessment: 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, and 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).
- High-risk maternal care management: 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, and 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, including transportation, medication access, communication challenges, and social determinants of health.
- Transitions of care and postpartum continuity: 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, and positive mental health screenings.
- Provide education on postpartum recovery, warning signs, and when to seek urgent medical attention.
- In-clinic RN support: 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.
- Patient education and care navigation: Deliver culturally responsive, trauma-informed education related to prenatal health, postpartum recovery, chronic disease management, maternal warning signs, and 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.
- Quality improvement and outcomes monitoring: 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, and referral completion rates.
- Support grant-related reporting and compliance requirements as needed.
Minimum Qualifications- Education 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.
Required Years of Experience- Minimum 3 years of experience as a Registered Nurse.
Desirable Education and/or Experience- Prior OB inpatient clinical experience strongly preferred.
- Experience in maternal health, care management, case management, population health, or care coordination preferred.
Required Knowledge, Skills, and/or Abilities- 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.
About Legacy Community HealthThe largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has delivered affordable, high-quality care for nearly 40 years across 50+ clinics in Greater Houston and the Gulf Coast. Our mission driving healthy change in our communities guides everything we do, and it starts with our people.
Approachable & Collaborative Leads with humility, values diverse perspectives, and builds trust through teamwork.
Driven & Committed Takes initiative and goes the extra mile to improve patient outcomes and drive continuous improvement.
Thoughtful Communicators Pairs clinical/technical skill with emotional intelligence, navigating complex situations with empathy and professionalism.
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