Registered Nurse - OB

Position Title: Registered Nurse - OB Nurse

Location: Carolyn Downs Family Medical Clinic and Country Doctor Community Clinic

Expected Hours: 32 hours/week

Union: Yes

Salary

$41.22 – $61.54 Per hour, non-exempt, payable bi-weekly. The salary scale for this position is between steps 0 and 19, depending on experience. We use the resume submitted on your application to determine your hourly wage, so please ensure that all relevant work experience is listed in your resume. Applicants must pass an extensive background check.

About Us

Seattle Roots Community Health is a not-for-profit organization that operates two primary care clinics, an After-Hours Clinic, two School-Based Health Centers, a low barrier Medication-assisted treatment clinic and a Dental Clinic. Our Carolyn Downs Family Medical Center was founded in 1970 in Seattle's Central District. Our Country Doctor Community Clinic was established in 1971 by residents of the Capitol Hill neighborhood.

Seattle Roots is passionate about serving patients of all backgrounds and employing individuals who are equally committed to this mission. To ensure our organization is best serving our populations, we strive to promote policies that enable us to work effectively in all situations, with patients, with coworkers, and with the community.

Our Mission

To improve the health of our community by providing high-quality and caring primary health care that addresses the needs of people, regardless of their ability to pay. At Carolyn Downs and Country Doctor, healthcare is a right.

Job Summary

Provides comprehensive nursing care and care coordination for pregnant and postpartum patients. Conducts assessments, develops care plans, provides prenatal, postpartum, breastfeeding, and health education, and coordinates referrals and follow-up care. Supports OB triage, hospital coordination, accurate medical records, and connections to community resources to promote safe, equitable maternal and newborn care.

Job Responsibilities

• Manage and coordinate care for expectant mothers during prenatal visits, including overseeing eligibility determination for programs like First Steps and financial assistance.
• Perform health assessments and develop individualized care plans in collaboration with the medical team.
• Provide education on pregnancy milestones, prenatal care, family planning, and childbirth classes, referring to external resources as needed.
• Offer emotional support and address any concerns patients may have about pregnancy and childbirth.
• Conduct postpartum visits, offering guidance and support for new mothers on recovery, newborn care, breastfeeding, and family planning.
• Provide diabetic education for patients with gestational diabetes, and arrange follow-up as needed
• Provide in-depth breastfeeding education to expecting and new mothers, including techniques, benefits, and challenges associated with breastfeeding.
• Offer practical guidance on latch, positioning, and milk production to ensure successful breastfeeding.
• Refer patients to lactation consultants or breastfeeding support groups as needed for additional assistance and counseling
• Obtain medical histories during initial prenatal visits and assess maternal and fetal health during each visit.
• Document all clinical care accurately in the electronic health record (EHR).
• Assist with assessing the need for additional services like WIC, nutrition counseling, and childbirth education.
• Arrange referrals for maternal screening services (MSS), OB care at other agencies, and other necessary consultations (e.g., termination of pregnancy if requested).
• Oversee referral scheduling for OB ultrasounds, follow-up, lab results, no-show follow-up, and patient problem tracking (e.g., Hep B positive, PPD positive).
• Ensure patients receive timely follow-up care, including postpartum visits, newborn check-ups, breastfeeding support, and coordination with other medical providers.
• Prepare hospital folders for delivery, including prenatal records, birth plans, and necessary pre-registration documents.
• Communicate with L&D and hospital staff regarding patient needs and ensure continuity of care.
• Participate in the planning, oversight, and management of perinatal services, including coordination with OB medical providers and external agencies like Public Health – Seattle/King County.
• Lead chart reviews and care plan implementation in coordination with the MSS team.
• Participate in staff meetings, quality improvement activities, and assist with staff evaluations.
• Assist in managing referrals and coordination with CDCC, CDFMC, and ICHS.
• Assess patients’ need for social services, including childcare, transportation, dental care, and other resources.
• Screen for mental health needs and coordinate referrals for appropriate services, including MSW support.
• Respond to on-call physician requests, providing information and following up on patient needs.
• Assist with phone triage and follow-up for any issues or concerns in prenatal, postpartum women, and newborns.
• Perform phone or in-person triage of OB patients with obstetric issues.
• Meet with all pregnant patients requesting further services to provide assessment, determine eligibility, and provide referrals as needed (including referrals for pregnancy termination if necessary).
• Orient participating patients in the Seattle Roots OB program; assess and refer for mental health/social work (MH/MSW) services as needed; screen and assist with additional needs like dental services, transportation, WIC/nutrition appointments, childcare, etc.
• Provide patient education materials as needed.
• Ensure that electronic medical records and chart notes are updated appropriately, including notations of delivery, newborn information, and follow-up appointments.
• Prepare charts for OB meetings and chart review.
• Assist patients with pre-registration to Hospital and financial information as needed.
• Work with L&D/hospital staff regarding patient issues and needs.
• Participate in the planning, oversight, and management of perinatal services and programs in coordination with OB medical providers.

Qualifications

• Excellent verbal, non-verbal, and written communication skills, interpersonal skills, computer, and data entry skills
• Independent work style with the ability to also work collaboratively
• Ability to multi-task, to prioritize effectively among numerous competing requests
• Demonstrates cultural competence and respect and appreciation for diversity
• Ability to interact and work well with people from diverse cultures and backgrounds
• Strong interpersonal and effective problem-solving skill
• Excellent verbal and written communication
• Function in stressful situations and prioritize effectively with numerous competing priorities
• Proficient in Microsoft Office, Google products and working on PCs
• 2 years clinic nursing and addiction medicine experience preferred
• Bilingual (English/Spanish) preferred, but not required
• EPIC EMR experience preferred
• Experience providing care to medically underserved populations
• Case management experience helpful

Education & Training

• Washington State RN License required
• Must be fully vaccinated for Covid-19
• Interest in Addiction Medicine/Substance Use Disorders
• Comfort with harm reduction, motivational interviewing, and trauma-informed philosophies of patient-centered care