OB/GYN Laborist -- Full-Spectrum Obstetrics
7 days ago
Williston Park
Job Description Location: Queens & Nassau County, NY (in-house at partner hospitals) Reports to: OB/GYN Service Line Lead; dotted line to COO Employment Type: Full-time or Part-time; 12- or 24-hour shifts Mission & Role Summary True Health NY is a physician-led, multi-site OB/GYN & Primary Care group. We’re seeking an in-house Laborist to provide full-spectrum obstetric care—triage through delivery and immediate postpartum—while partnering closely with our outpatient OBs, MFMs, anesthesia, pediatrics/NICU, and nursing leadership. This role focuses on safe throughput, exceptional patient experience, and team-based, evidence-guided care. What You’ll Do Inpatient Obstetrics & Triage • Serve as the in-house attending for L&D, OB ED/triage, and antepartum/postpartum units during assigned shifts., • Manage labor (spontaneous/induced/augmented), including VBAC/TOLAC candidates per hospital policy., • Perform vaginal deliveries (spontaneous and operative) and cesarean deliveries (primary/repeat); first-assist or primary surgeon per privileges., • Manage obstetric emergencies: shoulder dystocia, postpartum hemorrhage (PPH bundles), eclampsia, cord prolapse, uterine rupture, sepsis, severe hypertension, etc., • Interpret and act on fetal heart rate tracings; implement evidence-based interventions and closed-loop communication., • Perform bedside procedures as credentialed: amnioinfusion, external cephalic version (ECV), limited OB ultrasound, laceration repair, manual extraction/D&C for retained placenta., • Partner with True Health NY generalists and MFM specialists for consults, comanagement, and timely transfer/escalation., • Coordinate with anesthesia, neonatology/pediatrics, lactation, and nursing leadership to maintain high-reliability L&D operations., • Participate in resident/medical student teaching if a teaching site; lead bedside drills during shifts as needed., • Champion ACOG/SMFM/CMQCC-aligned pathways (PPH, severe HTN, sepsis, trial of labor after cesarean, induction protocols)., • Lead/participate in unit drills (PPH, eclampsia, shoulder dystocia), peer review, and M&M as assigned., • Document care in the hospital EHR (e.g., Epic/Cerner) with closes within 24 hours; ensure clear, timely handoffs to outpatient providers (eClinicalWorks)., • Support throughput: triage streaming, active labor management, and efficient OR turnover in collaboration with nursing and anesthesia., • Maintain and exercise privileges for: vaginal delivery (spontaneous/operative), cesarean delivery (primary/repeat), management of obstetric emergencies, ECV, and bedside procedures listed above., • Access & Throughput: Timely triage assessment (≤10 minutes door-to-provider), efficient admission/induction workflows., • Safety: Hemorrhage bundle utilization; decision-to-incision for emergent C-section within hospital standard; low unplanned ICU transfers., • Quality: Guideline adherence, VBAC/TOLAC safety metrics, low primary cesarean for nulliparous term singleton vertex as appropriate., • Experience: ≥4.7/5 patient-experience scores; positive interdepartmental feedback., • In-house Laborist shifts (12 or 24 hours); predictable block scheduling possible., • No routine outpatient clinic requirements (optional by mutual agreement)., • MD/DO; ABOG board-certified/eligible in Obstetrics & Gynecology., • Unrestricted NY medical license (or ability to obtain), DEA; hospital privileges eligibility., • Demonstrated competence as primary surgeon for cesarean delivery and proficiency in operative vaginal delivery., • Current certifications: BLS and ACLS; ALSO and NRP preferred (or obtained within 6 months)., • Strong fetal monitoring interpretation skills; team-first communicator; calm under pressure., • Competitive shift-based compensation with differentials for nights/weekends/holidays; eligibility for quality incentives. True Health NY is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment for all employees.