RN - High Risk OB Care Manager

Legacy Community Health · Houston, TX Full Time

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Job Description

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! Apply today in less than 3 minutes using your phone, tablet, or computer! Location: Legacy Montrose Allen Parkway - 2929 Allen Pkwy. Houston, TX 77019 Registered Nurse (RN) – High Risk OB Care Manager (Job Overview) Schedule: Monday-Friday 8:00 AM-5:00 PM 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. Position Summary 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. Key Responsibilities OB & 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 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 Follow-up appointment compliance Coordinate referrals,

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).

Entry Level (10th) $74,859/yr

Houston Median $99,840/yr

Experienced (90th) $130,437/yr

vs. National Median +2.3%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.