Family Practice - With OB Physician

Livingston HealthCare is seeking a Family Medicine Physician with Obstetrics to provide full-spectrum care for patients of all ages in a rural health clinic and critical access hospital setting.

This role includes outpatient clinic care, inpatient care, obstetrical care, and critical access hospital call coverage, including OB and pediatric call. Obstetrical care includes prenatal, labor and delivery, and postpartum services within scope of training and privileges.

Located in beautiful Livingston, Montana , this opportunity offers meaningful rural medicine in a close-knit community with access to exceptional outdoor recreation, mountain views, Yellowstone National Park, Paradise Valley, and nearby Bozeman.

Additional responsibilities include participation in quality assurance, peer review, utilization review, administrative duties, and required clinic, department, and hospital meetings.

This is an excellent opportunity for a physician who enjoys broad-scope family medicine, values strong patient relationships, and wants to practice in a community that truly values local care.

SCHEDULE:

• 1.0FTE

  • 32 patient facing hours/week

• 4 days/week clinic (scheduled between M-F, 8-5)

• 24hr OB Call (8 Shifts per Month)

ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES:

1. Provide comprehensive primary care services to patients of all ages, including infants, children, adolescents, adults, and seniors, including preventive care, routine check-ups, and management of acute and chronic medical conditions.
2. Participate in on-call coverage for the Critical Access Hospital, including:
   • Obstetrical call coverage:
     • On-call Critical Access Hospital OB coverage typically includes eight 24-hour shifts per month, providing obstetric call coverage, supporting labor and delivery needs, and newborn care as appropriate, and coordinating stabilization and transfer when a higher level of care is needed.
     • Provide full-spectrum obstetrical care, including:
       1. Prenatal, labor, delivery, and postpartum care
       2. Management of pregnancies and deliveries
       3. Stabilization and management of obstetrical complications as necessary
       4. Participation in shared call coverage for labor and delivery services
     • Perform obstetrical procedures consistent with granted privileges, including but not limited to:
       1. Vaginal delivery (term, preterm, post-term)
       2. Scheduled, unscheduled, and emergent cesarean deliveries
       3. Labor management including induction and augmentation
       4. Fetal monitoring (external/internal)
       5. Repair of lacerations and episiotomies
       6. Postpartum care and complication management
       7. Emergency Management of Obstetrical hemorrhages
       8. Tubal ligations at the time of cesarean delivery
   • On-call Critical Access Hospital pediatric coverage may include 0 2 24-hour pediatric call shifts per month, depending on staffing and overall call coverage needs. Pediatric call responsibilities include newborn resuscitation, stabilization and transfer of critically ill pediatric patients, pediatric admissions with comprehensive inpatient care, and coverage of the Kids Care Line, which supports family phone calls from the clinic.
   • Total expected call coverage for a full-time provider is approximately eight shifts per month. In some months, OB providers may take one or two pediatric call shifts in place of obstetric call shifts to help balance departmental coverage needs.
3. Monitor patients health status, adjust treatment plans as necessary, and provide ongoing support to promote disease control and quality of life.
4. Manage chronic conditions across the lifespan, including care of aging populations and medically complex patients.
5. Support care transitions, ensuring continuity between inpatient, outpatient, and specialty services.
6. Provide patient-centered education and counseling, empowering patients to make informed healthcare decisions.
7. Participate actively in Livingston HealthCare s quality assurance and performance improvement programs.
8. Engage in peer review and ongoing professional development activities.
9. Maintain compliance with regulatory standards, credentialing requirements, and continuing education.
10. Complete all required administrative tasks, including accurate and timely documentation for clinical and billing purposes.

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.

QUALIFICATIONS (Required):

• Medical degree (MD or DO) from an accredited institution
• Successful completion of an ACGME or AOA accredited Family Medicine residency program
• Board Certified or Board Eligible of ABFM
• Completion of required obstetrical training (including documented obstetrical experience during residency)
• Demonstrated competence in obstetrical care, including vaginal deliveries (minimum training consistent with privileging requirements)
• Valid Montana medical license or ability to obtain
• DEA registration and required certifications (e.g., BLS, ACLS, NRP)
• Ability to obtain and maintain hospital privileges in Family Medicine with OB
• Strong commitment to rural and community-based healthcare

ADDITIONAL DESIRABLE QUALIFICATIONS:

• Experience in rural healthcare settings
• Experience in full-spectrum Family Medicine including OB
• Experience with procedural skills such as ultrasound, women s health procedures, and inpatient care
• Interest in long-term community engagement and continuity care