OB/GYN Laborist - Full-Spectrum Obstetrics

Location: Brooklyn, 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.
• Round on postpartum patients when assigned; ensure safe discharge, follow-up instructions, and handoffs to outpatient teams.

Collaboration, Teaching & Communication

• 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.
• Provide rapid consult support to ED and inpatient services for obstetric presentations.

Quality, Safety & Operations

• 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.
• Ensure adherence to HIPAA, OSHA, and NYS regulations; model a respectful, inclusive environment for patients and staff.

Privileging & Coverage

• Maintain and exercise privileges for: vaginal delivery (spontaneous/operative), cesarean delivery (primary/repeat), management of obstetric emergencies, ECV, and bedside procedures listed above.
• Participate in a fair rotation of nights/weekends/holidays. Specific partner hospitals in Queens & Nassau County will be confirmed during credentialing.

What Success Looks Like (Key Metrics)

• 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.
• Documentation: ≥95% notes closed within 24 hours; accurate coding and charge capture.

Schedule & Setting

• In-house Laborist shifts (12 or 24 hours); predictable block scheduling possible.
• No routine outpatient clinic requirements (optional by mutual agreement).
• Work primarily at True Health NY partner hospitals; occasional on-site drills/meetings at ambulatory locations.

Qualifications

• 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.
• Multilingual ability (e.g., Spanish, Mandarin, Bengali) is a plus for our communities.

Compensation & Benefits

• Competitive shift-based compensation with differentials for nights/weekends/holidays; eligibility for quality incentives.
• Malpractice coverage, medical/dental/vision, life & disability, 401(k) with match, PTO and CME support, consistent with True Health NY's standard framework.

Equal Opportunity

True Health NY is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment for all employees.