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Obstetrics Physician
Obstetrics PhysicianTAL Healthcare • Brooklyn, NY, US
Obstetrics Physician

Obstetrics Physician

TAL Healthcare • Brooklyn, NY, US
25 days ago
Job type
  • Full-time
Job description

Position Summary

The Director of Labor & Delivery is the clinical and operational leader for the L&D unit, OB-ED / Triage, and peripartum areas (ORs / PACU / Antepartum as applicable). This role ensures safe, equitable, patient-centered, and financially sustainable care by aligning bedside practice with evidence-based protocols, regulatory standards, and institutional priorities. The Director partners tightly with Nursing Leadership, Anesthesia, Neonatology, and Maternal-Fetal Medicine to deliver excellent outcomes, experience, and access across the perinatal continuum.

Key Responsibilities

Clinical Quality & Safety

  • Own the L&D quality agenda (maternal morbidity / mortality reviews, perinatal safety program, and event response).
  • Lead adoption and reliability of national bundles (e.g., obstetric hemorrhage, severe hypertension, sepsis, VTE, oxytocin safety).
  • Chair / Co-chair L&D Quality & Safety Committee; run monthly case reviews and Just Culture debriefs.
  • Standardize induction / augmentation, VBAC, operative vaginal delivery, and cesarean decision pathways; ensure timely MFM escalation.
  • Ensure 24 / 7 readiness for OB emergencies (massive transfusion, perimortem C-section, shoulder dystocia, eclampsia, obstetric anesthesia complications).

Operations & Throughput

  • Oversee patient flow across OB-ED / Triage, L&D, ORs, and PACU; reduce bottlenecks and diversion.
  • Set and monitor staffing plans with Nursing Leadership (ratios, acuity tools, charge structure, OB techs / MTAs, doulas).
  • Optimize scheduling for OB hospitalists, midwives, attendings, and residents / fellows; maintain fair workload distribution and backup coverage.
  • Ensure equipment readiness and capital planning (monitors, fetal surveillance, ultrasound, hemorrhage carts, OR equipment).
  • Partner with Bed Management and NICU for timely maternal newborn dyad placement.

    • Culture, Teaming & Education

  • Foster a high-reliability, interdisciplinary culture (daily huddles, safety checks, structured handoffs, debriefs).
  • Co-lead simulation program (hemorrhage, shoulder dystocia, neonatal resuscitation, OB code, OR crises) with Nursing / Anesthesia / NICU.
  • Support resident, fellow, midwife, and nursing education; ensure competency validation and privileging standards.
  • Promote respectful, trauma-informed, and culturally sensitive care, including language access and shared decision-making.

    • Patient Experience & Equity

  • Improve HCAHPS / CG-CAHPS touchpoints (communication, pain management, newborn care education, discharge readiness).
  • Track and close disparity gaps in outcomes and experience by race / ethnicity, language, and social risk factors.
  • Integrate doulas, lactation, social work, behavioral health, and maternal wellness resources into routine care.

    • Compliance & Risk

  • Ensure compliance with Joint Commission, CMS Conditions of Participation, state perinatal regulations, EMTALA (OB-ED), and payer requirements.
  • Maintain / uphold credentialing, privileging, documentation, EMTALA logs, and OPPE / FPPE processes.
  • Partner with Risk Management on event analysis, disclosure, and enterprise risk mitigation.

    • Data, Informatics & Continuous Improvement

  • Define, monitor, and act on a robust KPI dashboard; lead Plan-Do-Study-Act (PDSA) cycles.
  • Oversee EHR optimization (order sets, decision support, oxytocin titration tools, hemorrhage calculators, VBAC counseling & consent).
  • Leverage remote / wireless fetal monitoring and telemetry to improve mobility and experience when available.

    • Strategy & Growth

  • Align L&D capacity with service line strategy (acuity mix, induction scheduling, VBAC access, regional referral pathways).
  • Support new program development (OB-ED / triage redesign, obstetric anesthesiology protocols, maternal fetal transport, high-risk clinics).
  • Participate in budget planning; steward labor, supply, and implant costs; support contracting and value-based care initiatives.

    • Success Metrics (tracked monthly / quarterly)

  • Safety / Quality : Severe Maternal Morbidity (overall & hemorrhage-related), transfusion rates, timely treatment of severe hypertension, postpartum readmissions, SSIs, EBL / QBL documentation reliability.
  • Clinical Practice : NTSV cesarean rate, VBAC attempt & success, operative vaginal delivery utilization, induction length of stay, oxytocin guideline adherence.
  • Operations : L&D and OB-ED door-to-decision times, OR start on-time rate, boarding hours, diversion episodes.
  • Experience & Equity : HCAHPS domains, doula utilization, disparities dashboards with gap-closure projects.
  • People & Culture : Staff engagement / retention, completion of simulations / competencies, event debrief closure rates.
  • Finance : Cost per delivery, length of stay benchmarks, supply variance, value-based incentives achieved.

    • Qualifications

  • Required : MD / DO in Obstetrics & Gynecology; board certified (or eligible with timeline). Active / unrestricted state license and hospital privileges; eligibility for malpractice coverage.
  • Experience : 10-12+ years post-residency with demonstrated L&D leadership (e.g., OB hospitalist lead, unit medical director, chief resident / fellow, MFM). Experience with QI methodologies (Lean / Six Sigma) and perinatal safety bundles.
  • Preferred : Fellowship training (MFM, MIGS, or other), Master s degree (MPH / MHA / MBA), formal patient safety / quality certification (e.g., CPHQ, IHI). Experience in academic teaching and interdisciplinary simulation.
  • Skills : Collaborative leadership with nursing / ancillary teams; data-driven decision-making; excellent communication; ability to lead through influence and manage change. Proficiency with EHRs (EPIC / Cerner), perinatal analytics, and credentialing / privileging processes.

    • Work Conditions

  • On-site leadership presence with rotational evenings / nights / weekends as needed for visibility, mentorship, and incident support.
  • Participation in clinical call (as defined with the Chair) to maintain bedside credibility and understand workflow realities.
  • Physical demands consistent with hospital environment and OR / L&D settings.

    • Professional Expectations

  • Model Just Culture and psychological safety; promote respect and zero tolerance for harassment or bias.
  • Maintain CME / board certification and institutional education requirements (BLS / ACLS / NALS / NRP as applicable).
  • Uphold HIPAA, EMTALA, and institutional compliance policies.
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    Physician • Brooklyn, NY, US