Nurse Practitioner/Physician Assistant needed in MFM/High-Risk Obstetrical Practice

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Mountain Perinatal Medical Group is a private Maternal-Fetal Medicine practice providing high-quality obstetrical ultrasound and "high-risk pregnancy" consultative services in Ventura and Bakersfield.

We are seeking a compassionate Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our Bakersfield team on a part-time or full-time basis. At least two years of obstetric clinical experience is required, and Maternal-Fetal Medicine or high-risk obstetric experience is strongly preferred.

Our Values

• Excellence in clinical quality and patient care
• Integrity in every aspect of our work
• Adaptability within a growing and evolving practice
• Compassion toward patients, families, and coworkers
• Service through responsive communication, collaboration, and teamwork

Position Summary

The Maternal-Fetal Medicine Nurse Practitioner or Physician Assistant provides outpatient care and care coordination for patients with high-risk pregnancies. Working collaboratively with MFM physicians, the Advanced Practice Provider manages protocol-based maternal conditions, conducts stable follow-up and co-management visits, provides patient education, coordinates multidisciplinary referrals, and supports efficient clinical and ultrasound workflows.

Patient encounters may be conducted in person, by telephone, or through scheduled telehealth visits. The NP/PA practices within their licensure, clinical competency, applicable practice agreement or standardized procedures, organizational policies, and payer requirements. Complex, unstable, or time-sensitive maternal or fetal concerns are promptly escalated to the MFM physician or referred for appropriate in-person or emergency evaluation.

Qualifications

• Active, unrestricted California licensure as a Nurse Practitioner or Physician Assistant
• Current national certification appropriate to the practitioner’s role and patient population
• Prescriptive or furnishing authority, as applicable
• Current Basic Life Support certification
• At least two years of obstetric-specific clinical experience required
• Maternal-Fetal Medicine or high-risk obstetric experience strongly preferred
• Experience managing diabetes and hypertension in pregnancy preferred
• Strong clinical judgment, communication skills, teamwork, and bedside manner
• Ability to provide compassionate care during medically or emotionally complex pregnancies
• Comfort providing in-person, telephone, and secure video-based care
• Willingness to develop advanced MFM and obstetric ultrasound skills
• Familiarity with electronic health records, patient portals, and clinical tracking systems

Responsibilities Include, but Are Not Limited to:

Diabetes Management

• Conduct initial gestational-diabetes education and counseling.
• Provide ongoing nutritional and lifestyle counseling.
• Review blood-glucose logs and continuous glucose-monitoring data.
• Initiate and adjust medications in accordance with approved protocols.
• Counsel patients regarding glucose targets, medication administration, and hypoglycemia precautions.
• Ensure recommended growth surveillance, antepartum testing, and delivery planning are completed according to MFM recommendations.
• Document glucose review, medication changes, patient communication, and follow-up plans.

Hypertension and Maternal Medical Conditions

• Review home blood-pressure logs and assess reported symptoms.
• Initiate or adjust antihypertensive medications when appropriate.
• Counsel patients regarding blood-pressure parameters and warning signs requiring urgent evaluation.
• Coordinate indicated laboratory testing and follow-up.
• Track serial antibody titers for pregnancies complicated by alloimmunization.
• Assist with protocol-based management of stable maternal medical conditions.
• Ensure fetal surveillance and delivery planning are completed according to MFM recommendations.
• Escalate severe blood pressures, concerning symptoms, abnormal results, or changes in maternal or fetal status.

MFM Follow-Up and Co-Management

• Conduct stable return-consultation and co-management visits.
• Obtain and document interval medical and obstetric histories.
• Perform focused physical examinations.
• Review laboratory findings and finalized imaging results.
• Reinforce the MFM assessment and management plan.
• Provide patient education and answer questions regarding the established plan of care.
• Enter appropriate orders, prescriptions, referrals, and follow-up appointments.
• Complete timely clinical documentation and billing when appropriate.
• Escalate new, complex, or plan-changing concerns to the MFM physician.

Prenatal Screening and Patient Communication

• Provide pre-NT NIPT and carrier-screening counseling and ordering for appropriate patients.
• Review positive carrier-screening results and arrange partner testing when indicated.
• Maintain a tracking list for patients requiring partner screening, genetic counseling, or additional follow-up.
• Provide routine pregnancy and medication guidance, including treatment of nausea, vomiting, and reflux.
• Conduct basic telephone and telehealth triage.
• Arrange in-person evaluation when symptoms cannot be safely assessed remotely.
• Document patient communications, recommendations, and follow-up actions.
• Oversee the outgoing referral list and ensure referrals are completed.

Care Coordination

• Maintain and update the high-risk patient list for obstetric teams.
• Track significant maternal conditions, fetal diagnoses, outstanding consultations, and recommended surveillance.
• Coordinate referrals to cardiology, endocrinology, nephrology, genetics, anesthesia, NICU, pediatric specialists, and delivery hospitals.
• Confirm that consultation reports and relevant records are received.
• Ensure MFM recommendations are communicated to referring clinicians.
• Identify and escalate delays or barriers affecting high-risk pregnancy care.

Ultrasound-Day Support

• Obtain the relevant clinical and obstetric history before ultrasound examinations.
• Reconcile pregnancy dating, complications, medications, and prior imaging.
• Counsel patients after the MFM physician has interpreted the ultrasound.
• Enter orders and coordinate recommended imaging, testing, consultations, and follow-up.
• Prepare consultation documentation and ensure recommendations reach the referring clinician.
• Address associated maternal conditions through a separately supported E/M service when clinically appropriate.
• Perform limited ultrasound examinations, such as biophysical profiles and early-pregnancy scans, as needed and after completion of appropriate training and competency validation.
• Promptly present concerning clinical or ultrasound findings to the MFM physician.

Pay: $125,000.00 - $170,000.00 per year

Benefits:

• 401(k) matching
• Paid time off

Work Location: In person