Tele - Maternal Fetal Medicine - Rural Healthcare

Tele-Maternal-Fetal Medicine Specialist

Part-Time | Flexible Schedule | Work from Anywhere | Rural Texas

Position Overview

The Rural Health Hub (RHH) is seeking a Maternal-Fetal Medicine Specialist to provide high-quality consultative care to women with high-risk pregnancies in rural and medically underserved Texas communities.

This flexible, part-time role allows the MFM physician to work remotely while trained clinical staff are physically present with the patient. The physician will evaluate and co-manage a broad range of maternal and fetal conditions, review ultrasound and diagnostic findings, guide the local care team, and help determine when patients can safely continue care close to home versus when referral or delivery at a regional maternal care center is appropriate.

The goal is to bring subspecialty expertise into rural communities earlier in pregnancy, reduce unnecessary travel, identify risk sooner, and help ensure that patients who require higher-acuity care arrive at the appropriate center with the relevant evaluation already completed.

The Rural Health Hub Model

RHH uses a hybrid-telehealth model that combines remote Maternal-Fetal Medicine expertise with local clinical support and diagnostic capabilities.

Local nurses, sonographers, medical assistants, advanced practice providers, or obstetric clinicians may assist with:

• Maternal history and pregnancy risk assessment

• Vital signs and blood pressure monitoring

• Weight and symptom assessment

• Fetal heart rate assessment

• Obstetric examination components when appropriate

• Maternal-fetal ultrasound performed locally by trained personnel

• Coordination of laboratory testing

• Coordination of genetic screening and diagnostic testing

• Review and transfer of outside records

• Medication reconciliation

• Coordination with local OB/GYNs, family physicians, and hospitals

• Referral to regional maternal care centers when higher-acuity services are needed

This model allows MFM specialists to provide meaningful consultation and longitudinal co-management while keeping as much routine and diagnostic care as possible in the patient's local community.

Key Responsibilities

• Conduct initial and follow-up Maternal-Fetal Medicine consultations by telehealth

• Evaluate high-risk pregnancies and maternal medical conditions affecting pregnancy

• Review obstetric ultrasound studies and other diagnostic findings

• Develop individualized maternal and fetal management plans

• Guide local clinicians regarding surveillance, testing, medications, and timing of follow-up

• Recommend appropriate laboratory testing, imaging, and genetic evaluation

• Assist with interpretation of abnormal prenatal screening or diagnostic results

• Co-manage maternal medical conditions during pregnancy

• Help determine the appropriate timing and location of delivery

• Identify patients requiring transfer to higher-acuity obstetric or neonatal care

• Coordinate referrals to regional hospitals and maternal care centers

• Communicate recommendations with local OB/GYNs, family physicians, hospitals, and neonatal teams

• Provide postpartum consultation and follow-up for selected high-risk conditions

• Complete timely documentation and clinical follow-up

Clinical Scope

Patients may include pregnant women with:

• Chronic hypertension

• Gestational hypertension

• Preeclampsia risk or history

• Diabetes in pregnancy

• Gestational diabetes

• Pre-existing type 1 or type 2 diabetes

• Maternal cardiac disease

• Renal disease

• Autoimmune and rheumatologic conditions

• Thyroid disease and other endocrine disorders

• Obesity complicating pregnancy

• Advanced maternal age

• History of preterm birth

• History of fetal growth restriction

• History of stillbirth or recurrent pregnancy loss

• Multiple gestation

• Fetal growth restriction

• Suspected fetal macrosomia

• Abnormal amniotic fluid volume

• Placental abnormalities

• Abnormal prenatal screening

• Suspected fetal anomalies

• Genetic or chromosomal concerns

• Maternal medication exposure

• Maternal infectious disease concerns

• Cervical insufficiency or short cervix

• Complex prior obstetric history

• Pregnancy complicated by significant maternal medical illness

Patients requiring invasive fetal procedures, advanced fetal therapy, inpatient maternal care, or delivery at a higher-level maternal or neonatal center would be referred to the appropriate regional facility.

Local Diagnostic and Ultrasound Model

One of the central advantages of the Rural Health Hub model is the ability to perform much of the high-risk pregnancy evaluation locally.

When appropriate, patients may undergo:

• Detailed obstetric ultrasound

• Fetal growth assessment

• Cervical length evaluation

• Amniotic fluid assessment

• Placental assessment

• Doppler studies

• Biophysical profiling

• Relevant maternal laboratory testing

• Genetic screening and laboratory evaluation

The MFM physician can review the clinical information and available imaging, communicate recommendations to the local care team, and determine what additional evaluation or surveillance is required.

This allows many patients to receive specialty input without traveling several hours simply for consultation.

Regional Referral and Delivery Planning

The MFM specialist plays an important role in determining which patients can safely remain in their local community and which patients need higher-acuity maternal or neonatal care.

The physician may help determine whether:

• The pregnancy can continue to be managed locally with MFM co-management

• Additional testing or surveillance is needed

• More frequent MFM follow-up is appropriate

• Delivery can safely occur at the local hospital

• Delivery should occur at a regional maternal care center

• The patient requires expedited transfer

• Immediate hospital evaluation is necessary

When referral is needed, the goal is to send the patient to the regional center with the relevant maternal and fetal work-up already completed whenever possible.

This provides the receiving team with a clearer clinical picture and helps reduce fragmented or duplicative care.

Longitudinal Co-Management

RHH's Maternal-Fetal Medicine model is designed around ongoing collaboration rather than a single remote consultation.

The MFM specialist can work alongside the patient's local obstetric clinician throughout pregnancy to:

• Review interval ultrasound findings

• Monitor maternal disease

• Guide medication management

• Recommend fetal surveillance

• Adjust the care plan as pregnancy progresses

• Advise on timing and mode of delivery

• Determine when referral or transfer becomes necessary

• Support postpartum follow-up for selected maternal conditions

The local physician remains closely involved while gaining access to subspecialty expertise throughout the pregnancy.

Ideal Candidate

This position is well suited for an experienced Maternal-Fetal Medicine physician who enjoys high-risk pregnancy management, diagnostic decision-making, ultrasound interpretation, and collaboration with community obstetric clinicians.

The ideal physician may be:

• Seeking a flexible part-time telehealth role

• Interested in complementing an existing clinical or academic practice

• Experienced in high-risk obstetric consultation and co-management

• Comfortable collaborating with rural OB/GYNs, family physicians, and hospitals

• Interested in improving maternal outcomes by identifying risk earlier

• Passionate about reducing geographic barriers to high-risk pregnancy care

• Interested in using telemedicine and local diagnostic capabilities to extend MFM expertise into underserved communities

• An experienced physician seeking to continue meaningful patient care with greater schedule flexibility

Strong clinical judgment and the ability to determine when local care is appropriate versus when escalation is required are particularly valuable in this role.

Qualifications

• MD or DO degree

• Board certified or board eligible in Maternal-Fetal Medicine

• Active Texas medical license or eligibility to obtain one

• Strong high-risk obstetric diagnostic and management skills

• Experience with obstetric ultrasound and prenatal diagnosis

• Ability to practice effectively through telehealth

• Strong communication skills with patients and families

• Strong collaboration skills with obstetricians, family physicians, hospitals, and neonatal teams

• Commitment to rural and underserved populations

Experience in telemedicine, rural healthcare, prenatal diagnosis, maternal medical complications, fetal growth disorders, or high-risk obstetric co-management is welcomed but not required.

Schedule and Work Arrangement

• Part-time, flexible telehealth schedule

• Recurring weekly clinic blocks available

• Work remotely with no relocation required

• Local clinical personnel present with patients

• Local ultrasound and diagnostic services coordinated when available

• Scheduling, technology, and care-coordination support provided

• Opportunity to expand hours as the network grows

Why Join Rural Health Hub?

• Bring Maternal-Fetal Medicine expertise to communities with limited specialist access

• Help identify high-risk pregnancies earlier

• Allow appropriate patients to receive more of their care close to home

• Reduce unnecessary long-distance travel during pregnancy

• Help rural clinicians confidently manage complex pregnancies

• Improve coordination between rural hospitals and regional maternal care centers

• Use local ultrasound and diagnostic resources to extend specialty care

• Help determine which patients can remain local and which require higher-acuity care

• Work remotely while maintaining meaningful longitudinal patient relationships

• Complement an existing practice or academic appointment

• Help build sustainable high-risk maternal care across rural Texas

About Rural Health Hub

Rural Health Hub connects rural healthcare organizations with specialty clinicians, clinical technology, and operational support through a hybrid-telehealth model designed to bring high-quality specialty care closer to home.

Rural Health Hub — Expanding Access. Elevating Care.Physician Information