RN Lead Quality Improvement: Kelsey-Seybold Clinic - Towne Lake

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

The RN Quality Improvement Lead advances high quality, patient centered care through proactive care coordination, rigorous oversight of quality initiatives, and targeted outreach to high risk and medically complex patients. This role is responsible for identifying and closing care gaps, managing transitions of care, monitoring emergency department utilization, coordinating timely follow up services, and providing education to support effective chronic disease management. Working collaboratively with providers, clinic leadership, and interdisciplinary teams, the RN Quality Improvement Lead promotes efficient clinic operations, drives communication across care settings, and supports a culture of excellence and continuous improvement. The role requires strong clinical judgment, adherence to HIPAA and organizational policies, and a consistent demonstration of professionalism, reliability, and a patient focused approach within a fast paced clinic environment.

Primary Responsibilities: 

• Patient Care 
  • Assists in care coordination of patients by identifying and closing care gaps, coordinating preventive services with providers, and providing education on management of chronic conditions. 
  • Monitors emergency department visits and coordinates follow-up to ensure seamless transition to outpatient care. 
  • Conducts targeted outreach for high-risk or complex patients to improve adherence to care plan and reduce avoidable hospitalization. 
• Operations 
  • Collaborates with the department supervisor on staff scheduling, assignments, and daily workflow management to ensure efficient clinic operations. 
  • Liaison between the remote nurse triage team and on-site providers to align dispositions, coordinate appointments, and close communication loops.
• Quality Improvement & Compliance 
  • Monitoring infection control and safety practices within the clinic, such as hand hygiene, completion of logs, and ensuring compliance with Practice Health & Safety Standards. 
• Patient Rights and Responsibilities 
  • Delivers service excellence with a calm, empathetic, and professional demeanor; practices active listening, de-escalation, and clear communication in all patient and team interactions.
• Human Resources/Professionalism 
  • Maintains current state RN licensure and BLS certification.
  • Practices within the scope of licensure and organizational policies, seeking clarification when needed.
  • Demonstrates effective teamwork, communication, and collaboration with peers and providers
  • Attends and actively participates in staff meetings, trainings, and in-services as required
  • Engages in ongoing professional development 
  • Follows organizational policies for attendance, dress code, professional conduct, and timekeeping, including obtaining supervisor approval for overtime
  • Promotes a positive, patient-centered environment that supports excellence and high patient satisfaction 
  • Demonstrates Kelsey Seybold Clinics Mission, Vision, and Value
• Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

• Associates of Applied Science in Nursing    
• Texas RN, BLS
• 4+ years in any combination of provider relations, network management, care management, clinical operations  
• 3+ years in direct patient care
• Knowledge of compliance regulations and nursing standards. 
• Working understanding of: Medicare Advantage, HEDIS, Star ratings, risk adjustments
• Proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)

Preferred Qualifications: 

• BSN with at least 3 years of experience 
• 5+ years in direct patient care
• Experience in value based care, population health management, or quality improvement initiatives
• Solid customer service orientation, Demonstrated professionalism, ability to collaborate across multidisciplinary teams

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $35.00 to $63.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.