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Clinical Manager Care Coordinator - Metairie, LA

UnitedHealth Group
401(k)
United States, Louisiana, Metairie
Jan 08, 2026
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Clinical Manager of Care Coordination oversees daily operations for both Special Needs Plan (SNP) and Non-SNP care coordination teams. This role ensures effective planning, assessment, care planning, and follow-up for all member populations. The manager supports compliance with clinical policies, regulatory requirements, and provides staff training and development. Additionally, the manager supports the Director of Clinical and Systems Operations by contributing to strategic initiatives, systems integration, and data-driven decision-making to enhance care coordination and operational efficiency Provides leadership and oversight of staff engaged in care coordination and case management for both SNP and Non-SNP members. Ensures adherence to the Model of Care, CMS regulations, and internal policies. Collaborates with the Director to align clinical operations with strategic goals and systems improvements. Manages RN Care Coordinators to ensure quality, compliance, and member-centered care delivery. *If you reside within a commutable distance of Metairie, LA , you'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Improve health care quality and increase the likelihood of desired health outcomes Facilitates communication and coordination between all members of the health care team Provides clinical guidance in matters of assessment, care planning, documentation, provision of services, and care coordination Participates in evaluations of the quality and effectiveness of assessment and care planning for population based on risk status Monitors and analyzes HEDIS and Star measures Audit staff documentation and care planning for quality and compliance Support wellness and health promotion initiatives Prevention and utilization Monitors performance on identifying and coordinating benefit options for the member and/or care giver to overcome potential barriers to prevent hospitalization and/or readmission Monitors performance against assigned member's gaps in HEDIS and Star measures through weekly report analysis Provide and support wellness and health promotion activities Collaborates and facilitates with members of internal/external interdisciplinary care teams and medical director(s) to facilitate appropriate treatment for members Promotes utilization of evidence-based guidelines in daily practice Provides leadership, assists with ongoing evaluation of programs and staff compliance Completes documentation of staff performance of assigned staff Provides continuing education and coaching to staff Support health information technology (HIT) in health care quality improvement Works in coordination company-based security health information systems technology to ensure appropriate documentation of the member's care coordination and record Participates in ongoing training to ensure the records are accurate and secure Follows corporate instruction based on Federal and State guidance related to health information documentation and security Support the Director in systems integration projects and workflow improvements Assist in maintaining training manuals and documentation for clinical systems Strategic & Operational Support Provides input to the Director on clinical trends, gaps, and improvement opportunities Increases and maintains personal proficiency and use of systems, reports, metrics, etc. as a managerial responsibility Assists in analyzing clinical data and operational metrics Collaborates with IT, Claims, and other departments to support workflow enhancements Champion of change and promotes a culture of acceptance and positivity with process and program changes Participates in cross-functional initiatives to enhance care delivery and system design Takes an active interest and ownership of projects assigned by the Clinical Director Collaborates with leadership and is an active participant in program process change/updates and implementation Uses effective Critical thinking skills by evaluating information against current processes, policies, and procedures in order to utilize the most beneficial actions for the member and organization Cultivate team engagement and create high performing teams to advance our mission and serve our customers and patients Implement solid team routines including 1:1 s and team meetings to provide direction and clarify priorities Provides feedback to the Director on team status including but not limited to barriers, success, and identified staffing issues Keeps the Director in the know of all side projects and routinely reports updates on projects assigned as well as projects, the employee is an active participant in from areas across the organization Management Responsibilities: Monitors both department and individual staff performance, providing ongoing feedback Maintains appropriate staffing levels required to meet departmental goals Interviews candidates and makes hiring decisions as needed Identifies opportunities for staff development and coordinates training as needed Ensures staff members meet all required licensing, compliance and Compliance Wire requirements Completes timely and thorough evaluations of staff Functions as a mentor to staff regarding career goals within Peoples Health Proactively manages employee relations issues, utilizing a progressive corrective action plan including appropriate documentation Serves as a resource to other managers regarding issues that impact their departments Develops, manages and works within department budget Ensures compliance by maintaining knowledge of industry trends and legislation related to department Ensures timely review and updating of departmental policies, procedures, training manuals and job descriptions as needed Supervisory Responsibilities: Manages the daily work flow and operations of department including ensuring appropriate coverage Handles escalated operational issues as needed and knows when to involve management Assists Clinical Director of Non-SNP Care Coordination in identifying appropriate staffing levels required to meet departmental goals Identifies opportunities for staff development and works with management to coordinate/provide training as needed Assists with development and maintenance of department training manuals Plays an active role in staff training/development initiatives Provides input to management regarding employees' strengths and necessary improvement Serves as a resource to staff and Clinical Director of Non-SNP Care Coordination regarding issues that impact their department Reports to the Clinical Director of Non-SNP Care Coordination and has the management responsibilities of the staff to include: Care Coordinator - Registered Nurse Administrative Assistant/Clerical Support Other staff as assigned Peoples Health Competencies: Every employee is expected to meet Peoples Health minimum requirements: Commitment: to our Members: We have the power to change our members' lives by placing them at the center of everything we do daily Action: By working together and delivering quality service, we enhance the lives of our members through dedication and teamwork Responsibility: To continue to strive to be the best for our members by adapting and evolving to change, continuing professional development, and to never stop learning Excellence: By exceeding expectations and finding innovative ways to exceed standards, we are changing our members' lives Management Core Competencies: Leadership - inspires and motivates others to perform well; leads by example Negotiation and Influential Ability - influences decisions in matters related to department to ensure corporate and departmental needs are satisfied Management skills - includes staff in planning, decision-making, facilitating and process improvement; makes oneself available to staff, provides regular feedback, and develops staff's skills - encouraging growth Analytical/problem solving skills - identifies and resolves problems in a timely manner and gathers and analyzes information skillfully Judgment - displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions Planning/organizational skills - prioritizes and plans work activities, uses time efficiently and develops realistic action plans Oral/written communication skills - speaks and writes clearly and persuasively in positive or negative situations. Demonstrates group presentation skills when conducting meetings, leading a team or working with peers Additional Competencies: Professionalism Prompt and dependable Sound clinical judgement, assessment, planning and care coordination skills Expert skills in assessing clinical data and drawing conclusions Ability to comprehend and adhere to policies and procedures Expert skills in assessing clinical data and drawing conclusions Ability to comprehend and adhere to policies and procedures Expert skills in interviewing, assessing, and communicating effectively with members who have varying levels of education Positive attitude related to change and the ability to easily adapt Display a high level of integrity and respect for confidentiality and adhere to regulatory and PH policies and procedures Solid interpersonal, planning, organizational, communication, and decision-making skills Ability to collaborate effectively with others in planning, problem solving, and completing work assignments Exceptional attention to detail Ability to meet deadlines under pressure Ability to effectively direct staff, manage conflict, and resolve issues Manages time appropriately, efficiently, and effectively Ability to read, comprehend, and apply information written at a college level Appreciation for diversity of work styles Effective listener Ability to effectively interact with multifaceted medical professional staff 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: RN Diploma or Degree is required in LA 3+ years of experience in clinical or similar setting Experience with clinical documentation systems Experience in assessing members and developing care plans Proficient with MS Office (Excel, MS Word and PowerPoint) Reside within a commutable distance of Metairie, LA Preferred Qualifications:** Bachelors Degree in Nursing Multi-state/compact license 1+ years supervisory experience Experienced in management care industry Familiarity with NCQA structure and process measures and CMS Medicare managed care regulations Understanding of HMO and third-party administration Continuing education in the healthcare/managed care industry Solid organizational skills, attention to detail, verbal and written communication skills All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline:* This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.