Lead RN Case Manager - Intensive Case Management, Hybrid/Remote

University of California - Los Angeles Health; Los Angeles (CA); Remote; USD 151,000 - 199,000; Full time

Job summary

The ICM Nurse Lead at University of California - Los Angeles Health serves as a senior nurse case manager and clinical leader within the Intensive Case Management program. You will provide day-to-day clinical guidance, case consultation, care coordination oversight, and support for complex and high‑risk patients.

You will bridge ICM leadership with Nurse Case Managers, Social Workers, physicians, and inpatient teams, promoting consistency in ICM standards, evidence-based practices, and

Qualifications

• Bachelor's degree in Nursing required.
• 5+ years professional nursing experience.
• 3+ years complex case management, care management, utilization management, population health, or related experience.
• 3+ years demonstrated experience caring for medically complex/high-risk populations.
• 3+ years experience with interdisciplinary care coordination.
• 3+ years experience with hospital discharge planning and/or transitions of care.
• 3+ years experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.
• 3+ years ability to manage multiple patient related tasks.

Responsibilities

• Provide day-to-day clinical guidance and case consultation.
• Oversee care coordination oversight and transitions of care.
• Support interdisciplinary collaboration, documentation standards, and transition-of-care processes.
• Drive operational excellence through process improvement, data-informed decision-making, and staff development.
• Facilitate timely access to care and reduce barriers across the continuum.

Skills

Clinical leadership

Care coordination

Interdisciplinary collaboration

Discharge planning

Education

Bachelor's degree in Nursing

Job description

Description

The ICM Nurse Lead serves as a seniornurse case managerclinical leader within the Intensive Case Management program and is responsible for providing day-to-day clinical guidance, case consultation, care coordination oversight, workflow support, and clinical escalation management for complex and high-risk patients.

The ICM Nurse Lead supports the delivery of a high-touch, longitudinal, interdisciplinary case management model designed to improve patient outcomes, reduce avoidable emergency department visits and hospitalizations, facilitate safe transitions of care, address social determinants of health, and improve coordination across the healthcare continuum.

The Nurse Lead serves as a critical bridge between ICM leadership, Nurse Case Managers, Social Workers, Patient Navigators/Care Coordinators, physicians, specialists, inpatient teams, SNFs, home health, behavioral health, and other community partners.

The position promotes consistent application of ICM standards, evidence-based clinical practices, acuity stratification, outreach expectations, documentation standards, interdisciplinary collaboration, and transition-of-care processes.

The position plays a critical role in facilitating timely access to care, reducing barriers across the continuum, and supporting effective care transitions through close collaboration with interdisciplinary teams, including Nursing, Social Work, and Utilization Management. This role drives operational excellence through process improvement, data-informed decision-making, and staff development, contributing to improved patient engagement, quality outcomes, and overall program performance.

Salary Range: $150,858 - $198, 986 annual

Qualifications

Required:

• Bachelor's degree in Nursing
• 5+ Years Professional nursing experience
• 3+ Years C omplex case management, care management, utilization management, population health, or related experience
• 3+ Years Demonstrated experience caring for medically complex/high-risk populations
• 3+ Years Experience with interdisciplinary care coordination
• 3+ Years Experience with hospital discharge planning and/or transitions of care.
• 3+ Years Experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.
• 3+ Years Ability to manage multiple patient related tasks.

Preferred:

• CCM - Certified Case Manager