RN Utilization Management Director

UCLA Health; Los Angeles (CA); On-site; USD 116,300 - 264,600; Full time

Job summary

UCLA Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This role involves supervising a multidisciplinary team, ensuring compliance with healthcare guidelines, and improving patient care transitions.

The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years of experience in clinical and leadership roles. The position offers a competitive salary range of $116,300 to $264,600 annually.

Qualifications

• Current unrestricted RN licensure in California required.
• Bachelor of Science in Nursing (BSN) degree required.
• 5-7 years of clinical experience, with at least 3 years in case management.
• 3-5 years in a leadership or supervisory role.

Responsibilities

• Lead day-to-day oversight of Intensive Case Management and Utilization Management programs.
• Supervise and mentor a team of healthcare professionals.
• Ensure compliance with CMS and NCQA guidelines.
• Monitor clinical performance metrics.

Skills

RN licensure in CA

Clinical experience

Communication skills

Organizational skills

Knowledge of CMS guidelines

Leadership experience

Proficient in Microsoft Office

Education

Bachelor of Science in Nursing (BSN)

Tools

Microsoft Excel

Microsoft Word

Microsoft Visio

Job description

UCLA Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This role involves supervising a multidisciplinary team, ensuring compliance with healthcare guidelines, and improving patient care transitions.

The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years of experience in clinical and leadership roles. The position offers a competitive salary range of $116,300 to $264,600 annually.