Senior RN Case Manager: High-Risk Care Coordination

UCLA Health; Los Angeles (CA); Remote; USD 144,000 - 186,000; Full time

Job summary

UCLA Health is seeking an ICM Nurse Case Manager to coordinate complex care for high-risk Medicare Advantage cancer patients, aiming to reduce hospital admissions, ED visits, and readmissions through proactive nurse-led interventions and seamless care coordination across specialists, resources, and health plans.

Under the direction of the Assistant Director, you will identify patient needs, advocate for services, and connect care across settings to improve quality and cost-effectiveness while

Qualifications

• BSN or MSN degree required and active CA RN license.
• Minimum 2 years' experience in utilization management or inpatient case management.
• Strong problem-solving and decision-making abilities.
• Excellent organizational, time management, and prioritization skills.
• Proficient in Windows and clinical information systems.

Responsibilities

• Coordinate care for high-risk Medicare Advantage cancer patients; lead nurse-led interventions and rapid escalation as needed.
• Collaborate with Faculty Practice Group, community resources, providers, and health plans to align services.

Skills

Problem Solving

Time Management

Communication Skills

Computer Skills

Flexibility

Education

BSN or MSN Degree

Active CA RN License

Job description

UCLA Health is seeking an ICM Nurse Case Manager to coordinate complex care for high-risk Medicare Advantage cancer patients, aiming to reduce hospital admissions, ED visits, and readmissions through proactive nurse-led interventions and seamless care coordination across specialists, resources, and health plans.

Under the direction of the Assistant Director, you will identify patient needs, advocate for services, and connect care across settings to improve quality and cost-effectiveness while