Utilization Management Assistant Director – RN

Veterans in Healthcare; Los Angeles (CA); On-site; USD 116,300 - 264,600; Full time

Job summary

UCLA Health in Los Angeles, CA seeks a Utilization Management Assistant Director – RN to lead ICM and UM programs for high‑risk populations. You will supervise a multidisciplinary team, drive care coordination, and ensure regulatory compliance across care settings.

The role emphasizes transitions of care, readmission prevention, and value‑based care, collaborating with physicians and hospital leadership to deliver patient‑centered outcomes.

Job description

Utilization Management Assistant Director – RN

Work Location: Los Angeles, CA

Salary Range: $116,300 – $264,600 annually

Posting Date: May 29, 2026

Join a world‑class healthcare organization and play a key leadership role in delivering high‑quality, patient‑centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee Intensive Case Management (ICM) and Utilization Management (UM) operations focused on high‑risk and complex patient populations.

In this leadership role, you will supervise a multidisciplinary team supporting patients across the continuum of care while driving operational excellence, regulatory compliance, and improved patient outcomes. This is an exciting opportunity for a collaborative healthcare leader passionate about care coordination, utilization management, and value‑based care.

Key Responsibilities

• Provide day‑to‑day leadership and oversight of Intensive Case Management (ICM) and Utilization Management (UM) programs
• Supervise and mentor a multidisciplinary team including Registered Nurses, Social Workers, and care coordination staff
• Oversee care coordination activities for high‑risk, high‑utilizer, oncology, Medicare Advantage, and specialty patient populations
• Lead transitions of care, discharge planning, readmission prevention, and emergency department tracking initiatives
• Ensure compliance with CMS, NCQA, and organizational policies related to utilization management and case management
• Monitor operational and clinical performance metrics including readmission rates, ED utilization, and length of stay
• Conduct staff coaching, onboarding, training, and performance evaluations
• Collaborate with physicians, hospital leadership, post‑acute providers, and community agencies to ensure seamless patient care transitions
• Support utilization review activities for hospital, rehabilitation, skilled nursing, and home health settings
• Partner with revenue cycle and appeals teams to support denial prevention and medical necessity documentation
• Drive process improvement initiatives focused on quality outcomes, patient experience, and cost‑effective care delivery
• Promote patient‑centered, culturally competent, and holistic care across all care settings