Lead RN Case Manager – Intensive Case Management

UCLA Health

. Provide day-to-day clinical guidance, case consultation, care coordination oversight, workflow support, and clinical escalation management for complex and high-risk patients .

Posted 9/29/2026full-timeLos Angeles • California • United StatesSenior💰 $150,858 - $198,986 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical guidance, case management, and care coordination for complex and high-risk patients, with a focus on improving patient outcomes and facilitating transitions of care. Proficient in interdisciplinary collaboration and operational excellence within healthcare settings.

Highest-signal resume keywords

Bachelor's Degree In Nursing5+ Years Professional Nursing Experience3+ Years Complex Case Management3+ Years Interdisciplinary Care CoordinationCCM - Certified Case Manager

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical GuidanceCare CoordinationWorkflow SupportData-Informed Decision-MakingPatient EngagementQuality OutcomesTransitions Of CareHospital Discharge PlanningProcess ImprovementAcuity Stratification

Soft Skills

Interdisciplinary CollaborationCommunicationProblem-SolvingLeadershipPatient Advocacy

Certifications & Qualifications

CCM - Certified Case Manager

Industry Keywords

Managed Care OrganizationHealth Plan AdministrationPopulation HealthUtilization ManagementSocial Determinants Of Health

About the role

Key responsibilities & impact

Provide day-to-day clinical guidance, case consultation, care coordination oversight, workflow support, and clinical escalation management for complex and high-risk patients
Support a high-touch, longitudinal, interdisciplinary case management model
Improve patient outcomes and reduce avoidable emergency department visits and hospitalizations
Facilitate safe transitions of care and address social determinants of health
Improve coordination across the healthcare continuum
Serve as a bridge between ICM leadership, Nurse Case Managers, Social Workers, Patient Navigators/Care Coordinators, physicians, specialists, inpatient teams, SNFs, home health, behavioral health, and community partners
Promote consistent application of ICM standards, evidence-based clinical practices, acuity stratification, outreach expectations, documentation standards, interdisciplinary collaboration, and transition-of-care processes
Facilitate timely access to care and reduce barriers across the continuum
Drive operational excellence through process improvement, data-informed decision-making, and staff development
Contribute to improved patient engagement, quality outcomes, and overall program performance

Requirements

What you’ll need

Bachelor's degree in Nursing
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
Preferred: CCM - Certified Case Manager