Utilization Management Assistant Director – RN

Work Location
Los Angeles,CA

Job #30668

Work Hours
Monday – Friday, 8:00am – 5:00pm PST; schedule may vary including weekends and holidays

Employment Type
2 – Staff- Career

Duration
indefinite

Salary Range
$116300-264600 Annually

Posted Date
May 29, 2026

Bargaining Unit
99

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Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.

JOB DUTIES
JOB QUALIFICATIONS

Description

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

Salary Range: $116,300 – $264,600/Annually

MONICA

I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.

SOZIT

The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.