Lead RN Case Manager - Intensive Case Management, Hybrid/Remote

ICM Nurse Lead

Work Location: Los Angeles, CA, USA

Work Schedule Monday-Friday, 8AM-5PM

Salary Range: $150,858 - $198,986 annual

Employment Type 2 - Staff: Career Duration Indefinite

Job # 33185

Primary Duties and Responsibilities

The ICM Nurse Lead serves as a senior nurse case manager clinical leader within the Intensive Case Management program and is responsible for providing day-to-day clinical guidance, case consultation, care coordination oversight, workflow support, and clinical escalation management for complex and high-risk patients.

The ICM Nurse Lead supports the delivery of a high-touch, longitudinal, interdisciplinary case management model designed to improve patient outcomes, reduce avoidable emergency department visits and hospitalizations, facilitate safe transitions of care, address social determinants of health, and improve coordination across the healthcare continuum.

The Nurse Lead serves as a critical bridge between ICM leadership, Nurse Case Managers, Social Workers, Patient Navigators/Care Coordinators, physicians, specialists, inpatient teams, SNFs, home health, behavioral health, and other community partners.

The position promotes consistent application of ICM standards, evidence-based clinical practices, acuity stratification, outreach expectations, documentation standards, interdisciplinary collaboration, and transition-of-care processes.

The position plays a critical role in facilitating timely access to care, reducing barriers across the continuum, and supporting effective care transitions through close collaboration with interdisciplinary teams, including Nursing, Social Work, and Utilization Management. This role drives operational excellence through process improvement, data-informed decision-making, and staff development, contributing to improved patient engagement, quality outcomes, and overall program performance.

Job Qualifications

Required:

• 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