Case Manager II, LVN (Bilingual Spanish, Vietnamese, Korean or Chinese)

This position operates on a hybrid work schedule. This position will require 3 days onsite at the Huntington Beach office.

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us? 🏆

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The Case Manager II – LVN provides advanced care coordination, member outreach, and monitoring support for a defined caseload under the supervision of a Registered Nurse (RN). Building upon foundational case management responsibilities, this role contributes to care plan execution, quality improvement initiatives, and interdisciplinary collaboration. The Case Manager II plays a key role in supporting program effectiveness, ensuring compliance with documentation standards, and identifying opportunities to improve member outcomes and operational workflows.

Functions & Job Responsibilities

All responsibilities of Case Manager I, plus:

• Conduct routine follow-ups and symptom monitoring.
• Support interdisciplinary case conferences by preparing case summaries and contributing relevant updates
• Maintain and update care plan documentation in alignment with RN direction and established guidelines
• Assist with data collection for trends impacting quality, utilization, and member outcomes.
• Participates in quality improvement and performance initiatives.
• Support the development, refinement, and standardization of care management workflows and processes
• Monitors adherence to assigned program timelines and documentation standards.
• Identify operational improvement opportunities and escalate system or workflow gaps to leadership
• Serve as a resource to Case Manager I staff as appropriate
• Additional duties, as assigned.