Care Manager

LTCG; Minnesota; Hybrid; USD 54,000 - 66,000; Full time

Job summary

LTCG is seeking a qualified professional in a full-time role based in the United States. The position focuses on gathering and reviewing requirements to determine initial and ongoing claimant and provider eligibility within long-term care insurance services.

The successful candidate will assess eligibility, verify licenses, and communicate clearly while supporting care plan modifications and ongoing care management. The role emphasizes compliance and timely processing.

Qualifications

• RN Nursing or Social Work license required.
• 3 years of work experience with older adult population.
• Intermediate level experience with Microsoft Office products.
• Must comply with corporate policies and mandatory compliance training.

Responsibilities

• Assess claimant eligibility by reviewing medical records and conducting phone assessments with claimant or representative.
• Determine provider eligibility by reviewing credentials, state regulations, and provider interactions.
• Communicate all aspects of the claim benefit determination process verbally and in writing.
• Assist claimants with modifications to care plans and provider changes.
• Monitor reports to ensure timely and appropriate claim handling.
• Attend case conferences to present claims recommendations.
• Meet quality and production metrics established by the department.
• Review Care Coordinator decisions on tax-qualified policies.
• Perform other duties as assigned.

Skills

Verbal and written communication

Care management

Insurance contract interpretation

LTC care management

Education

RN Nursing or Social Work license

Tools

Microsoft Office

Job description

Open Full-time 60,000 USD per year as stated in the posting Remote

Open — LTCG has a posting for this job. Posted 16 Oct 2026.

This posting

Posted 16 Oct 2026 · Full-time · 60,000 USD per year as stated in the posting

About this job

Description

The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative.

WE ARE THE KIND OF EMPLOYER YOU DESERVE.

LTCG is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases.

This position is responsible for gathering and reviewing requirements for the purpose of determining initial and ongoing claimant and provider eligibility.

RESPONSIBILITIES

• 1. Assess claimant eligibility by reviewing medical records from all current providers and conducting phone assessments with the claimant or legal representative. In the event of noted inconsistencies in the claimant eligibility, coordinate a benefit eligibility assessment in order to make a final determination.
• 2. In conjunction with plan language upon initial assessment and ongoing recertification, determine legitimacy and eligibility of service providers by requesting and reviewing provider licensing credentials, state-specific regulations, internet searches and phone assessments with the servicing provider.
• 3. Effectively communicate, verbal and written, all aspects of the claim benefit determination process.
• 4. Assist claimants with modifications to their current care plan, including changes in care needs as well as changes in provider.
• 5. Monitor daily, weekly and monthly reports to ensure claims are handled timely and appropriately.
• 6. Attend case conferences, internally and with the client, to present claims recommendations.
• 7. Meet quality and production metrics as established and communicated by the department.
• 8. Reviews Care Coordinator decision recommendations on tax qualified policies.
• 9. Other duties as assigned.

Qualifications

Minimum Qualifications

• * RN Nursing or Social Work license.
• * 3 years work experience with older adult population.
• * Intermediate level experience with Microsoft Office products.
• * Required to uphold the principles of compliance as outlined in the Code of Conduct, Employee Handbook and related policies and procedures. Supports and participates in the mandatory Corporate Compliance Program training initiative on an annual or more frequent basis, as required.

Preferred Qualifications

• * Care planning experience preferred.
• * Experience with insurance contract interpretation preferred.
• * Excellent verbal and written communication skills.
• * Lead Level: minimum of one year experience with Long Term Care Insurance Care Management

The annual compensation target is at $60,000 depending on experience and qualifications