Remote Care Manager – Long-Term Care Insurance

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

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.