The elderly long-term care insurance in Korea will be enacted in 2008. It is expected to extend both institutional and home care benefits which are currently limited to public assistance to poor individuals. Since it is a government-led public insurance, older individuals in functional limitations will benefit regardless of their socioeconomic status. The reasons for introducing the long-term care insurance are the rapidly growing older population, higher usage of health insurance among elders, lack of caregiving family members due to low-fertility rates, elder abuse reports, higher levels of female labor participation, and expensive nursing home admission rates for both low and middle income families. The role of care management will be in great importance since the longterm care system is an integration of medicine, public health, and social welfare. Thus, the concept, emergence and communication skills for care managers are discussed in this paper. This paper also points the importance of developing a fully adopted Korean version of assessment tool.