How to become a Care Manager
Assesses the situation of people who need care and plans services so they receive care that meets their needs.
Main tasks
- Talking with older people and their families to understand their living and health problems and where they need support
- Carrying out care needs assessments for the local council, checking and recording an older person's situation item by item against set standards
- Writing care plans based on talks and interviews with the client
- Introducing clients and families to local community services and helping them access them
- Gathering information on local medical and welfare services and passing it on to clients
- Arranging services and contacting other agencies after talking with older people and their families
- Visiting clients' homes regularly to check how services are being delivered, how well they work and how satisfied clients are, changing or adding services as needed and keeping records
- Holding meetings of service providers, asking each provider for its views and building them into the care plan
- Responding to questions and complaints from clients and families
- Providing intensive early support for people with dementia
- Supporting and coordinating hospital admissions and discharges
- Driving clients to hospital and going with them to appointments
- Managing payments for long-term care insurance services
- Identifying problems in the local community and reporting them to government
- Working with medical associations and others to improve their knowledge and skills as a care manager
Workers in this job say vocational college (senmon gakko), high school, or university is common. From job tag's survey of people in each job, who could give several answers. It shows what workers see as common, not how many workers hold each level.
How to become one
You qualify by passing the exam for entry to care manager practical training, completing the practical training and registering on your prefecture's list of care managers. To sit the exam you need set qualifications or work experience: for example, a specified national licence in welfare, health or medicine plus at least five years and 900 days of work helping people, or at least five years and 900 days of advice and support work at certain welfare facilities, care facilities or disability support services. Once registered, you work at a home care support office (an agency that writes care plans) designated under long-term care insurance, or at a long-term care insurance facility. Many care managers have previously worked in care or advice and support, for example as certified care workers or certified social workers, or are registered nurses. You need broad knowledge of welfare and medicine and an understanding of the many welfare and medical schemes, starting with long-term care insurance. As a specialist in supporting people and those who care for them, you must think from the point of view of the older people and families receiving care, respect clients' privacy, keep information confidential and hold high ethical standards. The care manager qualification must be renewed every five years by completing the required training and applying. There is also a senior role, the chief care manager. Chief care managers oversee, guide and train care managers and take on cases that need experience. To become one you need at least five years' experience as a care manager and must complete chief care manager training.
Ways in
- University: Social Work & Community degrees, Offered by 82 universities in Japan
- Vocational college, junior college, kosen and trade skills tests: Junior college (短期大学) programme. 17% of workers surveyed by job tag say junior college graduates are common in this job. In March 2025, 6,442 junior college graduates started work in other professional jobs (93% 教育) (School Basic Survey 2025, table 103).
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 介護支援専門員(ケアマネジャー). Needed to do this job (Peernovo, from job tag's entry description). English name and classification by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 看護師. English name and classification by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 介護福祉士. English name and classification by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 主任介護支援専門員(主任ケアマネジャー). English name and classification by Peernovo.
Pay · Job openings · AI and this job
- Average annual income: ¥4,413,400 Private sector only: employers with 10 or more staff. Public servants, such as public school teachers and police officers, are not in these figures.
- Monthly base pay (before overtime and bonus): median ¥289,900, and the middle half earn ¥257,300 to ¥334,500 a month.
- Pay measured for the wage survey group: Care managers
- 2.67 job openings per applicant at Hello Work (2025). A current demand signal, not a projection. It counts only the jobs and job seekers registered at Hello Work, Japan's public employment offices, and many graduate and professional hires never pass through it.
- Generative AI can do relatively little of this work, by the ILO's global estimate.
Related jobs
- Welfare Office Caseworker
- Child Guidance Centre Counsellor
- Child Welfare Instructor
- Disability Support Worker
- Elderly Care Facility Counsellor
- Medical Social Worker
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Questions people ask
How do I become a Care Manager?
You qualify by passing the exam for entry to care manager practical training, completing the practical training and registering on your prefecture's list of care managers. To sit the exam you need set qualifications or work experience: for example, a specified national licence in welfare, health or medicine plus at least five years and 900 days of work helping people, or at least five years and 900 days of advice and support work at certain welfare facilities, care facilities or disability support services. Once registered, you work at a home care support office (an agency that writes care plans) designated under long-term care insurance, or at a long-term care insurance facility. Many care managers have previously worked in care or advice and support, for example as certified care workers or certified social workers, or are registered nurses. You need broad knowledge of welfare and medicine and an understanding of the many welfare and medical schemes, starting with long-term care insurance. As a specialist in supporting people and those who care for them, you must think from the point of view of the older people and families receiving care, respect clients' privacy, keep information confidential and hold high ethical standards. The care manager qualification must be renewed every five years by completing the required training and applying. There is also a senior role, the chief care manager. Chief care managers oversee, guide and train care managers and take on cases that need experience. To become one you need at least five years' experience as a care manager and must complete chief care manager training.
How much does a Care Manager earn in Japan?
Average annual income in the private sector, bonus included, is ¥4,413,400 (Ministry of Health, Labour and Welfare). The figure is for the wage survey group Care managers, which covers several jobs.
Do you need a degree to become a Care Manager?
Not always. In this job's census occupation group, 42% of workers are university graduates. Ways in include: Social Work & Community degrees; Junior college (短期大学) programme.
Will AI change the work of a Care Manager?
Generative AI can do relatively little of this work, by the ILO's global estimate.
Sources
- Ministry of Health, Labour and Welfare: Basic Survey on Wage Structure (賃金構造基本統計調査) 2025: earnings by occupation (2025 survey (June 2025 pay, 2024 bonus), published 2026-03-24), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Ministry of Health, Labour and Welfare: Employment Referrals for General Workers (一般職業紹介状況): Hello Work job-openings-to-applicants ratio by occupation (2025 annual (release of 2026-10-02)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Statistics Bureau of Japan (MIC): 2020 Population Census (令和2年国勢調査) detailed sample tabulation: employed by occupation, sex, age and education (2020 Census (tables 9-1 and 15-1, published 2022-12-27)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- JILPT (職業情報データベース) via MHLW job tag: job tag download data: 解説系 (descriptions, how to become, related qualifications) and 簡易版数値系 (interests, tasks, education) (解説系 ver.7.01 (2026-06-04); 簡易版数値系 ver.7.00 (2026-03-17)), retrieved 4 October 2026
- International Labour Organization, Generative AI and Jobs: A Refined Global Index of Occupational Exposure (ILO Working Paper 140, Gmyrek et al.) (ILO Working Paper 140, May 2025, Annex Table A1), CC BY 4.0, retrieved 4 October 2026
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 解説系ダウンロードデータ(IPD_DL_description_7_01.xlsx)ver.7.01 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 簡易版数値系ダウンロードデータ(IPD_DL_numeric_7_00.xlsx)ver.7.00 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
Sources: JILPT Occupational Information Database download data via job tag (解説系 ver.7.01 and 簡易版数値系 ver.7.00, downloaded 4 October 2026), processed by Peernovo; MHLW, Basic Survey on Wage Structure 2025; Statistics Bureau of Japan, 2020 Population Census; MEXT, School Basic Survey 2025; MHLW, Employment Referrals for General Workers (Hello Work statistics). Figures processed by Peernovo. English job names, translations and the matching of jobs to statistical groups, schools and degree fields by Peernovo.
Updated 4 October 2026
