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Managed Care Coordinator Jobs in Texas (NOW HIRING)

CLS Health PLLC

Managed Care Coordinator I

Webster, TX · On-site

$17 - $22.75/hr

The Managed Care Coordinator I is responsible for coordinating and ensuring the delivery of high-quality, cost-effective healthcare services to members. This role involves working closely with health ...

CLS Health PLLC

Managed Care Coordinator I

Webster, TX · On-site

$17 - $22.75/hr

The Managed Care Coordinator I is responsible for coordinating and ensuring the delivery of high-quality, cost-effective healthcare services to members. This role involves working closely with health ...

CLS Health

Managed Care Coordinator I

Webster, TX · On-site

$17 - $22.75/hr

The Managed Care Coordinator I is responsible for coordinating and ensuring the delivery of high-quality, cost-effective healthcare services to members. This role involves working closely with health ...

Senior PsychCare

Patient Care Coordinator

Houston, TX

$16.75 - $22/hr

Senior Psych Care Patient Care Coordinator Senior Psych Care provides fully integrative behavioral ... Obtaining pre-authorizations from Managed Care Organizations. * Answer incoming and make outgoing ...

Senior PsychCare

Patient Care Coordinator

Houston, TX · On-site

Obtaining pre-authorizations from Managed Care Organizations. * Answer incoming andmakeoutgoing calls to secure referrals andauthorizationsfrom providers and insurance companies. * Ensure that ...

Senior PsychCare

Patient Care Coordinator

Houston, TX

$16.25 - $21.25/hr

Obtaining pre-authorizations from Managed Care Organizations. * Answer incoming andmakeoutgoing calls to secure referrals andauthorizationsfrom providers and insurance companies. * Ensure that ...

Senior PsychCare

Patient Care Coordinator

Houston, TX · On-site

$17 - $20/hr

ThePatient Care Coordinator works within the Referral Department and is primarily responsible for ... Obtaining pre-authorizations from Managed Care Organizations. * Answer incoming and make outgoing ...

Ensign Services, Inc.

Managed Care Resource

Dallas, TX · On-site +1

Managed Care Resource - Midwest About the Company Our growing company serves over 378 health care ... coordination of amendments, reimbursement, and language changes. * Assess resource utilization ...

Ensign Services

Managed Care Resource

Dallas, TX · On-site

Managed Care Resource - Midwest About the Company Our growing company serves over 378 health care ... coordination of amendments, reimbursement, and language changes. * Assess resource utilization ...

The Harris Center

Care Coordinator

Houston, TX · On-site

$18.25 - $24.75/hr

The CC will provide care coordination and case management services as part of a multidisciplinary team that includes a Master Level Clinician or LPHA and LCDC. Peer support services are also offered ...

The Harris Center

Care Coordinator

Houston, TX · On-site

$18.25 - $24.75/hr

The CC will provide care coordination and case management services as part of a multidisciplinary team that includes a Master Level Clinician or LPHA and LCDC. Peer support services are also offered ...

Oshi Health

Care Coordinator

Houston, TX · Remote

$45K - $52K/yr

Manager, Care Delivery Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Louisiana, Missouri, New Hampshire, North Carolina, South Carolina, Tennessee, Texas, Vermont ...

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Managed Care Coordinator information

See Texas salary details

$15

$26

$51

How much do managed care coordinator jobs pay per hour?

As of May 28, 2026, the average hourly pay for managed care coordinator in Texas is $26.39, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $28.89 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Managed Care Coordinator, and why are they important?

To thrive as a Managed Care Coordinator, you need a solid understanding of healthcare administration, insurance processes, and case management, often supported by a relevant degree or certification such as Certified Case Manager (CCM). Experience with healthcare management software, electronic health records (EHRs), and utilization review tools is typically required. Strong organizational skills, negotiation abilities, and effective communication are crucial soft skills for coordinating care and liaising between patients, providers, and payers. These competencies ensure efficient care delivery, cost management, and positive patient outcomes within complex healthcare systems.

How does a Managed Care Coordinator typically collaborate with healthcare providers and insurance companies to ensure patient care is both effective and cost-efficient?

Managed Care Coordinators act as a crucial liaison between healthcare providers, insurance companies, and patients. They regularly communicate with physicians and clinical staff to verify treatment plans align with insurance policies, negotiate authorizations, and ensure necessary documentation is complete. By reviewing cases and coordinating with insurers, they help streamline approvals and reduce delays in patient care. This collaboration not only supports optimal patient outcomes but also helps control healthcare costs and ensure compliance with managed care guidelines.

What is a Managed Care Coordinator?

A Managed Care Coordinator is a healthcare professional responsible for overseeing and coordinating patient care within managed care plans. They work to ensure patients receive appropriate, cost-effective healthcare services while navigating insurance requirements and provider networks. Their duties often include managing authorizations, referrals, and communication between patients, healthcare providers, and insurance companies. Managed Care Coordinators help to optimize patient care outcomes while controlling healthcare expenses for both patients and providers.

What is the difference between Managed Care Coordinator vs Insurance Claims Specialist?

AspectManaged Care CoordinatorInsurance Claims Specialist
CredentialsTypically requires a healthcare-related certification or associate degreeUsually requires a high school diploma or associate degree, with some certifications
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsInsurance companies, healthcare providers, or claims processing centers
Employer & IndustryHealthcare and insurance industries, focusing on patient care coordinationInsurance industry, focusing on claims processing and reimbursement

Managed Care Coordinators and Insurance Claims Specialists both work within healthcare and insurance sectors, but their roles differ. Managed Care Coordinators focus on coordinating patient care and managing insurance plans, while Insurance Claims Specialists handle processing claims and reimbursements. Understanding these differences helps job seekers find the right role aligned with their skills and career goals.

What are the most commonly searched types of Managed Care jobs in Texas? The most popular types of Managed Care jobs in Texas are:
What are popular job titles related to Managed Care Coordinator jobs in Texas? For Managed Care Coordinator jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Managed Care Coordinator jobs in Texas look for? The top searched job categories for Managed Care Coordinator jobs in Texas are:
What cities in Texas are hiring for Managed Care Coordinator jobs? Cities in Texas with the most Managed Care Coordinator job openings:
What are popular job titles related to Managed Care Coordinator jobs in TX? For Managed Care Coordinator jobs in TX, the most frequently searched job titles are:
Managed Care Coordinator jobs near you
Infographic showing various Managed Care Coordinator job openings in Texas as of May 2026, with employment types broken down into 97% Full Time, and 3% Part Time. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $54,890 per year, or $26.4 per hour.

Managed Care Coordinator I

CLS Health PLLC

Webster, TX • On-site

$17 - $22.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

CLS Health rating

6.9

Company rating: 6.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Description:

About CLS Health

CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!


Job Overview: The Managed Care Coordinator I is responsible for coordinating and ensuring the delivery of high-quality, cost-effective healthcare services to members. This role involves working closely with healthcare providers, patients, and insurance companies to facilitate care, manage resources, and support the healthcare team in achieving optimal patient outcomes.


Responsibilities:

  • Ensure all clinical operations comply with Medicare and Medicaid guidelines and other manage care policies.
  • Adhere to all state, accreditation standards and regulatory guidelines which include HIPAA guidelines and NCQA accreditation.
  • Conduct outgoing calls to patients to arrange appointments.
  • Make outgoing calls to pharmacies to confirm each patient’s medication adherence.
  • Prepare charts for providers, highlighting managed care directives that need attention.
  • Reviewing medical records and treatment plans to ensure they align with the guidelines and policies of the managed care organization.
  • Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization.
  • Review ICD-9 and HCPCS codes to ensure accurate coding on claims.
  • Verify CPT codes to determine if authorization is needed and distinguish between network and non-network providers.
  • Submit attestation forms through insurance portals.
  • Document confidential patient information, upholding the highest standards of privacy in accordance with HIPAA regulations.
  • Submit documentation to address and close care gaps for patients via insurance portals.

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental Insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
Requirements:
  • Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field preferred.
  • 2+ years of healthcare experience in care coordination, population health, or value-based care.
  • Knowledge of Medicare Advantage, HCC coding, and quality measures preferred.
  • Experience with EHR systems and Microsoft Excel.
  • Strong communication and organizational skills.


What CLS Health employees say

Hours and flexibility

Workplace

Get the full story on Breakroom

About CLS Health

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Webster, TX, US

Year founded

2005

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