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Medicaid Case Manager Jobs in Spring, TX (NOW HIRING)

Registered Nurse Case Manager ***THIS POSITION FOCUSES ON WEEKENDS*** Schedule: 4/10s covering both ... Knowledge of Medicare, Medicaid and Managed Care requirements * Progressive knowledge of community ...

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Medicaid Case Manager information

See Spring, TX salary details

$12

$21

$30

How much do medicaid case manager jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medicaid case manager in Spring, TX is $21.02, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $22.69 per hour, depending on experience, location, and employer.

What is a Medicaid Case Manager?

Medicaid Case Managers are professionals who help individuals navigate the Medicaid system to ensure they receive appropriate healthcare services and benefits. They assess clients' needs, coordinate care plans, and connect them with medical providers, social services, and community resources. Their goal is to improve health outcomes by advocating for clients and helping them overcome barriers to care. Medicaid Case Managers often work with vulnerable populations, including the elderly, people with disabilities, and low-income families.

What are some common challenges Medicaid Case Managers face when coordinating care for clients?

Medicaid Case Managers often navigate complex situations, such as balancing high caseloads, addressing diverse client needs, and overcoming barriers related to social determinants of health. They may encounter challenges in coordinating services across multiple providers and ensuring clients have access to the necessary resources. Effective communication, strong organizational skills, and adaptability are essential to manage these challenges and provide comprehensive support to clients. Team collaboration and ongoing professional development also help case managers stay updated on policy changes and best practices.

What are the key skills and qualifications needed to thrive as a Medicaid Case Manager, and why are they important?

To thrive as a Medicaid Case Manager, you need a background in social work, nursing, or a related field, along with strong knowledge of Medicaid policies and case management practices. Familiarity with case management software, electronic health records, and sometimes state-specific certification or licensure is typically required. Outstanding communication, problem-solving, and organizational skills help you effectively advocate for clients and coordinate care among various providers. These skills are essential for ensuring clients receive appropriate services, improving health outcomes, and maintaining compliance with Medicaid regulations.

What is the difference between Medicaid Case Manager vs Medical Social Worker?

AspectMedicaid Case ManagerMedical Social Worker
CredentialsTypically requires a bachelor’s degree in social work, healthcare, or related field; certification may be preferredRequires a master's degree in social work (MSW) and licensure
Work EnvironmentHealthcare facilities, community agencies, Medicaid programsHospitals, clinics, mental health facilities, community agencies
Employer & IndustryGovernment Medicaid agencies, healthcare providersHospitals, healthcare organizations, social service agencies

Medicaid Case Managers focus on coordinating Medicaid services and ensuring clients access benefits, often with a bachelor’s degree. Medical Social Workers provide broader psychosocial support, require a master's degree, and handle complex emotional and social issues. Both roles work in healthcare settings but differ in scope and qualifications.

How much do Medicaid case managers make?

Medicaid case managers typically earn between $40,000 and $65,000 annually, depending on experience, location, and employer. They often require knowledge of healthcare policies and case management software, with some positions offering additional benefits or certifications.

How to become a Medicaid case manager?

To become a Medicaid case manager, typically a bachelor's degree in social work, healthcare, or a related field is required. Relevant experience in case management, knowledge of Medicaid policies, and strong communication skills are also important; some positions may require certification such as the Certified Case Manager (CCM) credential.

What job categories do people searching Medicaid Case Manager jobs in Spring, TX look for?

The top searched job categories for Medicaid Case Manager jobs in Spring, TX are:

What cities near Spring, TX are hiring for Medicaid Case Manager jobs?

Cities near Spring, TX with the most Medicaid Case Manager job openings:

Infographic showing various Medicaid Case Manager job openings in Spring, TX as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $43,714 per year, or $21 per hour.

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Job description

Medicaid Eligibility Advocate

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary and Qualifications

The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.

In this role you will:

  • Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
  • Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
  • Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.
  • Complete and file applications. Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
  • Ensure all insurance, demographic and eligibility information is obtained and entered into the system accurately. Document progress notes to the patient's file and the hospital computer system.
  • Participates in ongoing, comprehensive training programs as required.
  • Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.
  • Will be required to make field visits as necessary and will need reliable personal transportation readily available.

Qualifications:

  • Associate's degree preferred
  • Minimum one-year related experience preferred, preferably in healthcare.
  • Relevant education may substitute experience requirement.
Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.


TriStar Southern Hills Medical Center logo

About TriStar Southern Hills Medical Center

Sourced by ZipRecruiter

TriStar Southern Hills Medical Center, located in Nashville, TN, US, is a prominent institution in the healthcare industry. Their website, tristarsouthernhills.com, serves as a comprehensive platform detailing their wide range of medical services and facilities. The medical center was established with a vision to provide high-quality healthcare services tailored to the needs of the community it serves. An affiliate of TriStar Health and HCA healthcare, Southern Hills Medical Center underscores its commitment to the health and wellbeing of patients by offering a diverse bouquet of services, such as emergency care, cardiology, orthopedics, and women's health among others.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Nashville, TN, US