ZipRecruiter

Log In

1

Medical Case Manager Jobs in Texas (NOW HIRING)

Zurich Insurance Group

Medical Case Manager

Houston, TX · Remote

Manage and monitor medical assistance cases from onset through to discharge, repatriation, or case closure. * Assess medical information and determine appropriate next steps based on the traveller ...

Zurich Insurance Group

Medical Case Manager

Houston, TX · On-site

Manage and monitor medical assistance cases from onset through to discharge, repatriation, or case closure. * Assess medical information and determine appropriate next steps based on the traveller ...

FCCI Insurance Group

Medical Case Manager

Richardson, TX · On-site +1

$62K - $96K/yr

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned workers' compensation claims. The selected new hire will provide coordination and evaluation of medical ...

Crawford and Company

Sr Medical Case Manager

Lubbock, TX · On-site

$58K - $107K/yr

You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA ...

genex

RN Medical Case Manager

Lubbock, TX

Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...

genex

RN Medical Case Manager

Lubbock, TX

Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...

next page

Showing results 1-20

All JobsMedical Case JobsMedical Case Manager JobsMedical Case Manager Jobs in Texas

Medical Case Manager information

See Texas salary details

$14

$25

$46

How much do medical case manager jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for medical case manager in Texas is $25.98, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $29.13 per hour, depending on experience, location, and employer.

What is a medical case manager?

A medical case manager connects a client to patient-centered services related to their treatment plans. As a medical case manager, you provide referrals to doctors and other health care services. Your duties include coordinating and following-up with your clients and physicians’ offices to ensure your clients are receiving the proper medical treatment. Administrative tasks include collecting patient information, conducting interviews, handling multiple patient cases, and assisting with other social services workers to provide comprehensive medical management.

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

AspectMedical Case ManagerSocial Worker
CredentialsCertification (e.g., CCM, CMC)Licensure (e.g., LCSW, LISW)
Work EnvironmentHospitals, insurance companies, clinicsHospitals, community agencies, schools
Industry UsageHealthcare, insurance, managed careHealthcare, social services, mental health
Primary FocusCoordinating medical care and resourcesSupporting social and emotional well-being

While both roles involve helping individuals navigate complex systems, Medical Case Managers focus on coordinating medical treatments and insurance benefits, whereas Social Workers provide broader social support and counseling. Understanding these differences helps in choosing the right career path or job search focus.

What does a medical case manager do?

A Medical Case Manager coordinates and oversees patient care to ensure individuals receive appropriate medical services and support. They work with patients, families, healthcare providers, and insurance companies to develop care plans, schedule appointments, and advocate for the patient's healthcare needs. Their goal is to improve health outcomes, reduce hospital readmissions, and help patients navigate complex health systems. Medical Case Managers often assist with resource referrals, monitor treatment progress, and ensure that care is both efficient and cost-effective.

What qualifications do you need to be a medical case manager?

Medical case managers typically need a bachelor's degree in nursing, social work, or a related health field. Professional certification, such as the Certified Case Manager (CCM) credential, is often required or preferred, along with strong communication, organizational, and clinical skills.

What are the key skills and qualifications needed to thrive as a medical case manager, and why are they important?

To thrive as a Medical Case Manager, you need a background in healthcare, case management, and patient advocacy, often supported by a nursing or social work degree and relevant certifications like CCM or ACM. Familiarity with case management software, electronic health records (EHRs), and utilization review systems is typically required. Strong interpersonal communication, organization, and problem-solving abilities help Medical Case Managers coordinate care and support patients effectively. These skills are crucial for ensuring patients receive appropriate, cost-effective care while navigating complex healthcare systems.

How does a medical case manager typically collaborate with healthcare providers and patients to ensure effective care coordination?

Medical Case Managers serve as a vital link between patients, healthcare providers, and sometimes insurance companies. They regularly communicate with physicians, nurses, and specialists to gather medical information, develop care plans, and monitor patient progress. This role often involves advocating for the patient's needs, arranging follow-up appointments, and helping patients understand their treatment options. Strong interpersonal skills and the ability to navigate complex healthcare systems are essential for ensuring that each patient receives timely, coordinated, and comprehensive care.
More about Medical Case Manager jobs

What cities in Texas are hiring for Medical Case Manager jobs?

Cities in Texas with the most Medical Case Manager job openings:

Medical Case Manager jobs near you
Infographic showing various Medical Case Manager job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $54,039 per year, or $26 per hour.

Medical Case Manager

AmTrust Financial Services, Inc.

Dallas, TX • On-site

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Overview
AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.
PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote in Texas.
Responsibilities
  • Uses clinical/nursing skills to determine whether all aspects of a patient's care, at every level, are medically necessary and appropriately delivered.
  • Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.
  • Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary
  • Responsible for accurate comprehensive documentation of case management activities in case management system.
  • Uses clinical/nursing skills to help coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.
  • Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee's functional assessment.
  • Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.
  • Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.
  • Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place
  • Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.
  • Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome
  • Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.
  • Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).
  • Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves
  • Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
  • Other duties as may be assigned.
  • Supports the organization's quality program(s).

Qualifications
Education & Licensing
  • Active unrestricted compact RN license in a state or territory of the United States required.
  • Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
  • Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
  • Ability to acquire, and maintain, appropriate Professional Certifications and Licenses to comply with respective state laws may be required
  • Preferred for license(s) to be obtained within three - six months of starting the job.
  • Written and verbal fluency in Spanish and English preferred

Experience
3+ years of related experience or equivalent combination of education and experience required to include 2+ years of direct clinical care OR 2+ years of case management/utilization management required.
Skills & Knowledge:
  • Knowledge of workers' compensation laws and regulations
  • Knowledge of case management practice
  • Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
  • Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
  • Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
  • Knowledge of behavioral health
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Leadership/management/motivational skills
  • Analytic and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal and negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual: Hearing, vision and talking
The expected salary range for this role is $80,000.00-$88,000.00.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Apply