TX · San Antonio · Updated October 15, 2026

Nurse Case Manager jobs in San Antonio, TX

Nurse Case Managers in the San Antonio area earn a median of $41.88 per hour, about $87,100 a year, and the middle half of them earn between $36.55 and $47.39. That ranks 122nd of 379 U.S. metro areas for nurse case manager pay, and 124th of 335 once local prices are factored in. The CMS hospital directory lists 19 hospitals in San Antonio. The free report below lists employers near San Antonio and what they pay.

More open Nurse Case Manager roles in San Antonio

11 more open roles from employers in San Antonio. Each employer’s range arrives with your free pay report.

PermanentPosted 2 days ago

Nurse Case Manager

University Health System · San Antonio, TX

Pay range with your report
  • Day Shift
  • Req 90825187984
New this week
View role
Per diemPosted 6 days ago

Nurse Case Manager PRN

University Health System · San Antonio, TX

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  • Rotating Shifts
  • Req 74694548528
New this week
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PermanentPosted 6 days ago

Nurse Case Manager - CFHP

University Health System · San Antonio, TX

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  • Day Shift
  • Req 99233166672
New this week
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Per diemPosted 7 days ago

Case Manager Days PRN

ScionHealth · San Antonio, TX

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  • External
  • Req 101716933424
New this week
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Nurse Case Manager pay in San Antonio, TX

The metro median is 3% below the Texas statewide median of $43.27 per hour. Nationally the median is $45.00 per hour. BLS counts about 23,390 registered nurses employed in the San Antonio-New Braunfels metro area, 21.0 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 0.99).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$30.42$63,27032% below U.S. median
Lower quartile$36.55$76,02019% below U.S. median
Median$41.88$87,1007% below U.S. median
Upper quartile$47.39$98,5705% above U.S. median
Top 10%$55.76$115,98024% above U.S. median

How San Antonio ranks

  • 122nd of 379 U.S. metro areas by median hourly pay
  • 124th of 335 after adjusting for local prices
  • 7th of 24 Texas metro areas

BLS does not publish a separate figure for nurse case manager. These numbers are for the broader category it belongs to, Registered Nurses.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), all industries. This is what employers report paying, not an offer for a specific role.

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Named employers near San Antonio, what they pay and the roles open now. Free for candidates, email only.

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What your pay buys in San Antonio

  • Overall prices in San Antonio-New Braunfels run 5% below the U.S. average (index 94.7, U.S. = 100).
  • Housing is the biggest driver: 5% below the U.S. average (index 94.6).
  • Adjusted for local prices, a $41.88 median hour buys what $44.22 buys at the national price level, 2% below the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

Estimate your San Antonio paycheck

Estimated weekly gross$1,508
  • Per year: $75,384
  • Per month: $6,282
  • Texas has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the San Antonio-New Braunfels metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in San Antonio

ItemFederal rate
Lodging per night$141
Meals and incidentals per day$74
Per week (7 nights, 7 days)$1,505
13-week assignment$19,565

Travel nurse case manager assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.

Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).

Open Nurse Case Manager roles in Texas

Nearest open roles with published pay. Your free report adds roles in San Antonio as they open.

All Nurse Case Manager jobs in Texas

Hospitals in San Antonio

CMS lists 19 hospitals in San Antonio, 4 of the 7 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse case managers.

HospitalTypeOwnershipCMS ratingEmergency
Baptist Neighborhood Hospital Thousand Oaks
San Antonio, TX
Acute careFor-profit5 of 5Yes
San Antonio Va Medical Center (Va South Texas Healthcare System)
San Antonio, TX
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Methodist Hospital
San Antonio, TX
Acute careFor-profit4 of 5Yes
Methodist Hospital Stone Oak
San Antonio, TX
Acute careFor-profit4 of 5Yes
Baptist Medical Center
San Antonio, TX
Acute careFor-profit3 of 5Yes
Christus Santa Rosa Medical Center
San Antonio, TX
Acute careNonprofit3 of 5Yes
University Health System
San Antonio, TX
Acute careGovernment and federal3 of 5Yes
Bandera Family Hospital
San Antonio, TX
Acute careFor-profitNot ratedYes
Children's Hospital Of San Antonio
San Antonio, TX
Children'sNonprofitNot ratedYes
Foundation Surgical Hospital Of San Antonio
San Antonio, TX
Acute careFor-profitNot ratedYes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Primary care shortage areas in Bexar County

HRSA lists 10 active primary care shortage designations that include Bexar County (8 population-group, 2 facility). The highest-scoring one rates 21 on a 0 to 25 scale, where a higher score means a greater shortage.

Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.

Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.

Nurse Case Manager pay in nearby cities

CityDistanceMedian payPopulation
New Braunfels, TX30 mi$41.88/hr116,477
San Marcos, TX45 mi$45.63/hr74,316
Kyle, TX53 mi$45.63/hr65,833
Austin, TX74 mi$45.63/hr993,588
Cedar Park, TX84 mi$45.63/hr78,380
Leander, TX86 mi$45.63/hr87,511

Nurse Case Manager jobs in Texas · Nurse Case Manager jobs nationwide

License and tax basics in Texas

Texas is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Texas license by endorsement.

Texas does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Texas state guide · Nurse Licensure Compact guide

Other healthcare roles in San Antonio

San Antonio city guide: hospitals, employers and licensing

Common questions

How much do nurse case managers make in San Antonio, TX?

Nurse Case Managers in the San Antonio-New Braunfels metro area have a median pay of $41.88 per hour, about $87,100 a year. The middle half earn between $36.55 and $47.39 per hour (BLS, May 2024).

Is San Antonio a good place for nurse case managers once cost of living is counted?

San Antonio-New Braunfels ranks 124th of 335 metro areas for nurse case manager pay after adjusting for local prices, and 122nd of 379 before adjusting. Overall prices run 5% below the U.S. average.

Where do nurse case managers work in San Antonio?

CMS lists 19 hospitals in San Antonio, led by Baptist Neighborhood Hospital Thousand Oaks. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in San Antonio as a nurse case manager?

Texas is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Texas license by endorsement. Confirm with the board before you accept a role.

Is San Antonio in a shortage area?

HRSA lists 10 active primary care shortage designations that include Bexar County. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.

What is the per diem for a travel assignment in San Antonio?

The federal per diem benchmark in San Antonio is $141 a night for lodging and $74 a day for meals and incidentals, about $1,505 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place nurse case managers in San Antonio?

Yes. We place healthcare staff in San Antonio and across Texas. Tell us your profession and we email the roles open near San Antonio.

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What do employers near San Antonio pay nurse case managers? Get the report.

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    Pay for your role at other hospitals

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    What they are offering now

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · Case Manager near San Antonio, TX
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your Case Manager pay reportTop-paying hospitals shown · your Texas list by name comes with the full report

1Pay for your role at other hospitals

  • AccentCareHouston, TX · 2 postings$43.87/ hr$42–$46
  • Emanate HealthGlendora, CA · 3 postings$84.00/ hr$84–$84
  • MultiCarePuyallup, WA · 6 postings$67.28/ hr$20–$95
  • UMass Memorial Health CareMilford, MA · 4 postings$60.11/ hr$40–$85

Median posted pay per hour, with the range each employer published. Request your Texas list

2What they are offering now

Low$35Median$47.33High$65

180 Case Manager postings with published pay in the US, 156 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 2 Case Manager roles

  1. Hospice Nurse RN Case ManagerPermanent
    $87k–$95k/ year
    AccentCare · Houston, TX · posted 15 days ago
  2. Hospice Nurse RN Case ManagerPermanent
    $90k–$93k/ year
    AccentCare · Dallas, TX · posted 16 days ago

Each one has pay, shift and start date.

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