Case Manager Registered Nurse
About the job
- A Bachelor's degree in Nursing is required.
- Three years of required Registered Nurse case management experience.
- A current Registered Nurse license is required.
- Certification in cardiopulmonary resuscitation is required.
- Knowledge of appropriate and timely return transition levels of care.
- Knowledge of CARF, regulatory agencies, State Board of Health, long-term care, acute care, and ambulatory care standards.
- Ability to assess and interpret patient-status data to identify age-specific needs and provide appropriate care across infant, child, adolescent, young adult, middle adult, and geriatric patient populations.
- Ability to independently perform comprehensive chart reviews and abstract relevant information, including interpretation of laboratory results, electrocardiograms, and other medical tests.
- Ability to communicate effectively verbally and in writing.
- Ability to address customer concerns privately, respectfully, and calmly.
- Knowledge of procedures for protecting and maintaining the security, confidentiality, and integrity of employee, patient, family, organizational, and other medical information, including compliance with HIPAA and applicable laws and regulations.
- Evaluate medical necessity for admission, continued stay, and the appropriate level of care through chart review.
- Monitor assigned patients' care to ensure quality, cost-effective resource utilization, and optimal outcomes.
- Coordinate each patient's plan of care from admission through discharge or transfer to another level of care.
- Apply third-party payer regulations governing admissions, continued stay, and discharge to individual cases through chart review.
- Collect data related to clinical improvement initiatives to support development of action plans.
- Conduct concurrent chart reviews to ensure complete and accurate medical-record documentation.
- Coordinate patients' plans of care with the healthcare team, including patients, caregivers, family members, and case management.
- Assess and document patients' conditions.
- Interview and assess patients to identify potential barriers to timely discharge or transfer to another level of care.
- Provide payers with accurate and current information.
- Obtain covered-stay certification and prior authorization when appropriate.
- Refer cases to the physician advisor when appropriate for medical necessity, continued stay, physician education, and level-of-care decisions.
- Refer cases to Social Services when appropriate.
- Ensure discharge planning to the appropriate level of care, including subacute care, hospital units, and outpatient services.
- Support hospital continuous quality improvement programs by participating on relevant teams.
About the company
Methodist Hospitals is a not-for-profit, community-based healthcare system in Northwest Indiana with three campuses serving Gary and Merrillville, offering inpatient and outpatient services across multiple specialty institutes. It provides Metabolic & Bariatric Surgery, a neuroscience Gamma Knife center, oncology, and a heart and vascular institute, along with emergency, maternal, orthopedic, rehabilitation, and home health care. The system employs about 2,148 staff and 556 medical professionals across 534 beds, delivering care through accredited centers and a patient-centered mission. Its goal is to provide compassionate, high-quality care to everyone in the community, expanding access to advanced services and improving overall health, with recognition such as the Lown Institute's racial inclusivity ranking and US News high-performance designations.
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
null
Founded
1923
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Simplify's Take
What believers are saying
- February 9, 2026 brought nearly $350,000 more for maternal-infant mortality programming.
- June 2026 Fitch raised outlook to Stable, supporting borrowing access.
- 2025-2026 U.S. News High Performing status in five areas strengthens patient and physician demand.
What critics are saying
- Methodist posted negative operating margins in 2024 and 2025, threatening capital flexibility.
- Medicare and Medicaid drive 80% of payer mix, exposing reimbursement shocks.
- The $650,000 MyChart privacy settlement and 2026 litigation damage trust and margin.
What makes The Methodist Hospitals unique
- No. 1 Indiana inclusivity ranking in 2026 differentiates Methodist with equity-focused care.
- Gary and Merrillville campuses anchor Northwest Indiana’s only independent, community-based safety-net system.
- Specialty institutes in neuroscience, oncology, bariatrics, and heart care broaden referral capture.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
401(k) Retirement Plan
PTO/vacation
Flexible Work Hours
Remote Work Options
Paid Vacation
Paid Holidays
Sabbatical Leave
Hybrid Work Options
Wellness Program
Mental Health Support
Gym Membership
Conference Attendance Budget
Professional Development Budget
Family Planning Benefits
Fertility Treatment Support
Stock Options
Company Equity
Phone/Internet Stipend
Home Office Stipend
Parental Leave
Adoption Assistance
Pet Insurance
Relocation Assistance
Commuter Benefits
Meal Benefits
Employee Discounts
Employee Referral Bonus
Tuition Reimbursement
Professional Certification Support
Mentorship Program
Training Programs
Education allowance
Legal Services
Health Savings Account/Flexible Spending Account
Remote Work Options
Company News
Methodist Hospitals Foundation welcomes new Board members. September 2, 2026 The Methodist Hospitals Foundation is pleased to announce the appointment of Suchita Shah and Sarah Pomponi to its Board of Directors. Shah and Pomponi join the Foundation at a time of continued growth as it works to expand philanthropic support for Methodist Hospitals programs, services and initiatives that improve the health and well-being of patients, families and communities throughout Northwest Indiana. "Suchita and Sarah bring valuable experience, strong community relationships and a shared commitment to improving the health and well-being of Northwest Indiana," said Matt Doyle, President and CEO of Methodist Hospitals. "Their leadership will further strengthen the Foundation's ability to build meaningful partnerships and generate philanthropic support for the programs and services that benefit our patients and the communities we are privileged to serve." Suchita Shah has been a licensed real estate broker with McColly Real Estate since 1996. Prior to her career in real estate, she practiced as a dentist, providing her with a unique perspective that combines healthcare knowledge, business expertise, and a lifelong commitment to serving others. A respected community leader, Suchita has dedicated decades to advancing healthcare and community initiatives throughout Northwest Indiana through volunteer leadership and philanthropy. She currently serves on the Board of Directors of the Indian American Cultural Center, where she leads fundraising efforts in support of its mission and programs. She previously served on the boards of the American Heart Association and the Lake County Medical Auxiliary, demonstrating a longstanding commitment to improving the health and well-being of the community. Her experience in healthcare, business, fundraising, and nonprofit leadership has equipped her to build meaningful relationships, strengthen philanthropic partnerships, and advance the Methodist Hospitals Foundation's mission throughout Northwest Indiana. Sarah Pomponi is a business owner and healthcare practice administrator with extensive experience in strategic branding, marketing, communications, relationship-building, and community engagement. She has successfully led business operations while helping organizations strengthen their visibility, build strategic partnerships, and inspire philanthropic support. Sarah has developed a strong appreciation for Methodist Hospitals' commitment to providing compassionate, high-quality healthcare through her family's involvement with the health system and her husband's work as an orthopedic surgeon. As a healthcare practice administrator, she understands the importance of delivering exceptional patient experiences and supporting high-quality healthcare. She has witnessed firsthand the positive impact Methodist has on patients and families throughout Northwest Indiana. She brings expertise in healthcare administration, strategic communications, branding, and community engagement that will strengthen the Foundation's visibility, expand philanthropic support, and cultivate partnerships that advance Methodist Hospitals' mission throughout Northwest Indiana. "We are excited to welcome Suchita and Sarah to the Methodist Hospitals Foundation Board of Directors," said Celina Weatherwax, Executive Director of the Methodist Hospitals Foundation. "Both bring strong connections to our community, valuable professional experience and, most importantly, a genuine commitment to making a difference in Northwest Indiana. Their perspectives will be tremendous assets as we continue to strengthen the Foundation and create new opportunities for individuals, businesses and community partners to support the work of Methodist Hospitals." As members of the Board of Directors, Shah and Pomponi will help guide the Foundation's philanthropic strategy, donor and community engagement efforts, and support for programs and services across Methodist Hospitals." The strength of our Foundation is directly tied to the people who are willing to lend their time, expertise and relationships to our mission," Weatherwax added. "Suchita and Sarah understand Northwest Indiana and care deeply about the people who call this region home. We are grateful for their willingness to serve and look forward to the impact they will make." About Methodist Hospitals Foundation The Methodist Hospitals Foundation serves as the philanthropic arm of Methodist Hospitals, connecting the generosity of individuals, businesses, foundations and community partners with programs and initiatives that enhance patient care and improve the health of Northwest Indiana. Through charitable giving, the Foundation supports programs, services, technology and other priorities that help Methodist Hospitals continue its mission of providing quality, compassionate healthcare to the communities it serves. The following organizations have been identified to steward contributions into the community to residents impacted by the August 2026 storm events in Lake County: Salvation... NORTHWEST INDIANA - Registration for Franciscan Health's Strong, Healthy, Empowered (SHE) Women's Health Conferences is now open. "SHE is designed to create opportunities for women... 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HealthPartners environmental stewardship recognized with 13 national awards. Practice Greenhealth, an advocate for sustainability, honors HealthPartners and its 8 hospitals June 25, 2026 BLOOMINGTON, Minn. - HealthPartners has received the System for Change award from Practice Greenhealth, the country's leading organization dedication to environmental stewardship in health care, for the 12th consecutive year. The honor is one of 13 awards recognizing the comprehensive sustainability programs implemented throughout HealthPartners and across all eight of its hospitals. The awards highlight a wide range of sustainability efforts, including work to reduce HealthPartners' carbon footprint, implementing smarter purchasing decisions, advancing green building standards, and promoting sustainable food practices. "We're proud to lead the way in environmental stewardship in health care," says Andrea Walsh, HealthPartners President and CEO. "Having a clean and safe environment is essential to helping the members, patients and communities we serve thrive now and in the future." Practice Greenhealth also awarded Circles of Excellence awards to HealthPartners for finishing in the Top 10 in three specific categories - waste reduction, sustainable procurement and green building. Additionally, two HealthPartners hospitals, Methodist Hospital and Regions Hospital, earned the prestigious Top 25 Environmental Excellence Award, Practice Greenhealth's highest honor for hospitals, recognizing facilities that lead the industry in sustainability. All other HealthPartners hospitals received the Greenhealth Leader Award, recognizing them for being in the top 20% of applicants. 2026 Practice Greenhealth awards included: * HealthPartners - Greenhealth System for Change Award; Circles of Excellence in Waste, Sustainable Procurement, and Green Building * Amery Hospital & Clinic - Greenhealth Leader Award * Hudson Hospital & Clinic - Greenhealth Leader Award * Hutchinson Health - Greenhealth Leader Award * Lakeview Hospital - Greenhealth Leader Award * Methodist Hospital - Greenhealth Top 25 Award * Olivia Hospital & Clinic - Greenhealth Leader Award * Regions Hospital - Greenhealth Top 25 Award; Circle of Excellence in Food * Westfields Hospital & Clinic - Greenhealth Leader Award For additional information about HealthPartners' sustainability initiatives, visit healthpartners.com/sustainability. About HealthPartners HealthPartners is a nonprofit organization with a mission of improving health and well-being in partnership with its members, patients and community. An integrated system of care and coverage since its founding in 1957, HealthPartners operates hospitals and clinics, health plans, and a research and education institute. The Minneapolis-based organization serves more than 1.4 million patients in Minnesota and Wisconsin and 1.4 million medical and dental health plan members nationwide. For more information, visit healthpartners.com. About Practice Greenhealth Practice Greenhealth is the leading membership and networking organization for sustainable health care, delivering environmental solutions to hospitals and health systems across the U.S. and Canada. Learn more at practicegreenhealth.org .
Methodist Hospitals foundation appoints new executive director. Methodist Hospitals is pleased to announce the appointment of James R. (Jamie) Mack as Vice President, Chief Financial Officer. Mack brings nearly three decades of leadership in healthcare finance as well as a deep understanding of Methodist Hospitals and the community it serves. Mack joins Methodist from St. Anthony Hospital in Chicago, where he had served as Vice President of Finance since 2016. His extensive financial experience includes senior leadership positions at Sinai Health Systems in Chicago, Pinnacle Hospital in Crown Point and other health care organizations in Illinois and Northwest Indiana. He is an expert in accounting, reimbursement, charge structure, pricing models and pricing strategies in both for-profit and non-profit organizations as well as strategic and reputation development. He is a returning member of Methodist family, having served as Methodist Controller from 1987 to 2006. A native of Northwest Indiana, Jamie also has a deep understanding of The Region and of the communities that Methodist Hospitals serves. "We are gratified that Jamie has returned to the Methodist Family and are confident that he will make important contributions to our goal to remain a successful, independent health system focused solely on Northwest Indiana, and to our mission to provide high quality healthcare to all those in need," said Matt Doyle, Methodist Hospitals President & CEO. Jamie holds a Bachelor of Science in accounting degree from Ball State University and a Masters in Healthcare Administration, Public Affairs, Health Services Administration from Indiana University. He is a Certified Public Accountant and has served as a limited term lecturer at Purdue University and Indiana University. He is a member of the Indiana C.P.A. Society, the American Institute of Certified Public Accountants, the Healthcare Financial Management Association, and Tech Credit Union Board of Directors. Jamie lives in Crown Point, Indiana with his wife. About Methodist Hospitals: Methodist Hospitals is a community-based, not-for-profit health system with two full-service acute care facilities in Gary and Merrillville, Indiana, that has been healing Northwest Indiana for more than 100 years. Methodist Hospitals offers a number of award - winning programs, including its Breast Care Center, Cancer Center and Neuroscience and Heart and Vascular Institutes. Its range of services also includes Women & Children's Services, Bariatric Surgery services, Emergency services, Immediate Care Centers, Orthopedics & Spine services, comprehensive Rehabilitation services, Behavioral Health and Home Health services. [Gary, IN, February 9, 2026] Methodist Hospitals is proud to announce it has received nearly $350,000 in second-year funding to support critical services aimed at... Munster, IN - Humane Indiana is proud to announce that Jeanne Robbins, CEO of Munster Steel, Inc., and Taylor Dawson, Marketing Manager at Three Floyds... MERRILLVILLE, Ind. - National Energy Assistance Day on Monday, Feb. 2, Northern Indiana Public Service Company LLC (NIPSCO) is reminding customers who may need financial assistance... Tech Credit Union announces the appointment of Steven A. Minchuk and Randy Palmateer to its Board of Directors, reinforcing the credit union's long-standing commitment to... HAMMOND and WESTVILLE, Ind. - The Purdue University Northwest (PNW) College of Nursing online programs received top national recognitions through U.S. News & World Report's 2026 Best Online Programs... January 13, 2026 (INDIANAPOLIS) - The Indiana Hospital Association (IHA) has named Jim Callaghan, M.D., its board chair for 2026. Callaghan serves as executive vice...