I'm a case manager - (last seven months). My absolute love is ER nursing and I did that for 7 1/2 years and still do it prn. Anyway - case managers (at least in my large level one trauma center) need a BSN at least, several years of salient experience in the area you want to case manager and some knowledge of discharge planning options in your area. I do utilization review (determining bed type of placement for pts, do tons of computer entry - about 3 hours of my 8 hour shift), do discharge planning for the ER - nursing home placement, social service issues, detox, and case management of chronic patients. This position has given me a wonderful insight into many other places nurses can work in. It has also provided me with the knowledge that I want to go into education, so I'm in school to finish an MSN. Good luck...there are many case management types of jobs, not necessarily in the hospital.