Hello, I was very interested in your ideas about case management. I have been thinking about furthering my education in that field. The U of AL has a new program with a MS in CM. AS a home health psych RN iwth certification in psych, I act as the case manager for 30 patients. My job includes it all!!!!!! Thank goodness that I have the back up of MSW to guide me sometimes. Besides going into the home, we manage meds, teach ALL DAY LONG, report, work closely with MD's, and provide social, emotional, spiritual support. Our main goal is to keep the patient out of the hospital. We have to use ICD-M codes for all procedures, but don't get reimbursed for the procedures. The labs get that. The physician gets paid to manage the patient, and we do all the paperwork!!!!!!! As psych nurses, we are approved by HCVA in Washington. Require certification in the field in order to make home visits. As a CM, I manage the PT, OT, ST, MSW, community services, and everything ELSE the patient or family needs. I think I may have a good start into the field. I would lilke t hear from others who may be thinking about the transitiion .