Melody, that depends. Most of our case managers are ASNs, with a few having BSN and above. With the way our hospital utilizes case managers, I feel it is imperative to have good clinical experience. For example, I was an RN on a step down unit for years before switching over to case managent for that same area. My experience in that area was necessary to manage that case4 load. It is so hard to find experienced case management. Our goal in our hospital is a twenty to one ratio, but finding experienced CMS is next to impossible.