I am a lpn with 3 yrs mds experience, I just became certified, and now am the case manager for in the building i work, actually I am the only lpn casemanager in the company, I do the job well and even better than some of the RN casemanagers I just don't get paid for it, I am now in school for my RN, but anyone can do mds but you just have to be very organised and pay attention to details to do the job, also you don't start out knowing everything, you learn new things everyday, and always refer back to the rai manual, it should be your bible to mds always have it in you position, you cannot go wrong with it, and my pay is 24.00/hr and about to get a raise for being certified.