Your comments are very helpful. Can we start up this thread again? I am interested to hear what Case Managers think now that CMS regulations have tightened, insurance companies are covering fewer services, NAVI Health is involved, and hospitals are enforcing decreased lengths of stay. Any thoughts on this? Can anyone tell their experience of what field of nursing they entered after they left Case Management? I have been in healthcare since 1998 and thought Case Management would provide an improved work/life balance, but it has become nearly oppressive.