The majority of existing texts address hospital case management as a nursing practice.' And while it is true that most hospital case managers are, in fact, nurses, few of them are responsible for clinical care. This text will address the role of the hospital case manager from a business perspective rather than a nursing perspective. It will speak to the relationship the case manager has with the executive team, managed care contracting office, decision support specialists, medical records staff, as well as the medical staff and clinical providers and will reveal the value of engaging all of them as allies in pursuit of global objectives on behalf of every stakeholder.