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Hospital case management is finally coming into its own. Administrators are beginning to understand and recognize the value that case managers can add to the interdisciplinary care team. Unfortunately these are often middle managers such as directors and assistant and associate vice presidents. Many “C-suite” executives are still struggling with understanding and appreciating the value that case managers and social workers bring. So, who are the residents of the C-suite? They include the “chiefs”: the chief executive officer, chief operating officer, chief financial officer, chief nursing officer, or the chief medical officer, among others. They are the most senior members of the hospital staff and they control the final decisions made across the hospital’s systems and patient care areas. They control the purse strings and the long-range vision of the organization.