The graduate program in case management and health systems administration provides an integrated approach that promotes effective, collaborative utilization of clinical resources. Students develop clinical resource management skills that are strongly coupled with managerial skills. The current healthcare climate of rapid change in technology and patient care services, together with increasing implementation of managed care systems, requires healthcare professionals to seek mechanisms for enhancing quality while providing cost-effective care. Historically, quality and utilization management and nursing care management developed separately and functioned in isolation. But nurses focusing their professional efforts on case management cannot afford to do so isolated from the larger realities that drive the organization and, indeed, the entire healthcare continuum.