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Leadership Development and Succession Planning in Case Management

Miodonski, Kathleen RN, BSN, CMAC; Hines, Patricia PhD, RN

doi: 10.1097/NCM.0b013e31826b12a7

Purpose/Objectives: The director of case management is one of health care's leadership positions most frequently in demand. The lack of qualified and effective case management leaders will continue to be an issue for organizations for years to come, influenced by increasing pressures on health care reimbursement and the aging case management workforce. Organizations have an opportunity to create a program to develop future case management leaders from their internal talent.

Primary Practice Setting(s): The proposed strategies are designed for the acute care hospital but also have applicability in other health care settings where there are case managers and a need for case management leadership.

Findings/Conclusions: The business community offers leadership research and leadership development models with relevance to case management. Identifying and developing internal talent for leadership roles has been proven to be effective in preparation for advanced responsibilities, has a positive effect on staff morale, and minimizes the impact of vacant leadership positions during recruitment and onboarding activities.

Implications for Case Management Practice: Creating a case management leadership development program for an organization can be an alternative to the process of external recruitment for case management department leaders. Such a program can be undertaken even in today's budget conscious environment by accessing existing resources in an organization in a creative and organized manner. The authors outline an approach for case management leaders to accept responsibility for succession planning and for case managers to accept responsibility for promoting their own career development through creation of a leadership development program.

Kathleen Miodonski, RN, BSN, CMAC, is a manager at The Camden Group, with over 16 years of leadership experience in case management and utilization management in hospitals and health plans. She has successfully led case management departments through model redesign and implementation and has extensive expertise in operations, managed care, and disease/utilization/case management.

Patricia Hines, PhD, RN, is a vice president at The Camden Group, with a clinical operations background. Her expertise includes case management and care delivery models for clinical integration, nursing practice and strategic planning, critical care/emergency department and patient throughout, and joint commission preparation. She has more than 30 years of health care experience.

Address correspondence to Kathleen Miodonski, RN, BSN, CMAC, The Camden Group, 100 N. Sepulveda, Suite 600, El Segundo, CA 90245 (

The authors report no conflicts of interest.

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