The changing health care environment and increasing patient acuity necessitate a coordinated effort among all health care disciplines to assure the best patient outcomes. The advanced practice nurse in the role of case manager is well qualified to serve as the leader of this team. Within the framework of differentiated practice, advanced practice nurses work in tandem with associate and primary nurses to ensure positive quality, financial, and satisfaction outcomes. Clinical expertise and knowledge of systems allow the advanced practice nurse to assist the patient through complex systems to achieve these ends

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