If our vaunted Direct Support Professionals are the front line, the Case Managers are the much-needed Field Commanders. Case Managers coordinate with parents and guardians to pinpoint the most appropriate services for their clients, then aid in the connection with the respective vendors.

But the duties don't end there. As long as the clients are on the Case Managers' caseload, their progress is monitored, with mandated periodic contacts and an annual review of goals and services. Typically, Case Managers serve between 20 and 30 clients each.

Then you've got the paperwork--lots and lots of paperwork. This is the nuts and bolts of case management, where Case Managers are responsible for constantly staying on top of the hard copy demands of the profession, be it creating IEPs, securing vendor contracts, writing goals, or just logging in the necessary contacts, billable through Medicaid.

It's a tough job, but someone's got to do it.

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