Due to the growing proportion of the geriatric population, caused by demographic change, there is an ever-increasing challenge for the health care system. The spectrum of illnesses shows a diversity that appears to be dependent on the extended life expectancy of people. In the course of the change in values, people's individual health has become the central frame of reference for their personal actions. In the process, within politics and society, these challenges are addressed in the context of health policy, whether it is the impact of demographic change or the management of medical progress. Case-management offers a methodological change that aims to minimise the problems within the cooperation and coordination of services and social benefits. The effectiveness of the system depends on its implementation in terms of organization and content, which is particularly important in practical implementation. Processes are to be designed efficiently for the patient, which finds its methodology within the organizational development with regard to human services care. The requirements of case management presuppose a network for cooperation between the faculties involved, which are reinforced by specialists. case-oriented process regulation includes the pilot function, which implies monitoring and evaluation of the process. The pilot must have corresponding competences to act, which should achieve a range of services at the system level through diverse collaboration.