This report presents findings of a study of case management in the United States refugee program. "Case management" is defined as a coordinated activity designed to improve use of services and assistance programs by providing for formal linkages between multiple service providers and by designating a single individual or agency to be responsible for each client. The report is divided into four chapters. Chapter 1 presents background information and describes the purpose and methodology of the study. Chapter 2 outlines a generic model of case management. Chapter 3 describes variations in case management design and implementation, divided into sections dealing with the goals of and impetus for case management, client service delivery issues, institutional relationships, state administration of case management programs, and financing and cost issues. Chapter 4 presents a summary of findings and conclusions. For the most part case management can have beneficial effects on refugee prospects for self-sufficiency. However, current programs are often marked by confusion about the roles to be played by providers, duplication of effort, and a lack of linkages between the case manager and service providers. Thus, refugee case management appears to be an approach with unrealized potential. Appendices contain an explanation of refugee case management practices in selected states and a short bibliography. (KH)