This study identifies the informational factors and judgment processes involved in making two case management decisions within a consolidated long-term care program: evaluating risk of nursing home placement and choosing a care plan. A multidisciplinary case management team formulated these decisions for hypothetical clients described in vignettes (N = 1,507). The team used information about the client's condition and the program's available resources in judging risk of institutionalization, but only client-related information in selecting a care plan.