The purpose of this descriptive study was to investigate the work life of the nurse manager during the transition from primary care to patient-focused care. The sample population includes nurse managers who were in administrative roles at the time of transition from primary care to patient-focused care delivery model. Exploratory descriptive data were collected by an open-interview, semi-structured format utilizing focused questions with three nurse managers who participated in the study. The study adds significantly to the current debate on caring, nursing, nursing administration, patient-focused care, and nursing care delivery systems.