Clinical decision support is a great use case for Case Management approach. Care plans are used to describe how patients must be treated in specific circumstances, but people like general practitioners still need to have the flexibility to add additional steps and deviate from the proposed plan, as each case is unique. A care plan with tasks to be performed when a patient who has high blood pressure can be designed with this approach. While a large part of the process is still well-structured, the general practitioner can decide which tasks must be performed as part of the sub-process. The practitioner also has the ability to add new tasks during that period, tasks that were not defined as part of the process, or repeat tasks multiple times. The process uses an ad-hoc sub-process to model this kind of flexibility, possibly augmented with rules or event processing to help in deciding which fragments to execute.

An internet provider can use this approach to handle internet connectivity cases. Instead of having a set process from start to end, the case worker can choose from a number of actions based on the problem at hand. The case worker is responsible for selecting what to do next and can even add new tasks dynamically.