The most frequent answer I get when I pose this question is an emphatic no. But the answer is a resounding yes.
In fact, I have pulled it off twice in the space of 10 years. I will say that on both occasions, it was a positive transition and well worth it. The benefits included realised reduction in man-hours that were redirected from admin to direct care services. In one case that meant the creation of a second lifestyle coordinator position.
The secret: you must believe it can happen to make it happen.