Abstract: Organizations have moved beyond questioning whether artificial intelligence delivers value. The critical challenge has shifted to organizational integration: restructuring work, redefining roles, and redesigning processes to capture demonstrated AI value while managing risks inherent in sociotechnical transformation. This article examines the AI integration gap—the distance between technical capability and organizational value realization—and synthesizes evidence on effective change leadership practices. Drawing on organizational change theory, technology adoption research, and emerging practitioner accounts, it identifies patterns in how leading organizations navigate structural ambiguity when established implementation models do not exist. The analysis reveals that successful AI integration requires simultaneous attention to work redesign, capability development, governance frameworks, and psychological contracts, with experimentation emerging as the dominant change methodology in the absence of proven blueprints.