Certified Case Manager (CCM) MCQ Flashcards
7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Case Manager (CCM) MCQ flashcards as text
A case manager notices a pattern of frequent emergency department visits by a patient with uncontrolled diabetes. The MOST appropriate intervention is to:
Answer: Develop a proactive care plan with self-management education, regular follow-up, and access to primary care
Proactive care planning with self-management education and improved primary care access addresses the root cause of avoidable ED utilization.
Under HIPAA, a case manager may share protected health information (PHI) with a patient's family member without explicit patient authorization when:
Answer: The patient is present and does not object, or the sharing is directly relevant to the family member's involvement in care
HIPAA permits sharing PHI with involved family members when the patient is present and does not object, or when the patient has given prior permission.
Which of the following is an example of secondary prevention in case management?
Answer: Early detection of hypertension through screening and initiating treatment
Secondary prevention involves early detection and treatment of disease before it progresses, such as identifying and managing hypertension.
A patient with substance use disorder is being case-managed post-hospitalization. Which approach is most aligned with current best practice?
Answer: Using a harm reduction framework with motivational interviewing and connection to peer support
Harm reduction with motivational interviewing is evidence-based and meets patients where they are, improving engagement and outcomes for substance use disorders.
A case manager uses the Chronic Care Model (CCM). Which component of this model involves empowering patients to manage their own conditions?
Answer: Self-management support
Self-management support is the component of the Chronic Care Model that equips patients with skills, tools, and confidence to manage their own health.
Which measure is most directly used to evaluate the effectiveness of a case management program in reducing avoidable hospitalizations?
Answer: 30-day all-cause readmission rate
The 30-day all-cause readmission rate is a primary outcome metric for case management effectiveness in preventing avoidable hospitalizations.
A case manager is working with a homeless patient being discharged from the hospital. The MOST immediate priority is:
Answer: Securing safe housing or a shelter placement before discharge
Safe housing must be secured before discharge because homelessness directly undermines medication adherence, follow-up, and clinical recovery.