Certified Case Manager Care Planning and Coordination 1 Flashcards
6 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 6 Certified Case Manager Care Planning and Coordination 1 flashcards as text
During care plan implementation, a case manager identifies that a client's goals are not being met due to financial barriers. Which action should the case manager take first?
Answer: Reassess the care plan and identify community resources to address financial barriers
When barriers prevent goal achievement, the case manager must reassess the care plan and connect the client with appropriate resources. Financial barriers are a legitimate obstacle requiring proactive problem-solving, not punitive action or case closure.
A case manager is developing a care plan for a client transitioning from an acute care hospital to home. Which element is most essential to include to prevent readmission?
Answer: A structured medication reconciliation and follow-up appointment schedule
Medication reconciliation and timely follow-up appointments are among the strongest evidence-based interventions to prevent hospital readmissions during care transitions. These directly address the highest-risk gaps in the transition period.
Which of the following best describes the case manager's role in interdisciplinary team meetings?
Answer: To advocate for the client and facilitate communication among team members
The case manager serves as a facilitator and client advocate within the interdisciplinary team, ensuring that all providers share relevant information and that the plan remains centered on the client's goals and needs.
A case manager is working with a client who refuses a recommended level of care. The client is competent and understands the risks. What is the most appropriate response?
Answer: Document the client's informed refusal and explore alternative options that align with the client's wishes
Competent clients have the right to refuse care. The case manager must respect autonomy, document the informed refusal thoroughly, and continue working collaboratively to identify alternatives that meet the client's goals while minimizing risk.
When establishing measurable outcomes in a care plan, which format is considered the industry standard for writing client goals?
Answer: SMART format, ensuring goals are specific, measurable, achievable, relevant, and time-bound
SMART goal-writing ensures that care plan objectives are concrete and trackable, allowing the case manager and client to evaluate progress objectively and adjust the plan as needed.
A case manager is coordinating care for a client with both medical and behavioral health needs. Which approach best reflects an integrated care model?
Answer: Collaborating with a co-located or coordinated team that addresses physical and behavioral health simultaneously
Integrated care models address physical and behavioral health concurrently through coordinated or co-located teams, which produces better outcomes than siloed sequential treatment, especially for clients with complex comorbidities.