Certified Case Manager (CCM) MCQ Questions and Answers 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 (CCM) MCQ Questions and Answers flashcards as text
Which motivational interviewing technique involves reflecting a client's statement back with added meaning?
Answer: Complex reflections
Complex reflections add meaning or interpretation to what the client said, deepening the conversation.
A client has been denied coverage for a recommended procedure. What is the first step in the appeals process?
Answer: Review the denial letter to understand the specific reason
First review the denial letter to understand the specific reason, as this determines the appeal strategy.
What does 'social determinants of health' refer to in case management?
Answer: The non-medical factors that influence health outcomes, including economic stability, education, and environment
SDOH are the non-medical conditions where people live, work, and age that affect health outcomes.
Which case management model assigns a case manager at the point of hospital admission?
Answer: Within-the-walls (hospital-based) case management
Hospital-based case management assigns case managers at admission to coordinate the entire inpatient episode.
What is the primary purpose of an advance directive in case management?
Answer: To document healthcare preferences and designate a surrogate decision-maker for when the client cannot speak
Advance directives document healthcare wishes and name a surrogate decision-maker for incapacity situations.
In a workers' compensation case, what is the case manager's primary role?
Answer: To facilitate safe, timely return to work while coordinating medical care
The case manager coordinates medical treatment and facilitates safe return to work while balancing all stakeholders' interests.