Certified Case Manager (CCM) Exam Review

The Certified Case Manager credential indicates a specialized level of training in the field of patient case management. The Certified Case Manager works closely with patients and the healthcare team in order to expedite and ensure efficient care of the patient. The Certified Case Manager is employed in hospitals, federal and state institutions, and short and long-term care facilities.

In order to take the Certified Case Manager Exam, the applicant must hold a post-secondary degree in a field that promotes the well-being of the patient, such as nursing. In addition, the applicant must have worked for at least 1 year in case management under the supervision of a Certified Case Manager, worked for at least 2 years in case management not under the supervision of a Certified Case Manager, or worked at least 1 year in a role that provides supervision to those who provide case management services. A specific job description must be completed outlining the applicant's responsibilities to verify employment criteria have been met.

The Certified Case Manager Exam is offered twice a year, usually on the last Saturdays in April and October, at specific testing sites across the United States. The fee to take the exam is $290 which includes a non-refundable $130 processing fee.

The exam consists of 300 multiple-choice questions. The exam focuses on testing qualified applicant's knowledge in the areas of case management as it pertains to specific patient care issues and concepts. Professional and ethical issues are also covered on the exam.

CCM certification is valid for 5 years. At the end of that time period, the licensed professional must have completed at least 80 approved continuing education hours or retake the CCM exam. The fee for recertification is $150 is the continuing education hour requirements are met and $310 if recertification is accomplished by retaking the CCM exam.

For more information regarding the CCM test, go to www.ccmcertification.org or www.nursecredentialing.org/cert/eligibility/CaseMgmt.html.

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CCM Study Guide

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Free Case Manager Practice Test

1. The five components of a nursing case management framework identified by the American Nurses Credentialing Center are:

a. planning, organizing, coordinating, advocacy, and monitoring
b. assessment, planning, implementation, evaluation, and interaction
c. communication, planning, facilitation, advocacy, and monitoring
d. evaluation, linking, coordination, advocacy, and monitoring

2. The "Pareto Principle," as related to nursing case management, indicates that:

a. resource allocation must be multidisciplinary to be cost effective
b. a systematic and dynamically adaptable framework is required
c. about 80% of all health resources are used by 20% of the population
d. no professional discipline owns the practice of case management

3. Client assessment in case management is best described as:

a. completion of a thorough physical exam to identify all health issues
b. interviews of collateral contacts to understand the client better
c. a thorough client interview to evaluate identified needs
d. an in-depth evaluation, including interviews and record reviews

4. Case management systems should be adapted to accommodate all of the following EXCEPT the:

a. political or cultural views of the case manager
b. organizational setting in which the services are provided
c. socioeconomic needs of the population being served
d. developmental characteristics of the clients being seen

5. A pediatric theorist who focused on the social environment of children is:

a. B. F. Skinner
b. Alfred Adler
c. Erik Erickson
d. Jean Piaget

Case Manager Answers and Explanations

1. B: Assessment, planning, implementation, evaluation, and interaction. Nursing case management is a process of meeting an individual's health care needs through collaboration and coordination. It requires assessment to determine client needs, planning to identify and engage resources, timely implementation to reduce service fragmentation, evaluation to ensure quality care and effective clinical outcomes, and interaction in an ongoing fashion to realize all client goals and outcomes.

2. C: About 80% of all health resources are used by 20% of the population. The "Pareto Principle" (also known as the "80-20 rule," the law of the "vital few," and the principle of "factor sparsity") states that, for many real world events, roughly 80% of the effects come from 20% of the causes. Applied to case management, it means that approximately 20% of all patients consume 80% of all medical resources. This resource-intense population must be identified and carefully "case managed" so that their health care is of high quality, efficiently delivered (i.e., meeting expected outcomes), and cost-effective.

3. D: An in-depth evaluation, including interviews and record reviews. Clients identified for case management assessment are at-risk for or in need of intensive services either because of complex health problems or high-resource use. Thus, assessment for purposes of case management involves an in-depth evaluation of a client and his or her complete situation. It incorporates interviews with the client and other relevant sources, along with an intensive review of all pertinent records from health care institutions, involved professionals, employers, caregivers, school and military sources, and health care providers, among others. The goal is to obtain insights into a client's physical, psychosocial, cultural, developmental, economic, lifestyle, and spiritual circumstances sufficient to uncover all significant health care issues.

4. A: Political or cultural views of the case manager. The focus of case management is on optimum client care, regardless of the political, cultural, or other personal views of any given case manager. While broad guidelines for case management are provided by credentialing bodies, the specific features of the case management system used should be tailored to meet the age, function, developmental capabilities, mental illnesses, economics, cultural characteristics, and capacities of the clients who are served and the service delivery organization that is involved.

5. C: Erik Erickson. Erik Erickson's theories incorporated insights into the social environment of children, illuminating issues, such as peer pressure, that may influence their willingness to adhere to prescribed treatment regimens and medication usage. B. F. Skinner emphasized behavioral issues that were treated with rewards, bargaining, and other behavioral modification techniques. Jean Piaget developed cognitive theories of pediatric interaction, clarifying, for example, the need of children for comfort and parental support more than reasoning, explaining, and rationally addressing the need for any given procedure or intervention. Alfred Adler was not a pediatric theorist.

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Last Updated: 04/18/2018

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