CCM Advanced Professional Practice 3

Question 1

Which model of case management places the case manager as a direct provider of services rather than a coordinator or broker?

Accepted Answer

Clinical model

Answer

The clinical model involves the case manager providing hands-on therapeutic services directly to the client.

Question 2

A care manager is evaluating a client's readiness for discharge from acute care. Which factor is MOST critical in determining safe discharge?

Accepted Answer

Availability of a caregiver and appropriate home environment

Answer

Safe discharge requires confirming that the client has adequate support and an environment that meets their care needs.

Question 3

Which level of Maslow's Hierarchy of Needs would a case manager address when securing housing for a homeless client?

Accepted Answer

Physiological needs

Answer

Housing addresses physiological needs—the most fundamental level of Maslow's hierarchy including shelter and basic survival.

Question 4

When a case manager advocates for a client's access to a denied service, which step should occur FIRST?

Accepted Answer

Review the denial letter and understand the specific reason for denial

Answer

Understanding the specific grounds for denial is essential before crafting an effective appeal or advocacy strategy.

Question 5

The concept of 'utilization management' in case management primarily focuses on:

Accepted Answer

Ensuring that healthcare services are medically necessary and appropriate

Answer

Utilization management evaluates the appropriateness and medical necessity of services to ensure efficient and evidence-based care delivery.

(CCM) Certified Care Management Professional Practice Test