CCM Care Coordination & Resource Management 4

Question 1

A care manager working in a managed care organization receives a request to discharge a client prematurely to reduce costs. The care manager's FIRST obligation is to:

Accepted Answer

Advocate for the client's medically necessary care needs

Answer

The care manager's primary ethical obligation is client advocacy, even when organizational financial pressures conflict with client needs.

Question 2

Which care setting BEST describes a skilled nursing facility (SNF) in terms of care intensity?

Accepted Answer

Intermediate level providing skilled therapy and nursing post-acute care

Answer

An SNF provides a post-acute level of care including skilled nursing and rehabilitation services not available in custodial or home settings.

Question 3

A care manager is coordinating care for a patient with limited English proficiency. The MOST appropriate interpreter resource is:

Accepted Answer

A trained medical interpreter service

Answer

Trained medical interpreters ensure accurate clinical communication and protect patient confidentiality and rights under Title VI.

Question 4

During a home visit, a care manager observes unsanitary living conditions that may endanger the client. After addressing immediate safety, the care manager should:

Accepted Answer

File an Adult Protective Services (APS) report if abuse or neglect is suspected

Answer

Reporting suspected abuse, neglect, or self-neglect to APS is a mandatory duty in most states and protects the client's wellbeing.

Question 5

Which care coordination framework emphasizes the relationship between a prepared, proactive practice team and an informed, activated patient?

Accepted Answer

Chronic Care Model (CCM)

Answer

The Chronic Care Model's central interaction is between a prepared practice team and an activated patient to produce better outcomes.

(CCM) Certified Care Manager Practice Test

(CCM) Certified Care Manager Practice Test

CCM Care Coordination & Resource Management 4