CRC Case Management 2 — Questions and Answers
Question 1: Which model of case management emphasizes the client's strengths and natural community supports rather than deficits?
- Medical model
- Strengths-based model (Correct answer)
- Broker model
- Clinical model
Correct answer: Strengths-based model
The strengths-based model focuses on client assets and natural community resources to promote empowerment and self-determination.
Question 2: A rehabilitation counselor is developing a written rehabilitation plan (IPE). Which element is legally required under the Rehabilitation Act?
- Vocational goal consistent with the client's informed choice (Correct answer)
- Employer agreement to hire the client upon plan completion
- A minimum of three service options listed
- Counselor signature without client signature
Correct answer: Vocational goal consistent with the client's informed choice
The IPE must include a specific employment outcome based on the client's informed choice, as mandated by the Rehabilitation Act Amendments.
Question 3: In case management, 'utilization review' primarily serves to:
- Assess client satisfaction with services
- Monitor appropriate use of resources and cost-effectiveness (Correct answer)
- Evaluate counselor performance annually
- Document case closure procedures
Correct answer: Monitor appropriate use of resources and cost-effectiveness
Utilization review monitors whether services are necessary, appropriate, and cost-effective within the case management system.
Question 4: A client with a traumatic brain injury has difficulty with executive functioning. Which case management accommodation would BEST support independent follow-through?
- Increase session frequency to weekly counseling
- Use detailed written checklists and structured reminders (Correct answer)
- Refer immediately to long-term care facility
- Defer service planning until cognition improves
Correct answer: Use detailed written checklists and structured reminders
Structured written checklists and reminders are evidence-based compensatory strategies for executive functioning deficits following TBI.
Question 5: The concept of 'medical necessity' in case management refers to:
- Services required by a physician's order regardless of cost
- Services that are appropriate, sufficient, and required for treatment of a condition (Correct answer)
- Any service requested by the client with a documented disability
- Emergency services only covered under Medicaid
Correct answer: Services that are appropriate, sufficient, and required for treatment of a condition
Medical necessity means services must be clinically appropriate, sufficient in amount, and required for evaluation or treatment of the presenting condition.
Question 6: When a rehabilitation counselor transfers a case to another counselor, which action is MOST critical?
- Closing the current case and opening a new one
- Providing a comprehensive case summary and warm handoff (Correct answer)
- Informing the client by mail only
- Deleting outdated records before transfer
Correct answer: Providing a comprehensive case summary and warm handoff
A comprehensive case summary and warm handoff ensures continuity of care and prevents service disruption during counselor transitions.
Question 7: Which legislation established the concept of an 'order of selection' in state vocational rehabilitation programs?
- Americans with Disabilities Act (ADA)
- Individuals with Disabilities Education Act (IDEA)
- Rehabilitation Act of 1973 and its amendments (Correct answer)
- Social Security Act
Correct answer: Rehabilitation Act of 1973 and its amendments
The Rehabilitation Act allows states with insufficient resources to establish an order of selection prioritizing individuals with the most significant disabilities.
CRC Case Management 2
Which model of case management emphasizes the client's strengths and natural community supports rather than deficits?