Exam #1: Case Management Question &
Answers 2025
What is a case manager accountable for? - Correct Answers ✅The
case manager is accountable for collaboratively facilitating the
assessment, planning, implementation and evaluation of care
coordination and care transitions in the acute care setting.
What are case managers advocates for? - Correct Answers ✅Nurse
case managers serve as advocates for options and services to meet the
patient and family needs, while promoting quality, cost effective
outcomes for the assigned case types.
What are 5 key functions and responsibilities of a case manager? -
Correct Answers ✅1. Coordination and facilitation of care
2. Utilization and resource management
3. Tracking of avoidable delays
4. Transitional and discharge planning
5. Quality and process improvement
A nurse case manager must encompass a knowledge of the health care
environment with regards to what 4 aspects? - Correct Answers ✅1.
Clinical
2. Business/Financial
3. Managerial
4. Professionalism
,Exam #1: Case Management Question &
Answers 2025
In the clinical setting, what type of assessment does the case manager
perform? - Correct Answers ✅Patient and family interview and
review of medical record
What type of planning is performed by the case manager in a clinical
setting? - Correct Answers ✅Consult with the physician, health care
team and patient/family - develop plan of care to facilitate a timely
discharge /transition plan
What type of implementation is performed by the case manager in the
clinical setting? - Correct Answers ✅Implements the plan of care in a
timely manner to facilitate accomplishment of goals and interventions.
What type of evaluations do case managers perform in the clinical
setting? - Correct Answers ✅Reassessment for any decline in status
and plan revisions
What are 4 roles of the case manager in managing business/financial
concerns? - Correct Answers ✅1. Ensure that the level of care is
appropriate and services are medically necessary
2. Proactively identify delays in care, delays in discharge and risk of
readmission
3. Maintain competence of utilization review (inpatient vs. observation
status)
, Exam #1: Case Management Question &
Answers 2025
4. Document avoidable delays/days
What are 5 managerial duties of the case manager? - Correct Answers
✅1. A nurse case manager must display leadership skills in decision
making and problem solving
2. Must actively participate in Interdisciplinary Team Meetings and
maintain open communication with physicians
3. Strive to make productive use of time through the setting of priorities
4. Foster an environment of professionalism
5. Utilize the Chain of Command effectively in addressing
complex/unusual situations
What are 5 key points that the case manager is responsible for in
instituting professionalism in the profession? - Correct Answers ✅1.
Integrate high ethical standards and core values
2. Hold self and others accountable
3. Perform work in an accurate and timely manner
4. Serve as a role model and mentor
5. Maintain current clinical knowledge and leadership skills
What is a clinical pathway? - Correct Answers ✅A clinical pathway is a
map of clinical practice for a particular diagnosis - also known as care
Answers 2025
What is a case manager accountable for? - Correct Answers ✅The
case manager is accountable for collaboratively facilitating the
assessment, planning, implementation and evaluation of care
coordination and care transitions in the acute care setting.
What are case managers advocates for? - Correct Answers ✅Nurse
case managers serve as advocates for options and services to meet the
patient and family needs, while promoting quality, cost effective
outcomes for the assigned case types.
What are 5 key functions and responsibilities of a case manager? -
Correct Answers ✅1. Coordination and facilitation of care
2. Utilization and resource management
3. Tracking of avoidable delays
4. Transitional and discharge planning
5. Quality and process improvement
A nurse case manager must encompass a knowledge of the health care
environment with regards to what 4 aspects? - Correct Answers ✅1.
Clinical
2. Business/Financial
3. Managerial
4. Professionalism
,Exam #1: Case Management Question &
Answers 2025
In the clinical setting, what type of assessment does the case manager
perform? - Correct Answers ✅Patient and family interview and
review of medical record
What type of planning is performed by the case manager in a clinical
setting? - Correct Answers ✅Consult with the physician, health care
team and patient/family - develop plan of care to facilitate a timely
discharge /transition plan
What type of implementation is performed by the case manager in the
clinical setting? - Correct Answers ✅Implements the plan of care in a
timely manner to facilitate accomplishment of goals and interventions.
What type of evaluations do case managers perform in the clinical
setting? - Correct Answers ✅Reassessment for any decline in status
and plan revisions
What are 4 roles of the case manager in managing business/financial
concerns? - Correct Answers ✅1. Ensure that the level of care is
appropriate and services are medically necessary
2. Proactively identify delays in care, delays in discharge and risk of
readmission
3. Maintain competence of utilization review (inpatient vs. observation
status)
, Exam #1: Case Management Question &
Answers 2025
4. Document avoidable delays/days
What are 5 managerial duties of the case manager? - Correct Answers
✅1. A nurse case manager must display leadership skills in decision
making and problem solving
2. Must actively participate in Interdisciplinary Team Meetings and
maintain open communication with physicians
3. Strive to make productive use of time through the setting of priorities
4. Foster an environment of professionalism
5. Utilize the Chain of Command effectively in addressing
complex/unusual situations
What are 5 key points that the case manager is responsible for in
instituting professionalism in the profession? - Correct Answers ✅1.
Integrate high ethical standards and core values
2. Hold self and others accountable
3. Perform work in an accurate and timely manner
4. Serve as a role model and mentor
5. Maintain current clinical knowledge and leadership skills
What is a clinical pathway? - Correct Answers ✅A clinical pathway is a
map of clinical practice for a particular diagnosis - also known as care
