Case Manager Certification Reviewed Questions and Answers Latest 2025/2026 GRADED A+
case management - correct answer the dynamic and systematic collaborative approach to
providing and coordinating health care services to a defined population.
- participative process to identify and facility options and services for meeting individual
healthcare needs while decreasing fragmentation and duplication of care and increasing quality
and cost effective clinical outcomes.
standards of care - correct answer parameters to measure the quality of healthcare
clinical guidelines - correct answer statements to help make decisions about health specific
circumstances.
clinical pathway - correct answer structured multi-disciplined plan of care to support clinical
guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - correct answer 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree - correct answer used to select the best course of action in decisions where there
is no clear decisions.
descriptive screening tool - correct answer identifies characteristics about a population to show
health prevention.
predictive screening tool - correct answer shows what may happen to a specific population.
evaluative screening tool - correct answer evaluates the understanding/effectiveness
SF-36 - correct answer predictive screening tool to assess functional health and well being.
Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure - correct answer 13 item predictive screening tool to evaluate
patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
,Case Manager Certification Reviewed Questions and Answers Latest 2025/2026 GRADED A+
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment - correct answer predictive screening tool: patient's self assessment of
their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q - correct answer health risk assessment for angina, MI, coronary heart disease.
defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left anterior chest
(defined as the anterior chest wall between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level, for
those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken pace, unless
nitroglycerin is taken, (d) it must disappear on a majority of occasions in 10 min or less from the
time when the subject stands still."
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain across the
front of the chest lasting for 30 min or longer."
seattle angina questionnaire - correct answer 19-item self-administered health risk assessment
for angina and functional artery disease measuring five dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction and 5
disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical limitation, less
angina, and better quality of life).
arthritis impact measurement scales - correct answer health risk assessment: Disease-specific
measure of physical, social, and emotional well-being designed as a measure of outcome in
arthritis.
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household activity
(managing money and medications, housekeeping), social activities, activities of daily living,
pain, depression, and anxiety.
, Case Manager Certification Reviewed Questions and Answers Latest 2025/2026 GRADED A+
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor health status.
functional living index-cancer - correct answer health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability, emotional state, sociability,
family situation, nausea
- Higher score indicates better quality of life.
BASIS-32 - correct answer health risk assessment: 32-item Behavior and Symptom Identification
Scale. behavioral health assessment tool.
- measures the change in self-reported symptom and problem difficulty over the course of
treatment.
- assesses: Relation to Self and Others, Depression and Anxiety, Daily Living and Role
Functioning, Impulsive and Addictive Behavior, Psychosis.
- higher score poorer outcome
mini mental state exam - correct answer health risk assessment:
30-point questionnaire measures cognitive impairment to screen for dementia.
- higher the score, less dementia
- 18-23 is mild dementia
- 0-17 is sever dementia
hopkins symptom checklist-25 - correct answer health risk assessment: self-reporting
questionnaire symptom inventory which measures symptoms of anxiety and depression.
-The scale for each question includes four categories of response ("Not at all," "A little," "Quite
a bit," "Extremely," rated 1 to 4, respectively). Two scores are calculated: the total score is the
average of all 25 items, while the depression score is the average of the 15 depression items
mcgill pain questionnaire - correct answer scale of rating pain. It is a self-report questionnaire
that allows individuals to give their doctor a good description of the quality and intensity of
pain that they are experiencing. Users first select a single word from each group that best
reflects their pain. Users then review the list and select the three words from groups 1-10 that
best describe their pain, two words from groups 11-15, a single word from group 16, and then
one word from groups 17-20. After completing the questionnaire, users will have selected
seven words that best describe their pain.
A - correct answer What part of Medicare covers skilled nursing facility?
case management - correct answer the dynamic and systematic collaborative approach to
providing and coordinating health care services to a defined population.
- participative process to identify and facility options and services for meeting individual
healthcare needs while decreasing fragmentation and duplication of care and increasing quality
and cost effective clinical outcomes.
standards of care - correct answer parameters to measure the quality of healthcare
clinical guidelines - correct answer statements to help make decisions about health specific
circumstances.
clinical pathway - correct answer structured multi-disciplined plan of care to support clinical
guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - correct answer 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree - correct answer used to select the best course of action in decisions where there
is no clear decisions.
descriptive screening tool - correct answer identifies characteristics about a population to show
health prevention.
predictive screening tool - correct answer shows what may happen to a specific population.
evaluative screening tool - correct answer evaluates the understanding/effectiveness
SF-36 - correct answer predictive screening tool to assess functional health and well being.
Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure - correct answer 13 item predictive screening tool to evaluate
patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
,Case Manager Certification Reviewed Questions and Answers Latest 2025/2026 GRADED A+
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment - correct answer predictive screening tool: patient's self assessment of
their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q - correct answer health risk assessment for angina, MI, coronary heart disease.
defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left anterior chest
(defined as the anterior chest wall between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level, for
those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken pace, unless
nitroglycerin is taken, (d) it must disappear on a majority of occasions in 10 min or less from the
time when the subject stands still."
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain across the
front of the chest lasting for 30 min or longer."
seattle angina questionnaire - correct answer 19-item self-administered health risk assessment
for angina and functional artery disease measuring five dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction and 5
disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical limitation, less
angina, and better quality of life).
arthritis impact measurement scales - correct answer health risk assessment: Disease-specific
measure of physical, social, and emotional well-being designed as a measure of outcome in
arthritis.
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household activity
(managing money and medications, housekeeping), social activities, activities of daily living,
pain, depression, and anxiety.
, Case Manager Certification Reviewed Questions and Answers Latest 2025/2026 GRADED A+
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor health status.
functional living index-cancer - correct answer health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability, emotional state, sociability,
family situation, nausea
- Higher score indicates better quality of life.
BASIS-32 - correct answer health risk assessment: 32-item Behavior and Symptom Identification
Scale. behavioral health assessment tool.
- measures the change in self-reported symptom and problem difficulty over the course of
treatment.
- assesses: Relation to Self and Others, Depression and Anxiety, Daily Living and Role
Functioning, Impulsive and Addictive Behavior, Psychosis.
- higher score poorer outcome
mini mental state exam - correct answer health risk assessment:
30-point questionnaire measures cognitive impairment to screen for dementia.
- higher the score, less dementia
- 18-23 is mild dementia
- 0-17 is sever dementia
hopkins symptom checklist-25 - correct answer health risk assessment: self-reporting
questionnaire symptom inventory which measures symptoms of anxiety and depression.
-The scale for each question includes four categories of response ("Not at all," "A little," "Quite
a bit," "Extremely," rated 1 to 4, respectively). Two scores are calculated: the total score is the
average of all 25 items, while the depression score is the average of the 15 depression items
mcgill pain questionnaire - correct answer scale of rating pain. It is a self-report questionnaire
that allows individuals to give their doctor a good description of the quality and intensity of
pain that they are experiencing. Users first select a single word from each group that best
reflects their pain. Users then review the list and select the three words from groups 1-10 that
best describe their pain, two words from groups 11-15, a single word from group 16, and then
one word from groups 17-20. After completing the questionnaire, users will have selected
seven words that best describe their pain.
A - correct answer What part of Medicare covers skilled nursing facility?
