Case Manager Certification Exam Questions and Answers Updated 2026

Case Manager Certification Exam
Questions and Answers Updated
2026
caseMmanagementM-
MAnswerMtheMdynamicMandMsystematicMcollaborativeMapproachMtoMprovidingMandMcoord
inatingMhealthMcareMservicesMtoMaMdefinedMpopulation.M

-
MparticipativeMprocessMtoMidentifyMandMfacilityMoptionsMandMservicesMforMmeetingMindiv
idualMhealthcareMneedsMwhileMdecreasingMfragmentationMandMduplicationMofMcareMandM
increasingMqualityMandMcostMeffectiveMclinicalMoutcomes.



standardsMofMcareM-MAnswerMparametersMtoMmeasureMtheMqualityMofMhealthcare



clinicalMguidelinesM-
MAnswerMstatementsMtoMhelpMmakeMdecisionsMaboutMhealthMspecificMcircumstances.



clinicalMpathwayM-MAnswerMstructuredMmulti-
disciplinedMplanMofMcareMtoMsupportMclinicalMguidelinesMandMprotocolMtoMimproveMcont
inuityMandMcoordination.



4MpartsMofMclinicalMpathwayM-MAnswerM1.Mtimeline

2.McategoriesMofMcare/activitiesMandMinterventions

3.MintermediateMandMlongMtermMoutcomeMcriteria

4.MvarianceMtracking

areM4MpartsMofMwhat?



decisionMtreeM-
MAnswerMusedMtoMselectMtheMbestMcourseMofMactionMinMdecisionsMwhereMthereMisMn
oMclearMdecisions.



descriptiveMscreeningMtoolM-
MAnswerMidentifiesMcharacteristicsMaboutMaMpopulationMtoMshowMhealthMprevention.



predictiveMscreeningMtoolM-
MAnswerMshowsMwhatMmayMhappenMtoMaMspecificMpopulation.

,evaluativeMscreeningMtoolM-MAnswerMevaluatesMtheMunderstanding/effectiveness



SF-36M-
MAnswerMpredictiveMscreeningMtoolMtoMassessMfunctionalMhealthMandMwellMbeing.MAsses
sesMphysicalMandMmentalMhealth.M

-MusedMinMhealthMeconomics,Mcost-effectivenessMofMhealthMtx

-evalsMindividualMpatientMhealthMstatus.

-MdoesMnotMconsiderMsleep

-scoredM00-100,MlowerMscore->Mincr.Mdisability



patientMactivationMmeasureM-
MAnswerM13MitemMpredictiveMscreeningMtoolMtoMevaluateMpatient'sMknowledge,Mskills,Mc
onfidenceMinMself-care.

-MhigherMtheMscoreMtheMbetterM(scoredM0-52)

-predictsMhealthMcareMoutcomes,MmedicationMadherenceMandMERMvisits.



healthMriskMassessmentM-
MAnswerMpredictiveMscreeningMtool:Mpatient'sMselfMassessmentMofMtheirMhealthMandMho
wMlikelyMtheyMwillMseekMcare.M

-MpredictsMfutureMhealthMcosts

-MpredictsMlikely-hoodMofMprogressionMofMtheirMillnessMtoMaMworseMcondition.M

-Mexamples:MPHQ-9,Metc.



roseMQM-MAnswerMhealthMriskMassessmentMforMangina,MMI,McoronaryMheartMdisease.M

MdefinedManginaMpectorisMas,M"aMchestMpainMorMdiscomfortMwithMtheseMcharacteristics:
M

M(a)MtheMsiteMmustMincludeMeitherMtheMsternumM(anyMlevel)MorMtheMleftMarmMandMl
eftManteriorMchestM(definedMasMtheManteriorMchestMwallMbetweenMtheMlevelsMofMclavicl
eMandMlowerMendMofMsternum),

M(b)MitMmustMbeMprovokedMbyMeitherMhurryingMorMwalkingMuphillM(orMbyMwalkingMon
MtheMlevel,MforMthoseMwhoMneverMattemptMmore),M

M(c)MwhenMitMoccursMonMwalkingMitMmustMmakeMtheMsubjectMeitherMstopMorMslacken
Mpace,MunlessMnitroglycerinMisMtaken,M(d)MitMmustMdisappearMonMaMmajorityMofMoccasi
onsMinM10MminMorMlessMfromMtheMtimeMwhenMtheMsubjectMstandsMstill."

, MPossibleMmyocardialMinfarction1MwasMdefinedMas,M"oneMorMmoreMattacksMofMsevereM
painMacrossMtheMfrontMofMtheMchestMlastingMforM30MminMorMlonger."



seattleManginaMquestionnaireM-MAnswerM19-itemMself-
administeredMhealthMriskMassessmentMforManginaMandMfunctionalMarteryMdiseaseMmeasuri
ngMfiveMdimensionsMofMcoronaryMarteryMdisease:

1MphysicalMlimitation,M2ManginalMstability,M3ManginalMfrequency,M4MtreatmentMsatisfactio
nMandM5MdiseaseMperception.

-
scoreMofM0MtoM100,MwhereMhigherMscoresMindicateMbetterMfunctionM(eg,MlessMphysical
Mlimitation,MlessMangina,MandMbetterMqualityMofMlife).



arthritisMimpactMmeasurementMscalesM-MAnswerMhealthMriskMassessment:MDisease-
specificMmeasureMofMphysical,Msocial,MandMemotionalMwell-
beingMdesignedMasMaMmeasureMofMoutcomeMinMarthritis.

-
scales:Mmobility,MphysicalMactivityM(walking,Mbending,Mlifting),Mdexterity,MhouseholdMactivit
yM(managingMmoneyMandMmedications,Mhousekeeping),MsocialMactivities,MactivitiesMofMdai
lyMliving,Mpain,Mdepression,MandManxiety.M



ScoreMrange:MRangeMisM0-10MforMeachMsection.MTotalMhealthMscoreM0-60.

-->MZeroMrepresentsMgoodMhealthMstatus,M10MandM60MrepresentMpoorMhealthMstatus.



functionalMlivingMindex-cancerM-MAnswerMhealthMriskMassessment:MCancer-
specific,Mfunctionally-orientedMqualityMofMlifeMinstrument.

-22MitemsMassessingM5Mdomains:MPhysicalMwell-
beingMandMability,MemotionalMstate,Msociability,MfamilyMsituation,Mnausea

-MHigherMscoreMindicatesMbetterMqualityMofMlife.



BASIS-32M-MAnswerMhealthMriskMassessment:M32-
itemMBehaviorMandMSymptomMIdentificationMScale.MbehavioralMhealthMassessmentMtool.

-MmeasuresMtheMchangeMinMself-
reportedMsymptomMandMproblemMdifficultyMoverMtheMcourseMofMtreatment.

-
Massesses:MRelationMtoMSelfMandMOthers,MDepressionMandMAnxiety,MDailyMLivingMandMR
oleMFunctioning,MImpulsiveMandMAddictiveMBehavior,MPsychosis.