CERTIFIED CASE MANAGER (CCM) EXAM
QUESTION AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A INSTANT DOWNLOAD PDF
1. The primary role of a professional case manager is to
A. Provide direct medical treatment
B. Coordinate and facilitate care across settings
C. Prescribe medications
D. Perform diagnostic testing
Answer: B
Rationale: Case managers focus on coordination, advocacy, and facilitation of
services across the continuum of care rather than providing direct clinical
treatment.
2. Which organization administers the CCM credential?
A. American Nurses Credentialing Center
B. Commission for Case Manager Certification
C. National Association of Social Workers
D. American Case Management Association
Answer: B
Rationale: The Commission for Case Manager Certification (CCMC) administers
and oversees the CCM credential.
, 3. The CCM Code of Professional Conduct primarily emphasizes
A. Billing efficiency
B. Ethical practice and client advocacy
C. Employer loyalty
D. Cost containment only
Answer: B
Rationale: The CCM Code of Professional Conduct focuses on ethics, advocacy,
accountability, and professional responsibility.
4. Which principle best supports client autonomy?
A. Beneficence
B. Justice
C. Respect for self-determination
D. Fidelity
Answer: C
Rationale: Respect for self-determination ensures that clients have the right to
make informed decisions about their care.
5. A case manager’s first step in the case management process is
A. Care coordination
B. Outcome evaluation
C. Assessment
D. Advocacy
Answer: C
Rationale: Assessment is the foundational step used to identify client needs,
strengths, and barriers.
6. Which tool is most appropriate for identifying psychosocial barriers?
A. Lab values
, B. Imaging studies
C. Psychosocial assessment
D. Medication reconciliation
Answer: C
Rationale: Psychosocial assessments identify social, emotional, financial, and
environmental barriers.
7. In utilization management, “medical necessity” refers to
A. Lowest-cost service
B. Provider preference
C. Services required to diagnose or treat a condition
D. Experimental treatment
Answer: C
Rationale: Medical necessity is based on services needed to diagnose, treat, or
prevent illness according to accepted standards.
8. A key responsibility in discharge planning is
A. Writing prescriptions
B. Ensuring continuity of care
C. Providing inpatient treatment
D. Determining hospital staffing
Answer: B
Rationale: Discharge planning focuses on smooth transitions and continuity of
care post-discharge.
9. Which setting emphasizes long-term coordination of services?
A. Emergency department
B. Acute care hospital
QUESTION AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A INSTANT DOWNLOAD PDF
1. The primary role of a professional case manager is to
A. Provide direct medical treatment
B. Coordinate and facilitate care across settings
C. Prescribe medications
D. Perform diagnostic testing
Answer: B
Rationale: Case managers focus on coordination, advocacy, and facilitation of
services across the continuum of care rather than providing direct clinical
treatment.
2. Which organization administers the CCM credential?
A. American Nurses Credentialing Center
B. Commission for Case Manager Certification
C. National Association of Social Workers
D. American Case Management Association
Answer: B
Rationale: The Commission for Case Manager Certification (CCMC) administers
and oversees the CCM credential.
, 3. The CCM Code of Professional Conduct primarily emphasizes
A. Billing efficiency
B. Ethical practice and client advocacy
C. Employer loyalty
D. Cost containment only
Answer: B
Rationale: The CCM Code of Professional Conduct focuses on ethics, advocacy,
accountability, and professional responsibility.
4. Which principle best supports client autonomy?
A. Beneficence
B. Justice
C. Respect for self-determination
D. Fidelity
Answer: C
Rationale: Respect for self-determination ensures that clients have the right to
make informed decisions about their care.
5. A case manager’s first step in the case management process is
A. Care coordination
B. Outcome evaluation
C. Assessment
D. Advocacy
Answer: C
Rationale: Assessment is the foundational step used to identify client needs,
strengths, and barriers.
6. Which tool is most appropriate for identifying psychosocial barriers?
A. Lab values
, B. Imaging studies
C. Psychosocial assessment
D. Medication reconciliation
Answer: C
Rationale: Psychosocial assessments identify social, emotional, financial, and
environmental barriers.
7. In utilization management, “medical necessity” refers to
A. Lowest-cost service
B. Provider preference
C. Services required to diagnose or treat a condition
D. Experimental treatment
Answer: C
Rationale: Medical necessity is based on services needed to diagnose, treat, or
prevent illness according to accepted standards.
8. A key responsibility in discharge planning is
A. Writing prescriptions
B. Ensuring continuity of care
C. Providing inpatient treatment
D. Determining hospital staffing
Answer: B
Rationale: Discharge planning focuses on smooth transitions and continuity of
care post-discharge.
9. Which setting emphasizes long-term coordination of services?
A. Emergency department
B. Acute care hospital
