CASE MANAGER CERTIFICATION EXAM
2026 | COMPLETE STUDY GUIDE &
PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,case management 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 parameters to measure the quality of healthcare
clinical guidelines statements to help make decisions about health specific circumstances.
clinical pathway structured multi-disciplined plan of care to support clinical guidelines and
protocol to improve continuity and coordination.
,4 parts of clinical pathway 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 used to select the best course of action in decisions where there is no clear
decisions.
descriptive screening tool identifies characteristics about a population to show health prevention.
predictive screening tool shows what may happen to a specific population.
evaluative screening tool evaluates the understanding/effectiveness
SF-36 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 13 item predictive screening tool to evaluate patient's knowledge, skills,
confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment 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.
2026 | COMPLETE STUDY GUIDE &
PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,case management 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 parameters to measure the quality of healthcare
clinical guidelines statements to help make decisions about health specific circumstances.
clinical pathway structured multi-disciplined plan of care to support clinical guidelines and
protocol to improve continuity and coordination.
,4 parts of clinical pathway 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 used to select the best course of action in decisions where there is no clear
decisions.
descriptive screening tool identifies characteristics about a population to show health prevention.
predictive screening tool shows what may happen to a specific population.
evaluative screening tool evaluates the understanding/effectiveness
SF-36 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 13 item predictive screening tool to evaluate patient's knowledge, skills,
confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment 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.
