1/24/26, 4:06 PM Case Manager Certification Exam
Case Manager Certification Exam 2026-2027
NEWEST VERSION REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS)|AGRADE||BRAND NEW VERSION!!
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.
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,1/24/26, 4:06 PM Case Manager Certification Exam
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
/ 2/52
,1/24/26, 4:06 PM Case Manager Certification Exam
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.
/ 3/52
, 1/24/26, 4:06 PM Case Manager Certification Exam
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.
rose Q
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."
/ 4/52
Case Manager Certification Exam 2026-2027
NEWEST VERSION REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS)|AGRADE||BRAND NEW VERSION!!
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.
/ 1/52
,1/24/26, 4:06 PM Case Manager Certification Exam
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
/ 2/52
,1/24/26, 4:06 PM Case Manager Certification Exam
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.
/ 3/52
, 1/24/26, 4:06 PM Case Manager Certification Exam
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.
rose Q
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."
/ 4/52
