WGU D046 INTRO TO CARE
COORDINATION CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A patient's insurance company is evaluating the appropriateness of required
emergency surgery before paying the insurance claim. Which process is the
insurance company using for this review?.
Answer: Retrospective reviewThis method of utilization management (UM)
involves the review of medical records after treatment is provided. The
insurance company will use the results to approve or deny coverage for
treatments that usually require pre-authorization, but were done without
approval, such as for emergency surgery.
◍ patient-centered medical home.
Answer: patient-centered, comprehensive, and coordinated care across
specialty care, home health care, and community services and supports-
critical in care transitions - advanced preventative care
◍ IDEAL discharge.
Answer: - Include patient and caregivers as partners- Discuss 5 key areas to
prevent problems at home - Educate in plain language throughout hospital
stay - Assess how well the care team explains the diagnosis, patient
condition, next steps in patients' care using teach back- Listen and honor the
goals, preferences, and concerns of the patient and family
◍ On which form could a patient sign and acknowledge his or her right to
withdraw consent to sharing personal health information?.
Answer: Participant Consent FormThe Participant Consent Form is used to
received a patient consent to have his/her personal health information shared
, with HealthLink and providers of HealthLink.
◍ common chronic diseases for older adults.
Answer: - Alzheimer's Disease & Related Dementias- Arthritis-
Cardiovascular Disease- Depression- Diabetes- Hearing Loss-
Insomnia/Sleep Disturbances- Metabolic Dys unction- Osteoporosis- Vision
Loss
◍ long-term care.
Answer: medical and social care delivered to individuals in the
environments where they lice to support health and well-being
◍ residential care facility.
Answer: assisted living - senior congregate living in staff assist residents
with ADLsnursing home - "custodial care" assistance with ADLs and
support of chronic disease management
◍ What are the core values of care coordination?.
Answer: Improving the health of the individual, the population, improving
work life balance and reducing the cost of health careThe core values of care
coordination are improving the health of the client, the population in the
community served, improving work life balance in the care team and
reducing the cost of care through efficiency and effective care management
practices.
◍ aging in place.
Answer: aging at home; may require additional support in the following
domains in order to be achieved safely
◍ care transitions.
Answer: any change in physical location or care team - pediatric to adult
care - ICU to step down unit - inpatient facility to home
◍ What is the highest verification of a professional's level of competency in a
specific subject matter?.
Answer: CredentialsCredentials validate a professional's specialized
knowledge and experience.
,◍ A healthcare coordinator meets with a patient to discuss discharge
placement and learns that the patient was not involved in this
decision-making process. Which ethical issue does this situation impact?.
Answer: AutonomyAutonomy is described as respecting and supporting a
patient to make independent decisions and to be an active participant in the
care. By making the decision for the patient, the patient's right to autonomy
was taken away.
◍ nurse case manager.
Answer: - coordinate/manage care to ensure quality outcomes and reduce
costs - assess psychosocial, functional, and medical domains - ensure care is
aligned with patient values, goals, and preferences
◍ Which techniques are used for motivational interviewing?.
Answer: Open questions, affirmation, reflective listening, and summary
reflectionsThese techniques can be used to provide client-centered
counseling and promote behavior change.
◍ issues older adults face.
Answer: social isolation, mobility issues, sensory changes, siloed or
fragmented healthcare, fixed income
◍ rise in population of older adults.
Answer: steady life expectancies paired with increasing population numbers
means more older adults, nationally and globally
◍ Transitional Care Model.
Answer: skilled nursing facilities - medical care with goal of discharge to
the community
◍ discharge planning.
Answer: ongoing process that begins upon admission; collaborative team
effort across specialties and disciplines
◍ Agency for Healthcare Research and Quality (AHRQ).
Answer: a federal agency established to improve the quality, safety,
, efficiency, and effectiveness of health care for Americans
◍ A care coordinator collaborates with health care providers to ensure that a
patient with a chronic health problem receives appropriate care, avoids
hospitalization, and attends follow-up visits as scheduled.For which reason
should the healthcare coordinator use health information technology (HIT)
to improve a patient's care?.
Answer: It improves communication between clinicians and inpatient and
outpatient healthcare settings.HIT improves communication between
multiple clinicians and clinical sites by improving access to the patient's
medical and medication history, plan of care, referral history, and support
services.
◍ What is the difference between being credentialed as a care coordinator and
being certified?.
Answer: The term "credentialed" is being appointed to work in the field of
care management. Certification is a process whereby a person must prove
that they have completed the necessary pre-requisite education by taking
and passing a certification exam.A care coordinator who is "credentialed"
has been appointed to work in the field of care management. Certification is
a process whereby a person must prove that they have completed the
necessary pre-requisite education by taking and passing a certification exam.
◍ primary prevention.
Answer: health education, nutrition/oral health/exercise/sleep needs, safety
and health needs, economic security needs, psychosocial needs, spirituality,
advance directives, hospice, palliative care, and preparing for death
◍ The care coordinator needs to communicate a patient's response to a
prescribed treatment. In which way should this information be
communicated to the care providers?.
Answer: Electronic health record (EHR)By using the EHR, patient
information is communicated between multiple providers within the same
network.
◍ A continuing education program is being designed that focuses on the
COORDINATION CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A patient's insurance company is evaluating the appropriateness of required
emergency surgery before paying the insurance claim. Which process is the
insurance company using for this review?.
Answer: Retrospective reviewThis method of utilization management (UM)
involves the review of medical records after treatment is provided. The
insurance company will use the results to approve or deny coverage for
treatments that usually require pre-authorization, but were done without
approval, such as for emergency surgery.
◍ patient-centered medical home.
Answer: patient-centered, comprehensive, and coordinated care across
specialty care, home health care, and community services and supports-
critical in care transitions - advanced preventative care
◍ IDEAL discharge.
Answer: - Include patient and caregivers as partners- Discuss 5 key areas to
prevent problems at home - Educate in plain language throughout hospital
stay - Assess how well the care team explains the diagnosis, patient
condition, next steps in patients' care using teach back- Listen and honor the
goals, preferences, and concerns of the patient and family
◍ On which form could a patient sign and acknowledge his or her right to
withdraw consent to sharing personal health information?.
Answer: Participant Consent FormThe Participant Consent Form is used to
received a patient consent to have his/her personal health information shared
, with HealthLink and providers of HealthLink.
◍ common chronic diseases for older adults.
Answer: - Alzheimer's Disease & Related Dementias- Arthritis-
Cardiovascular Disease- Depression- Diabetes- Hearing Loss-
Insomnia/Sleep Disturbances- Metabolic Dys unction- Osteoporosis- Vision
Loss
◍ long-term care.
Answer: medical and social care delivered to individuals in the
environments where they lice to support health and well-being
◍ residential care facility.
Answer: assisted living - senior congregate living in staff assist residents
with ADLsnursing home - "custodial care" assistance with ADLs and
support of chronic disease management
◍ What are the core values of care coordination?.
Answer: Improving the health of the individual, the population, improving
work life balance and reducing the cost of health careThe core values of care
coordination are improving the health of the client, the population in the
community served, improving work life balance in the care team and
reducing the cost of care through efficiency and effective care management
practices.
◍ aging in place.
Answer: aging at home; may require additional support in the following
domains in order to be achieved safely
◍ care transitions.
Answer: any change in physical location or care team - pediatric to adult
care - ICU to step down unit - inpatient facility to home
◍ What is the highest verification of a professional's level of competency in a
specific subject matter?.
Answer: CredentialsCredentials validate a professional's specialized
knowledge and experience.
,◍ A healthcare coordinator meets with a patient to discuss discharge
placement and learns that the patient was not involved in this
decision-making process. Which ethical issue does this situation impact?.
Answer: AutonomyAutonomy is described as respecting and supporting a
patient to make independent decisions and to be an active participant in the
care. By making the decision for the patient, the patient's right to autonomy
was taken away.
◍ nurse case manager.
Answer: - coordinate/manage care to ensure quality outcomes and reduce
costs - assess psychosocial, functional, and medical domains - ensure care is
aligned with patient values, goals, and preferences
◍ Which techniques are used for motivational interviewing?.
Answer: Open questions, affirmation, reflective listening, and summary
reflectionsThese techniques can be used to provide client-centered
counseling and promote behavior change.
◍ issues older adults face.
Answer: social isolation, mobility issues, sensory changes, siloed or
fragmented healthcare, fixed income
◍ rise in population of older adults.
Answer: steady life expectancies paired with increasing population numbers
means more older adults, nationally and globally
◍ Transitional Care Model.
Answer: skilled nursing facilities - medical care with goal of discharge to
the community
◍ discharge planning.
Answer: ongoing process that begins upon admission; collaborative team
effort across specialties and disciplines
◍ Agency for Healthcare Research and Quality (AHRQ).
Answer: a federal agency established to improve the quality, safety,
, efficiency, and effectiveness of health care for Americans
◍ A care coordinator collaborates with health care providers to ensure that a
patient with a chronic health problem receives appropriate care, avoids
hospitalization, and attends follow-up visits as scheduled.For which reason
should the healthcare coordinator use health information technology (HIT)
to improve a patient's care?.
Answer: It improves communication between clinicians and inpatient and
outpatient healthcare settings.HIT improves communication between
multiple clinicians and clinical sites by improving access to the patient's
medical and medication history, plan of care, referral history, and support
services.
◍ What is the difference between being credentialed as a care coordinator and
being certified?.
Answer: The term "credentialed" is being appointed to work in the field of
care management. Certification is a process whereby a person must prove
that they have completed the necessary pre-requisite education by taking
and passing a certification exam.A care coordinator who is "credentialed"
has been appointed to work in the field of care management. Certification is
a process whereby a person must prove that they have completed the
necessary pre-requisite education by taking and passing a certification exam.
◍ primary prevention.
Answer: health education, nutrition/oral health/exercise/sleep needs, safety
and health needs, economic security needs, psychosocial needs, spirituality,
advance directives, hospice, palliative care, and preparing for death
◍ The care coordinator needs to communicate a patient's response to a
prescribed treatment. In which way should this information be
communicated to the care providers?.
Answer: Electronic health record (EHR)By using the EHR, patient
information is communicated between multiple providers within the same
network.
◍ A continuing education program is being designed that focuses on the
