Case Management Study Guide

CCM Certification Made Easy: Your Guide to Passing the Certified Case Manager Exam, is written by a Certified Case Manager to help you pass the CCM exam. It has been created and organized based on the Commission for Case Manager Certification (CCMC) exam blueprint, so readers can feel confident that they are studying pertinent material.


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CCM Certification Made Easy: Your Guide to Passing the Certified Case Manager Exam

CCM Certification Made Easy provides a comprehensive yet concise review of the core material needed to pass the Certified Case Manager (CCM) exam, and is provided in a well-organized, easy to read format, to help you make the most efficient use of your study time.

Written by a Certified Case Manager specifically to help you pass the CCM exam, this book is the ultimate resource for case managers preparing for examination. It has been created and organized based on the Commission for Case Manager Certification (CCMC) exam blueprint, so readers can feel confident that they are studying pertinent material.

Each of the book's chapters address one of the five knowledge domains covered on the exam, then each chapter is further broken down to cover each of the topics outlined in the exam blueprint. No filler or fluff, just the facts.

Target Audience

Nurse case managers preparing to take their Certified Case Manager (CCM) exam.

Benefits

After completing this book readers will be prepared to sit for the CCMC Certified Case Manager exam.

Book Details/Specs

  • Published July 28, 2016
  • Pages 252
  • Publisher: Blue Bayou Press, LLC
  • 2nd Edition

Table of Contents

Care Delivery and Reimbursement Methods - 1

  • Case Management Process and Tools
  • Roles and Functions of Case Managers in Various Settings - 7
  • Goals and Objectives of Case Management Practice - 10
  • Negotiation Techniques - 10
  • Physical Functioning and Behavioral Health Assessment - 12
  • Management of Acute and Chronic Illness and Disability - 13
  • Management of Clients with Multiple Chronic Illnesses - 14
  • Adherence to Care Regimen - 16
  • Medication Therapy Management and Reconciliation - 20
  • Transitions of Care/Transitional Care - 21
  • Continuum of Care/Continuum of Health and Human Services - 22
  • Interdisciplinary Care Team - 22
  • Healthcare Providers, Including Behavioral Health and Community Vendors - 23
  • Roles and Functions of Other Providers in Various Settings - 24
  • Hospice, Palliative, and End of Life Care - 26
  • Financial Resources - 28
  • Insurance Principles - 31
  • Private Benefit Programs - 38
  • Public Benefit Programs - 41
  • Military Benefit Programs - 49
  • Reimbursement and Payment Methodologies - 52
  • Coding Methodologies - 55
  • Models of Care - 57
  • Healthcare Delivery Systems - 65
  • Cost Containment Principles - 66
  • Managed Care Concepts - 68
  • Utilization Management Principles and Guidelines - 70
  • Factors Used to Identify Acuity or Severity Levels - 71
  • Levels of Care and Care Settings - 73
  • Alternative Care Facilities - 75

Psychosocial Concepts and Support Systems - 81

  • Interpersonal Communication - 82
  • Interview Techniques - 83
  • Health Coaching - 86
  • Behavioral Change Theories and Stages - 88
  • Client Engagement - 89
  • Client Activation - 90
  • Client Empowerment - 91
  • Client Self-care Management - 91
  • Health Literacy Assessment - 92
  • Wellness and Illness Prevention Programs, Concepts and Strategies - 95
  • Psychological and Neuropsychological Assessment - 96
  • Psychosocial Aspects of Chronic Illness and Disability - 100
  • Family Dynamics - 102
  • Support Programs - 103
  • Resources for the Uninsured or Underinsured - 104
  • Behavioral Health Concepts - 107
  • Crisis Intervention Strategies - 110
  • Conflict Resolution Strategies - 111
  • Multicultural, Spiritual, and Religious Factors - 112
  • Spirituality as It Relates to Health Behavior - 113
  • End of Life Issues - 114
  • Abuse and Neglect - 118

Quality and Outcomes Evaluations and Measurements - 125

  • Quality and Performance Improvement Concepts - 126
  • Quality Indicators Techniques and Applications - 128
  • Accreditation Standards and Requirements - 132
  • Sources of Quality Indicators - 133
  • Data Interpretation and Reporting - 144
  • Cost-Benefit Analysis - 147
  • Program Evaluation and Research Methods - 148
  • Healthcare Analytics - 149
  • Caseload Calculation - 153

Rehabilitation Concepts and Strategies - 157

  • Assistive Devices - 158
  • Rehabilitation After Hospitalization or an Acute Health Condition - 161
  • Vocational and Rehabilitation Service Delivery Systems - 162
  • Rehabilitation Post-Injury, Including Work-Related - 165
  • Functional Capacity Evaluation - 167
  • Vocational Aspects of Chronic Illness and Disability - 171

Ethical, Legal and Practice Standards - 175

  • Ethics Related to Care Delivery and Professional Practice - 176
  • Standards of Practice - 178
  • Case Recording and Documentation - 180
  • Privacy and Confidentiality - 181
  • Risk Management - 182
  • Legal and Regulatory Requirements - 183
  • Healthcare and Disability Related Legislation - 186
  • Affordable Care Act (ACA) - 192
  • Meaningful Use - 198
  • Clinical Pathways, Standards of Care, and Practice Guidelines - 203
  • Self-care and Well-being as a Professional - 204
  • Glossary - 207
  • What’s Next? - 235

Where Sold

Our website (CaseManagementStudyGuide.com)

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About the Author

Deanna Cooper Gillingham, RN, CCM, has been a Registered Nurse since 1994 and a Case Manager since 2011, working both complex and transplant case management. She has worked in a variety of clinical settings, including med surg, dialysis, oncology, hospice, SICU, LDRP, L&D, and GI Lab. She has also worked as a travel nurse, agency nurse, and patient service representative.

As founder and CEO of, The Stay At Home Nurse, Deanna has impacted thousands of case managers with her company's products and resources. Deanna currently serves on the Board of Directors of the CMSA Foundation, is a member of The Case Management Society of America, The National Nurses In Business Association and Rotary International.

Deanna is currently living her dream life on the beautiful Caribbean Sea in Puerto Aventuras, Mexico. From there she is able to run her online business, learn a new language, and live in a culture where everyone is happy and relaxed.

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