Commission for Case Manager Certification (CCMC) Practice Exam

The primary goal of case management in healthcare settings is to ensure quality and cost-effective care. This approach emphasizes coordinating patient care across various services and settings, aiming to enhance health outcomes while managing resources responsibly. By facilitating effective communication among healthcare providers, patients, and families, case managers help navigate complex healthcare systems, ensuring that patients receive appropriate treatment that meets their individual needs.

This focus on quality ensures that patients receive evidence-based interventions pertinent to their condition, promoting better health outcomes. Cost-effectiveness is a crucial component of this goal, as it strives to provide care that is both necessary and efficient, reducing unnecessary healthcare expenditures and optimizing available resources. In this way, case management directly contributes to improving the overall patient experience while maintaining a sustainable healthcare system.

The other options, such as increasing hospital revenue or expanding services offered, may be secondary outcomes of effective case management but are not the primary goals. Monitoring insurance claims, while important, is a part of the administrative aspect of healthcare rather than the central purpose of case management.