CCM (SEC) case studies
CCM · Put your knowledge to work in context.
The Certified Case Manager (CCM®) credential is a professional certification offered through The Commission, the organization that describes itself as the nation's largest credentialing body for case management. The Commission states that more than 50,000 professionals have chosen case management certification through it, and that it has 30+ years of certification excellence. The CCM case studies are 5 cases and about 3,443 words.
1Denied Inpatient Rehab Days After Stroke: Appeal and Discharge Judgment
R is a 62-year-old man 24 days after a left middle cerebral artery infarct. He was admitted to an inpatient rehabilitation facility on day 5 with right hemiparesis and moderate expressive aphasia.
743 words, about 4 min2Newly Diagnosed MS, Moderately Severe Depression, and a $600 Copay
L is a 34-year-old woman diagnosed with relapsing-remitting multiple sclerosis five months ago after a single relapse treated with IV methylprednisolone. She started an injectable disease-modifying therapy three months ago but estimates she has taken about half the doses, citing injection anxiety and "forgetting." Her PHQ-9 score is 17; she reports anhedonia, guilt, poor sleep, and says, "What's the point - I'll end up in a wheelchair like my aunt." She divorced eight months ago, has primary custody of two children (ages 6 and 9), and works variable evening shifts as a restaurant server.
663 words, about 3 min3Reducing CHF Readmissions When the Chart Review Points in Three Directions
A 320-bed community hospital's case management department reviewed 412 CHF discharges from the past year. The 30-day all-cause readmission rate is 26.8% against a national benchmark of 21.6%.
667 words, about 3 min4Return to Work After Severe TBI: Ambition Versus Insight
K is a 45-year-old commercial electrician, seven months after a severe traumatic brain injury from a motorcycle crash (initial GCS 6). He is now at Rancho Los Amigos level VII–VIII: oriented, able to perform self-care, but with slowed processing speed, impaired divided attention, reduced memory encoding, and mild impulsivity.
692 words, about 3 min5Six ED Visits in Six Months: Diabetes, Homelessness, and No Refrigerator
D is a 52-year-old man with type 2 diabetes (A1c 12.4%, BMI 34) who has had six emergency department visits in six months: two for hypoglycemia, one for cellulitis of the foot, and three for hyperglycemia. He has no primary care provider, lives in a men's shelter where he sleeps in a dormitory and has no refrigerator or secure storage, and is covered by Medicaid.
678 words, about 3 min