Ethical, Legal and Practice Standards

(Comprises 18% of the Exam, approximately 27 questions)

Case managers are licensed professionals who are obligated to work within the ethical, legal, and practice standards as required by their licenses, governing bodies, and accrediting organizations. The board-certified case manager must have a good understanding of these standards; therefore, the Commission for Case Management Certification (CCMC) dedicates 18% of the CCM Exam to this topic.

Because of the board-certified case manager’s role in protecting the rights, dignity, and public interest of his or her clients, the CCMC now requires CCMs to earn ethics-related continuing education credits for recertification.

• • Ethical standards related to care management
  • Professional conduct
  • Application of health care and disability related legislation
    • Americans with Disabilities Act [ADA]
    • Health Insurance Portability and Accountability Act [HIPAA]
  • Legal and regulatory requirements
  • Privacy and Confidentiality
  • Risk management
  • Responsibilities associated with documentation and case summary
  • Self-care and well-being as a professional
  • Standards of practice
  • Advocate for the client and their support systems