Role & Function Study Key Findings

The most significant research administered by CCMC is the Role & Function Study. This is an evidence-based study of the knowledge, skills and activities case managers are performing in the field. CCMC validates and improves the CCM® certification exam with data from this study to ensure it is reflective of the current state of case management as a practice.

The 2014 CCMC Role & Function Study identified a number of key findings for both case manager professionals as well as the case management field, including:

Case Manager Professionals:

  • Slightly over half of the survey respondents were care/case managers (53.99%) while only 8.66% were manager/supervisors. 
  • 61.27% have performed case management work for more than six years. Most (88.6%) are registered nurses; 4.4% are social workers and 2.3% are vocational rehabilitation counselors or specialists. 
  • More than a third (34.3%) of board-certified case managers participating in the survey achieved certification within the last four years. 
  • Case managers are growing older as a group. In 2009, 21% were over age 55, but in 2014, that percentage more than doubled to 43.6%. Just over 1% are under age 30.  
  • Almost all (94.6%) case managers are women.

Case Management Field:

Today’s case manager plays a leading role in the rapidly changing health care environment. The key findings identified by CCMC’s study demonstrate that certified case managers are critical in the definition of care coordination and ensure the delivery of competent case management. Certified case managers are poised as leaders in health care reform legislation in addressing consumer protection and improved health outcomes.

Nearly two-thirds (65.03% spend at least half their daily time on direct case management services. More than a third (38.7%) spend more than 80 percent of their time in direct case management.
Their work settings are diverse:

  • 28.8% health insurance 
  • 22.8% hospitals 
  • 11.6% workers’ comp 
  • 7.3% independent case management  
  • A far greater percentage of employers—40.2%—now require certification, a 14.3% increase from 2004. 
  • The percentage of employers who offer a monetary reward for certification grew by nearly 10%, from 20.2% in 2004 to 29.9% in the 2014 survey. 
  • About 60% of the participants indicated that care management and care coordination terms are included in their job titles, underscoring the significance of those functions.
  • There is increasing prominence of quality measurement and evaluation functions, likely because of new care models based on value rather than volume. Value-based payment models require quality measures to quantify and reward efficient, effective care delivery.
  • There is a significant increase in emphasis on ethics and quality measurement as core competencies for professional case managers. This represents a major shift in importance for these activities—well beyond previous studies.
  • A more sophisticated case management department includes specialized, defined roles for an educator and a quality evaluation professional to support the case management team.