Complete CMGT-BC test in a single day with these types of real test queries
At killexams.com, they are dedicated to providing up-to-date and accurate ANCC Nursing Case Management Certification examination questions and solutions, along with detailed explanations. Every CMGT-BC Question and Answer on their website has been Checked by Nursing experts. They continually update and add new CMGT-BC queries as soon as they observe any changes in the actual exam. This is crucial to their success and popularity.

There are numerous providers of Question Bank available on the internet, but most of them offer outdated CMGT-BC TestPrep. To find a reliable and trustworthy source of CMGT-BC Actual Questions, you need to conduct proper research. However, it's crucial to ensure that your research doesn't turn out to be a waste of time and money. To evaluate the quality of their CMGT-BC Question Bank, get their 100% free demo CMGT-BC questions, and register to access the latest and valid CMGT-BC TestPrep that includes actual test questions and answers. Don't forget to get your Great Discount Coupons and also take advantage of their CMGT-BC VCE test simulator for your preparation.

At killexams.com, they offer the Latest, Valid, and Up-to-date Nursing ANCC Nursing Case Management Certification dumps, which are essential to pass the CMGT-BC test. Enhancing your expertise as an expert within your organization is a prerequisite. Their ultimate goal is to assist individuals in passing the CMGT-BC test in their first attempt. Their CMGT-BC TestPrep remains at the top constantly, thanks to their Exam Cram and VCE, which are trusted by their clients who take the real CMGT-BC test. killexams.com is the most credible source of actual CMGT-BC test questions. They ensure that their CMGT-BC Actual Questions is always updated and valid. These ANCC Nursing Case Management Certification test dumps will undoubtedly help you pass the test with good grades.

Certification Name: Nursing Case Management Certification (CMGT-BC)
Credential Awarded: CMGT-BC (Case Management-Board Certified)
Administered By: American Nurses Credentialing Center (ANCC)
Eligibility: Open to registered nurses (RNs) who meet specific practice and education requirements.
Exam Format: Computer-based test (CBT)
Exam Length: 3.5 hours (including 15 minutes for a tutorial and 15 minutes for a post-exam survey)
Number of Questions: 175 questions (150 scored, 25 unscored pretest questions)
Question Types: Multiple-choice questions (MCQs)
Passing Score: Scaled score system (details on passing criteria are not publicly disclosed by ANCC)

- Foundations of Case Management
- Definition and Scope of Case Management:
- Understanding the role
- responsibilities
- goals of a case manager
- Case Management Models:
- Familiarity with various models such as the Collaborative Model
- Brokerage Model, and Clinical Case Management Model
- Standards of Practice:
- Knowledge of the Case Management Society of America (CMSA) Standards of Practice and the American Nurses Association (ANA) standards.
- Ethical and Legal Considerations:
- Understanding ethical principles
- confidentiality
- informed consent
- legal issues in case management
- Regulatory and Accreditation Requirements:
- Familiarity with regulations such as HIPAA
- Medicare/Medicaid guidelines
- accreditation standards (e.g., Joint Commission)

- Care Coordination and Transitions of Care
- Care Coordination Principles:
- Strategies for coordinating care across multiple providers and settings.
- Transition Planning:
- Ensuring smooth transitions between healthcare settings
- hospital to home
- acute care to long-term care
- Discharge Planning:
- Developing and implementing effective discharge plans to prevent readmissions.
- Interdisciplinary Collaboration:
- Working with healthcare teams
- including physicians
- social workers
- therapists
- optimize patient outcomes

- Patient-Centered Care
- Patient Advocacy:
- Ensuring the patients voice is heard and their preferences are respected.
- Cultural Competence:
- Providing care that is sensitive to the patients cultural
- religious
- social background
- Health Literacy:
- Assessing and addressing the patients ability to understand and act on health information.
- Patient Education:
- Educating patients and families about their conditions
- treatment options
- self-care strategies

- Utilization Management
- Resource Management:
- Efficient use of healthcare resources to achieve optimal patient outcomes.
- Cost-Effective Care:
- Balancing quality care with cost containment.
- Prior Authorization and Denial Management:
- Understanding insurance requirements and managing denials or appeals.
- Evidence-Based Practice:
Using research and clinical evidence to guide decision-making.

- Quality and Outcomes Management
- Quality Improvement:
- Implementing strategies to Boost healthcare quality and patient safety.
- Performance Metrics:
- Understanding key performance indicators (KPIs) such as readmission rates
- patient satisfaction scores
- length of stay.
- Outcome Measurement:
- Evaluating the effectiveness of case management interventions.
- Risk Management:
- Identifying and mitigating risks to patient safety and organizational liability.

- Healthcare Reimbursement and Financing
- Payment Models:
- Understanding fee-for-service
- value-based care
- bundled payments.
- Reimbursement Systems:
- Familiarity with Medicare
- Medicaid
- private insurance reimbursement processes.
- Cost-Benefit Analysis:
- Evaluating the financial impact of case management interventions.
- Budgeting and Financial Planning:
- Managing budgets and resources within a case management program.

- Population Health Management
- Health Promotion and Disease Prevention:
- Strategies for improving population health outcomes.
- Chronic Disease Management:
- Managing conditions such as diabetes
- heart disease
- COPD.
- Social Determinants of Health:
- Addressing factors such as housing
- education
- socioeconomic status that impact health outcomes.
- Community Resources:
- Connecting patients with community-based services and support.

- Technology in Case Management
- Health Information Systems:
- Using electronic health records (EHRs) and case management software.
- Telehealth:
- Leveraging telehealth for remote patient monitoring and consultations.
- Data Analytics:
- Using data to identify trends
- measure outcomes
- Boost care delivery.
- Privacy and Security:
- Ensuring the confidentiality and security of patient information.

- Professional Practice
- Leadership and Advocacy:
- Leading case management teams and advocating for policy changes.
- Professional Development:
- Engaging in continuing education and staying current with best practices.
- Certification and Licensure:
- Understanding the requirements for maintaining CMGT-BC certification and state licensure.
- Interprofessional Collaboration:
- Building effective relationships with other healthcare professionals.
- Case Management Process:
- Assessment
- planning
- implementation
- coordination
- monitoring
- evaluation.
- Care Plan:
- A documented plan outlining the patients goals and interventions.
- Continuity of Care:
- Ensuring seamless care across different providers and settings.

- Determinants of Health:
- Factors that influence health outcomes
- genetics
- behavior
- environment.
- Health Equity:
- Ensuring fair and equal access to healthcare resources.
- Patient-Centered Medical Home (PCMH):
- A care delivery model focused on comprehensive
- patient-centered care.
- Value-Based Care:
- A healthcare delivery model that rewards quality and outcomes rather than volume of services.

- ANA Code of Ethics for Nurses with Interpretive Statements
- CMSA Standards of Practice for Case Management (eg, patient advocacy)
- Concepts of nursing case management
- Nursing scope and standards of practice
- Utilization management (eg, authorizations, denials and appeals)

- Benefit management (eg, payor reimbursement, cost sharing, coordination of benefits)
- Resource coordination (eg, providers, community)
- Transition of care management (eg, planning, facilitation, evaluation)
- Data management (eg, collection, analysis, benchmarking)
- Performance improvement (eg, outcome measurement and evaluation)

- Patient education (eg, readiness for change, motivational interviewing, health literacy, medication reconciliation, safety, therapeutic communication, advanced care planning)
- Population health initiatives (eg, screenings/risk stratifications, risk-reduction strategies, health equity, social drivers/determinants of health)