Case Management Nursing

Case management nurse practitioners care for patients who are receiving long-term treatment. A case management nurse practitioner’s work focuses on fully assessing a patient’s condition and needs from medical, social, and psychological perspectives, and appropriately coordinating care.

Case Management Nurse Career

To ensure that patients receive the care required, case managers coordinate with agencies to facilitate additional care that may be needed for a patient.

With additional education, case managers may be able to become case management administrators and lead case manager departments. Case management nurses also serve as liaisons between different agencies and facilities to ensure that each patient receives the necessary treatment. Matching patients with appropriate care programs requires knowledge of medical and social environments. Case managers often work with a special demographic (i.e., cancer or long-term care patients) and may be employed in a variety of inpatient and outpatient settings as well as long-term care facilities or community environments

Case Management Nurse Education

The path to becoming a case manager begins with becoming a registered nurse (RN). This may be accomplished by obtaining an associate or bachelor’s degree in nursing. After completion of a nursing program, the nurse will need to successfully complete the National Council Licensure Examination (NCLEX) then apply for licensure as a registered nurse through your state.

There are two routes for case management nursing education programs. One option is to obtain a Masters in Nursing Degree in case management from an accredited university or case management nursing education program. Offered at a variety of schools across the country, most programs require 36 credit hours for completion. Program curriculum focuses on the real-life application of case management principles with a preceptor and emphasizes the continuum of care and client advocacy.

The second option, as a RN, is to work 2,000 hours in case management, and have two years of experience as a full-time RN and then sit for the Nursing Case Management Certification Exam from the American Nurses Credentialing Center (ANCC). Exam components include content around professional foundations, care coordination, quality management, and health promotion. The Commission for Case Manager Certification (CCMC) also offers a credential, board-certified case manager (CCM) for RNs with supervised field experience in case management.

Getting a job in case management without a master’s degree may not be that difficult, however employers may require a few years of patient bedside care in med-surg, critical care, or require the nurse to work a set number of months under the supervision of a CCM.

Regardless of the certification sought, the CCMC cites that the CCM certification has a positive impact on CCMs careers, with employers finding value in it, as well.. An additional benefit that typically results is a compensation increase, which often prompts many nurses in this role to seek certification.

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Case Management Nurse Practitioner Certification

American Nurses Credentialing Center (ANCC) - Nursing Case Management Certification

Eligibility Requirements:

  • Active registered nurse license;
  • Equivalent of two years full time as a registered nurse;
  • Minimum of 2,000 hours of clinical practice in case management within the last three years;
  • 30 hours of continuing education in case management nursing within the last three years.

Fees: $395 for non-members and $295 for ANA members
Renewal Process: Case management nurse certification is valid for five years.

Commission for Case Manager Certification - Board-Certified Case Manager (CCM)

Eligibility Requirements: RN License and one of the following—

  • 12 months full-time case management experience, supervised by a CCM
  • 24 months full-time case management experience, supervised by CCM or other
  • 12 months full-time case management supervisory experience

Fees: According to CCMC, 62% of CCM employers reimburse the CCM exam. The exam may also be reimbursed under the GI Bill or a continuing education expense.

Information for the ANCC nursing case management certification and the CCMC board-certified case manager credential was retrieved as of February 2020. For the most up-to-date information, refer to the certification websites.

State Nursing Certification Information

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Nursing@Georgetown

Nursing@Georgetown is an academically rigorous, evidence-based program that culminates in a Master of Science degree in Nursing, delivered online by Georgetown University’s nationally ranked School of Nursing & Health Studies.

Nursing@Simmons

Nursing@Simmons is an online Family Nurse Practitioner program designed for currently licensed RNs who are at various stages of their career.

Nursing@USC

The USC Suzanne Dworak-Peck School of Social Work Department of Nursing offers an online Master of Science in Nursing program for aspiring family nurse practitioners through Nursing@USC.

MPH@Simmons

MPH@Simmons, the online Master of Public Health from Simmons College, is designed to give you the real-world skills you need to address health inequity on a local, national, and global level.

MPH@GW

An innovative online Master of Public Health program offered by the top-ranked Milken Institute School of Public Health at the George Washington University.

MHA@GW

Offered by the Milken Institute School of Public Health at the George Washington University, this online Executive Master of Health Administration program is designed for healthcare professionals who aspire to become leaders in their field.

HealthInformatics@GW

This online Master of Science in Management of Health Informatics and Analytics program from the Milken Institute School of Public Health at the George Washington University enables graduates to improve the efficiency of health care organizations through the use of data and technology.

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