- The Short Answer: What the Letters Spell Out
- Who Awards the Designation
- Why This Acronym Causes Confusion
- What the Credential Actually Measures
- The Exam at a Glance
- Eligibility and Fees Behind the Letters
- Phaseout: The Timeline Every Candidate Should Know
- After You Earn It: Renewal and Daily Use of the Title
- Where the Credential Fits in a Nursing Career
- Frequently Asked Questions
- CMGT-BC is the designation "Case Management Nurse - Board Certified," awarded by the American Nurses Credentialing Center (ANCC).
- The exam has 150 questions (125 scored, 25 pretest) delivered in person at Prometric centers with three hours allowed.
- Passing requires a scaled score of at least 350 out of 500, not a raw 70% cutoff.
- Initial applications close December 31, 2026; exams and retests end December 31, 2027.
The Short Answer: What the Letters Spell Out
On this site, CMGT-BC refers to one credential: the Nursing Case Management Certification. The letters unpack as follows:
- CMGT abbreviates "Case Management," the nursing specialty being certified.
- BC stands for "Board Certified," indicating the credential was conferred by a national certifying board after you met eligibility rules and passed an examination.
Put together, the formal designation is Case Management Nurse - Board Certified. Registered nurses who earn it add CMGT-BC after their name and licensure credentials, the same way other ANCC-certified nurses display designations that signal a validated specialty.
If you want a broader overview before diving into the details, our explainers on what CMGT-BC is and the CMGT-BC meaning cover the same ground from slightly different angles.
Who Awards the Designation
The certifying body is the American Nurses Credentialing Center (ANCC), which operates within the American Nurses Association (ANA) family of organizations. ANCC is one of the best-known nurse credentialing organizations in the United States, and its certifications are built on a published test content outline, formal eligibility rules, and a standard-setting process for determining the passing score.
Two practical consequences follow from that ownership:
- The rules come from ANCC documents. Eligibility, fees, retesting limits, and renewal requirements are set by the ANCC program page, the ANCC Certification Handbook, and the renewal handbook, not by any third party.
- The exam is built around a published outline. The test content outline names the four domains and their weighting, which is what makes targeted preparation possible.
Why This Acronym Causes Confusion
Search for the letters "CMGT" and you will find unrelated results. The abbreviation is short and generic, and several fields use similar-looking letter strings for their own purposes. That is why a clear identity statement matters: CMGT-BC on this site means the ANCC Nursing Case Management Certification, and nothing else.
It is also worth separating this credential from other case management designations you may encounter in job postings or professional discussions. Other certifications in the case management space come from different organizations, with different eligibility paths, different exams, and different fees. They are not interchangeable with the ANCC credential, and details such as costs, exam content, and renewal rules should never be assumed to carry over from one to another.
What the Credential Actually Measures
The exam is organized around four content domains. Understanding what each one covers helps explain what "board certified in case management" really signals to an employer. For a deeper walkthrough, see our complete guide to all four CMGT-BC content areas.
| Domain | Published Weight | Scored Questions (of 125) |
|---|---|---|
| Domain 1: Professional Foundation | 22% | 27 |
| Domain 2: Care Coordination | 30% | 37 |
| Domain 3: Quality Management | 26% | 32 |
| Domain 4: Health Promotion | 23% | 29 |
A note on the numbers: ANCC's rounded percentages add up to 101%. That is simply how the issuer published them, and the scored item counts (27, 37, 32, and 29) total the 125 scored questions. Do not try to "fix" the percentages; study to the allocations as published.
Domain 1: Professional Foundation (22%)
This domain covers the professional underpinnings of the case management role: the standards, responsibilities, and ethical expectations that frame everything else a case management nurse does.
- Role and scope of the case management nurse
- Professional, ethical, and legal responsibilities
- Advocacy and communication within the role
Domain 2: Care Coordination (30%)
The largest domain, and the one that most resembles daily case management work. With 37 of the 125 scored questions, it deserves the biggest share of your study time.
- Assessing patient needs and developing care plans
- Coordinating services across settings and providers
- Transitions of care and follow-through on plans
Domain 3: Quality Management (26%)
This domain tests how case management connects to outcomes, measurement, and improvement, an area where candidates from purely bedside backgrounds often need extra preparation.
- Measuring and evaluating outcomes
- Quality and performance improvement concepts
- Using data to inform case management practice
Domain 4: Health Promotion (23%)
Here the focus shifts to education, prevention, and helping patients and populations take part in managing their own health.
- Patient and family education approaches
- Prevention and wellness strategies
- Supporting self-management and engagement
The Exam at a Glance
The format is the same for every candidate, which makes it easy to plan around.
| Feature | CMGT-BC Detail |
|---|---|
| Delivery | Computer-based, multiple choice, at Prometric test centers |
| Proctoring | In person; the certification exam is not remotely proctored |
| Total questions | 150 (125 scored, 25 pretest) |
| Time allowed | Three hours |
| Reference materials | Closed book; no personal calculators, paper, or electronic resources |
| Provided tools | Dry-erase board |
| Navigation | Questions may be marked and revisited |
| Guessing penalty | None |
| Authorization window | Standard authorization lasts 120 days |
What the format means for how you answer
- Answer everything. There is no penalty for guessing, so a blank item can only hurt you.
- Use the mark-and-return feature. Flag time-consuming scenarios and come back after securing easier points.
- Budget around breaks. Breaks consume examination time, so any pause comes out of your three hours.
- Do not hunt for the pretest items. The 25 unscored pretest questions are mixed in and not identified, so treat every question as if it counts.
How scoring works
The passing standard is a scaled score of at least 350 on a 500-point scale, established through a Modified Angoff standard-setting method. It is not a raw 70% cutoff, so you cannot convert a practice-test percentage directly into a pass or fail prediction. Our passing score breakdown explains the scaled-score logic in more detail.
For context on how candidates have performed, ANCC reported a 66% first-time pass rate for 2025, with 188 passes among 286 first-time candidates. That is a useful reality check: roughly one in three first-time candidates did not pass, which supports taking structured preparation seriously. See what the pass-rate data shows and how hard the exam really is for more perspective.
Eligibility and Fees Behind the Letters
The "board certified" part of the name is earned, not automatic. Before you can sit for the exam, ANCC requires all of the following:
- A current, active RN license (or an accepted international equivalent)
- Two full-time-equivalent years of experience as a registered nurse
- 2,000 hours of nursing case management practice within the past three years
- 30 hours of continuing education in the specialty within the past three years
Our CMGT-BC requirements guide walks through documenting each of these.
Initial fee structure
| Applicant Type | Initial Fee |
|---|---|
| ANA member | $295 |
| Nonmember | $395 |
Each fee includes a $140 nonrefundable administrative fee. That detail matters if you apply and later postpone. Full pricing context, including renewal costs, is in our CMGT-BC certification cost breakdown.
If you need to retest
A failed attempt is not the end of the road, but there are rules. You must wait at least 60 calendar days after the previous attempt, have current eligibility, and stay within three attempts in 12 months. All of this sits inside the program's final testing deadline, which brings us to the most time-sensitive fact about this credential.
Phaseout: The Timeline Every Candidate Should Know
Anyone asking what CMGT-BC stands for should also know the credential is on a defined retirement path for new certifications. Rather than describing it as an open-ended program, think of it as a closing window for new candidates and a continuing path for existing certificants.
| Milestone | Date |
|---|---|
| Last day to submit an initial application | December 31, 2026 |
| Last day for examination and retesting | December 31, 2027 |
| Program becomes renewal-only | After December 31, 2027 |
| Active certificants may continue renewing | Those certified on January 1, 2028 |
Key Takeaway
If you are not yet certified, your application must be in by December 31, 2026, and your exam completed (including any retests) by December 31, 2027. Because retesting requires a 60-day gap and authorization lasts 120 days, build in margin rather than aiming for the final weeks.
The reactivation caveat
Once the exam retires, there is a hard consequence for lapsed credentials: if certification lapses beyond the two-year reactivation window, it cannot be reactivated by taking the retired examination. For existing certificants, that makes on-time renewal far more important than it was when a retake was a fallback. Check the exam dates and scheduling guide for planning your testing window.
After You Earn It: Renewal and Daily Use of the Title
Certification lasts five years. Renewal is designed around continuing professional development rather than re-examination, which becomes the only route once the exam retires.
Renewal requirements in plain terms
- Active RN licensure and certification standing
- 75 specialty continuing education hours, of which at least 60 must be formally approved hours
- One additional professional-development category
The 1,000-practice-hour option is one way to satisfy that additional category. It is not a universal requirement, so do not assume it applies unless you choose it. All renewal activities must fall within your designated five-year cycle and be completed before you submit your application.
Renewal fees are $350 for nonmembers, with ANA-member pricing advertised as low as $250.
Using the designation
When you hold the credential, you display it as CMGT-BC after your name, following your academic degrees and RN licensure. Because the phrase "Case Management Nurse - Board Certified" is the official wording, use it in full on resumes, LinkedIn profiles, and credential statements where space allows, and the abbreviation where it does not.
As of December 31, 2025, ANCC reported 1,961 active certificants, a reminder that this is a specialized credential held by a relatively small group of nurses.
Where the Credential Fits in a Nursing Career
Case management nurses work wherever care has to be coordinated across providers, settings, and time. Typical employers and settings include:
- Hospitals and health systems, particularly in utilization review, discharge planning, and transitions of care
- Health plans and payers, where nurse case managers coordinate care for members
- Ambulatory and primary care practices, supporting patients with complex or chronic conditions
- Community and population health programs, focused on prevention and engagement
Because the exam's biggest domain is Care Coordination and its other domains cover quality and health promotion, the credential maps closely onto these work settings. If you are weighing the investment, our analyses of whether the certification is worth it, the salary picture, and CMGT-BC jobs give a fuller view of the career side.
A brief domain-first study sequence
If you decide to pursue it, here is one way to sequence preparation by domain weight. It is a framework, not a prescription. For a full plan, see the CMGT-BC study guide.
Professional Foundation
- Review role scope, ethics, and legal responsibilities
- Use this lighter domain to build momentum
Care Coordination
- Give the 30% domain the most time
- Practice scenario questions on transitions and coordination
Quality Management and Health Promotion
- Cover outcomes, measurement, and improvement concepts
- Review education and prevention strategies
Mixed Review
- Take timed practice sets across all four domains
- Rehearse flagging and returning to difficult items
When you are ready to test your recall under realistic conditions, our CMGT-BC practice tests are built around the four published domains, and the one-page cheat sheet is a handy final-week reference.
Frequently Asked Questions
CMGT-BC is the designation "Case Management Nurse - Board Certified." CMGT abbreviates case management and BC means board certified. It is awarded by the American Nurses Credentialing Center (ANCC) to registered nurses who meet eligibility requirements and pass the Nursing Case Management Certification exam.
The American Nurses Credentialing Center (ANCC), which operates within the American Nurses Association family of organizations. The exam itself is administered at Prometric test centers.
No. The certification exam is delivered in person at a test center and is not remotely proctored. ANCC's remote readiness tests are separate products and do not indicate that the certification exam can be taken remotely.
Yes, within limits. Initial applications are accepted through December 31, 2026, and examination and retesting end December 31, 2027. After that, the program becomes renewal-only for nurses who are actively certified.
You need a scaled score of at least 350 on a maximum-500 scale. The standard is set using the Modified Angoff method, so it is not a simple 70% raw-score cutoff. Read the overview of CMGT-BC certification for how the pieces fit together.