Latest PDF of CMCN: Certification in Managed Care Nursing

Certification in Managed Care Nursing Practice Test

CMCN exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

100% Money Back Pass Guarantee

CMCN PDF demo Questions

CMCN demo Questions

CMCN Dumps CMCN Braindumps
CMCN dump questions CMCN practice exam CMCN genuine Questions
killexams.com Nursing CMCN
ABMCN Certification in Managed Care Nursing
https://killexams.com/pass4sure/exam-detail/CMCN
In a managed care setting, which of the following models best aligns incentives for providers to deliver high-quality care while controlling costs?
1. Fee-for-service model
2. Volume-based reimbursement
er diem payment model wer: C
anation: The capitation model with shared savings aligns incentives fo iders by rewarding them for delivering high-quality care efficiently. T el encourages providers to focus on population health and preventive c mately controlling costs while improving patient outcomes.
stion: 389
When a member files a grievance in a managed care organization, which o wing steps is most critical in the grievance process to ensure complia egal and regulatory standards?
ocumenting the grievance and conducting a thorough investigation in y manner
noring the grievance until it escalates
Capitation model with shared savings
3. P
Ans
Expl r
prov his
mod are,
ulti
Que
f the
follo nce
with l
1. D a
timel
2. Ig
3. Informing the member that their complaint is unwarranted
4. Resolving the grievance without any documentation Answer: A
Explanation: It is critical to document the grievance and conduct a thorough investigation in a timely manner to ensure compliance with legal and regulatory
Question: 390
Which of the following strategies is commonly employed by managed care organizations to control pharmaceutical costs?
ncouraging patients to use only generic medications without exception mplementing formulary restrictions and prior authorization for high-co
roviding financial incentives for patients to choose brand-name drugs wer: C
anation: Managed care organizations often use formulary restrictions a authorization to manage and control costs associated with high-price cations.
stion: 391
ch of the following describes the significance of the "Patient Protectio rdable Care Act" (ACA) for managed care organizations?
eliminated all managed care plans
restricted the number of patients that could enroll in managed care pl
Allowing unlimited access to all medications regardless of cost
E s
I st
drugs
P
Ans
Expl nd
prior d
medi
Que
Whi n and
Affo
1. It
2. It ans
3. It mandated coverage for preventive services without cost-sharing and expanded access to care
4. It reduced the regulatory requirements for managed care organizations Answer: C
for preventive services without cost-sharing, positively impacting managed care organizations and their members.
Question: 392
ost Efficiency rice Regulation
esource Allocation emand Forecasting
wer: C
anation: Effective Resource Allocation is crucial for managed care nizations to optimize the use of limited resources, ensuring that health ery meets population health needs while maintaining financial inability.
stion: 393
ch of the following is a key component of a successful utilization agement program that directly influences patient care decisions?
What is the most critical economic principle that managed care organizations must apply to ensure the sustainability of healthcare delivery in a resource- constrained environment?
1. C
2. P
3. R
4. D
Ans Expl
orga care
deliv susta
Que
Whi man
1. The integration of clinical guidelines and evidence-based practices into the decision-making process
2. A focus solely on cost reduction strategies
3. The exclusion of interdisciplinary collaboration among healthcare providers
4. A centralized approach that disregards individual patient circumstances
Explanation: Integrating clinical guidelines and evidence-based practices into utilization management decisions helps ensure that patient care is appropriate and effective while balancing cost considerations.
Question: 394
valuate the quality of care provided by hospitals imit patient access to specialized treatment
ssess the appropriateness of services provided to patients ncrease the volume of services billed to insurance
wer: C
anation: Utilization Review (UR) aims to assess whether the services ided to patients are necessary and appropriate, helping to control costs ove the quality of care.
stion: 395
ch of the following statements about patient engagement in managed c curate?
atient engagement is not a priority in managed care settings
The primary purpose of a Utilization Review (UR) in managed care is to:
1. E
2. L
3. A
4. I
Ans Expl
prov and
impr
Que
Whi are
is ac
1. P
2. Engaged patients are more likely to adhere to treatment plans and utilize preventive services
3. Patient engagement solely focuses on financial aspects of care
4. It is primarily the responsibility of healthcare providers without patient involvement
Explanation: Patient engagement is critical in managed care, as engaged individuals are more likely to adhere to treatment and utilize preventive services, leading to better health outcomes.
Question: 396
edure. What must be demonstrated for a successful malpractice claim nst the nurse?
hat the nurse had a duty of care hat the nurse acted in good faith
hat the patient signed informed consent hat the nurse followed hospital policy
wer: A
anation: To establish malpractice, it must be shown that the nurse had f care to the patient, which was breached, leading to harm.
stion: 397
oncept of "health equity" in managed care is primarily concerned wit nsuring equal access to healthcare services regardless of socioeconom
A nurse is accused of negligence after a patient suffers complications from a proc
agai
1. T
2. T
3. T
4. T
Ans
Expl a
duty o
Que
The c h:
1. E ic
status
2. Promoting luxury healthcare services for affluent populations
3. Standardizing treatment protocols across all patient demographics
4. Focusing solely on the financial performance of healthcare providers Answer: A
Explanation: Health equity is an essential principle in managed care, emphasizing the need for equal access to healthcare services for all individuals, regardless of their socioeconomic status or other barriers.
Question: 398
ollaboration among providers to coordinate care and Excellerate health omes while sharing financial risks and rewards
dividual provider autonomy without accountability for patient outcom he focus on hospital-based care only
he limitation of services to reduce overall healthcare spending wer: A
anation: Accountable care organizations (ACOs) promote collaboratio ng providers to coordinate care, Excellerate patient outcomes, and share cial risks and rewards, ensuring a more integrated approach to healthc ery.
stion: 399
erm "population health management" refers to:
The principle of "accountable care organizations" (ACOs) in managed care emphasizes:
1. C
outc
2. In es
3. T
4. T
Ans
Expl n
amo
finan are
deliv Que The t
1. The strategy of managing the health of an individual patient
2. The process of managing healthcare costs for high-risk individuals
3. The approach of analyzing health outcomes and health determinants within a specific group to Excellerate care quality and reduce costs
4. The implementation of disease-specific protocols across all patient populations
Answer: C
Explanation: Population health management focuses on improving health outcomes for a specific population by analyzing data and addressing health determinants, ultimately aiming to enhance care quality and reduce costs.
Question: 400
ch of the following best captures the legal implications of a nurse's act providing care in a managed care environment, particularly regardin rence to established protocols?
dhering to established protocols can protect nurses from legal liability ractice cases
urses are free to deviate from established protocols without conseque rotocols are optional guidelines with no legal bearing
urses are solely responsible for creating their own care protocols wer: A
anation: Adhering to established protocols can protect nurses from leg ity in malpractice cases, as it demonstrates compliance with accepted dards of care.
stion: 401
Whi ions
when g
adhe
1. A in
malp
2. N nces
3. P
4. N
Ans
Expl al
liabil stan
Que
In evaluating the effectiveness of telehealth services within a managed care framework, which factor is most critical to assess?
1. The technological literacy of patients
2. Patient health outcomes post-telehealth consultation
3. The geographical distribution of providers
4. The number of telehealth visits conducted
Answer: B
Explanation: Assessing patient health outcomes post-telehealth consultation is critical for evaluating the effectiveness of telehealth services, as it provides direct insight into the quality and impact of care delivered remotely.
is the significance of patient-centered care in the context of disease s agement programs?
shifts the focus away from clinical outcomes to patient preferences o fosters a collaborative approach that enhances treatment adherence an faction.
solely emphasizes the use of technology in managing patient data. disregards the importance of clinical guidelines in treatment decision
wer: B
anation: Patient-centered care emphasizes collaboration between patie ealthcare providers, leading to improved adherence to treatment plan er patient satisfaction.
stion: 403
Question: 402
What tate
man
1. It nly.
2. It d
satis
3. It
4. It s.
Ans
Expl nts
and h s and
high
Que
Which of the following best describes the concept of "shared savings" in the context of value-based care arrangements within managed care organizations?
1. A fixed payment amount received by providers for each patient
2. A system that rewards providers based on patient satisfaction scores
3. A penalty system for providers who exceed budgeted costs
4. A financial incentive model where providers share in the savings generated
by reducing healthcare costs while maintaining quality Answer: D
Explanation: Shared savings arrangements incentivize providers to reduce costs while maintaining or improving quality, allowing them to share in the financial benefits of efficient care delivery.
stion: 404
ch of the following terms refers to the practice of managing healthcare by limiting the types of services and providers available to a patient n a health plan?
tilization review isk adjustment are coordination etwork restriction
wer: D
anation: Network restriction refers to the practice of managing healthc by limiting the types of services and providers available to a patient
n a health plan, affecting patient choice.
Que
Whi costs withi
1. U
2. R
3. C
4. N
Ans
Expl are
costs withi
Question: 405
A patient is dissatisfied with their treatment and seeks to resolve the issue through an alternative dispute resolution (ADR) process. Which of the following best describes the advantages of mediation over arbitration in this context?
1. Mediation encourages collaboration and open dialogue.
2. Mediation typically involves a more formal process.
3. Mediation allows for legally binding decisions.
4. Mediation is less costly than litigation but not arbitration. Answer: A
es to reach mutually agreeable solutions, whereas arbitration often res inding decision made by a third party.
stion: 406
ch of the following best describes the role of a nurse navigator in a aged care setting?
nurse who provides administrative support to physicians nurse who focuses solely on conducting health assessments
nurse responsible for coordinating care and assisting patients through hcare system
nurse who manages insurance claims for patients wer: C
anation: A nurse navigator plays a critical role in helping patients nav omplexities of the healthcare system, coordinating care, and ensuring
Explanation: Mediation encourages collaboration and open dialogue, allowing parti ults
in a b
Que
Whi man
1. A
2. A
3. A the
healt
4. A
Ans
Expl igate
the c that
patients receive the services they need in a timely manner.
Question: 407
In the context of managed care, what does the acronym "PCMH" stand for, and what is its primary goal?
1. Preferred Care Management Hub; to reduce administrative costs
2. Patient-Centered Medical Home; to provide coordinated, comprehensive care
3. Primary Care Management Health; to increase the number of primary care providers
anation: PCMH stands for Patient-Centered Medical Home, which ai ide coordinated and comprehensive care to Excellerate patient outcomes faction.
stion: 408
When assessing the impact of social determinants of health (SDOH) on pa which of the following factors should be prioritized in managed care uations?
conomic stability and access to resources atient health insurance status
vailability of healthcare providers in the area requency of healthcare visits
wer: A
Patient Care Management Health; to enhance patient satisfaction Answer: B
Expl ms to
prov and
satis
Que
care, eval
1. E
2. P
3. A
4. F
Ans
tient
Explanation: Economic stability and access to resources are critical factors to prioritize when assessing the impact of social determinants of health (SDOH) on patient care, as they significantly influence health outcomes and access to necessary services.
Question: 409
Which of the following best describes the concept of "value-based care" in relation to quality management in a managed care setting?
1. An approach that prioritizes patient outcomes and satisfaction over the volume of services delivered
2. A focus on maximizing the volume of services provided to patients
3. A system that emphasizes cost-cutting measures without regard for quality
wer: A
anation: Value-based care emphasizes prioritizing patient outcomes a faction, ensuring that healthcare delivery is centered around the qualit ather than the quantity of services provided.
A model that relies on financial incentives for providers to increase service usage
Ans
Expl nd
satis y of
care r

Killexams VCE exam Simulator 3.0.9

Download Killexams-Exam-Simulator-3.0.9.rar

Killexams has introduced Online Test Engine (OTE) that supports iPhone, iPad, Android, Windows and Mac. CMCN Online Testing system will helps you to study and practice using any device. Our OTE provide all features to help you memorize and practice exam mock exam while you are travelling or visiting somewhere. It is best to Practice CMCN exam Questions so that you can answer all the questions asked in test center. Our Test Engine uses Questions and Answers from genuine Certification in Managed Care Nursing exam.

Killexams Online Test Engine Test Screen

Killexams Online Test Engine Progress Chart

Killexams Online Test Engine Test History Graph

Killexams Online Test Engine Performance History

Killexams Online Test Engine Result Details

Online Test Engine maintains performance records, performance graphs, explanations and references (if provided). Automated test preparation makes much easy to cover complete pool of questions in fastest way possible. CMCN Test Engine is updated on daily basis.

People used these CMCN certification test prep to get 100% marks

At killexams.com, we provide the chance to download 100% free CMCN Practice Questions practice exams to evaluate before committing to the full version. Experience the authentic CMCN Exam Questions environment with our CMCN exam simulator, making it significantly easier to pass the CMCN exam. Plus, enjoy three months of complimentary updates for CMCN Certification in Managed Care Nursing practice exam questions to stay current and prepared. Visit killexams.com to start your journey to certification success.

Latest 2025 Updated CMCN Real exam Questions

Achieve success in the ABMCN Certification in Managed Care Nursing exam with ease by mastering the CMCN exam structure and practicing with killexams.com’s latest question bank. Focus on real-world problems to accelerate your preparation and familiarize yourself with the unique questions featured in the genuine CMCN exam. Visit killexams.com to download free CMCN test prep practice exam questions and review them thoroughly. If confident, register to access the complete CMCN exam dump Practice Tests—a critical step toward your success. Install our VCE test system on your PC, study and memorize the CMCN exam dump, and practice frequently with the VCE simulator. Once you have mastered the Certification in Managed Care Nursing question bank, head to the Test Center and register for the real exam with confidence. Our proven track record includes countless candidates who have passed the CMCN exam using our test prep practice exams and now thrive in prestigious roles within their organizations. Their success stems not only from studying our CMCN pdf questions materials but also from gaining a deeper understanding of CMCN concepts, enabling them to excel as professionals in real-world settings. At killexams.com, we go beyond helping you pass the CMCN exam—our goal is to enhance your grasp of CMCN themes and objectives, paving the way for lasting career success.

Killexams Review | Reputation | Testimonials | Customer Feedback

I renewed my Killexams.com subscription for the CMCN exam, and it was a wise decision. Their resources are invaluable, offering practice exams with actual questions that helped me score above 95%. The team at Killexams.com provides exceptional support, and their materials are critical for anyone aiming for Good Marks in the CMCN exam.
Martin Hoax [2025-4-8]

Based on my experience, I can attest that solving practice questions can genuinely help you ace an exam. Fortunately, Killexams.com offers very effective test materials, making it a useful and practical website. I express my sincere gratitude to the Killexams team.
Shahid nazir [2025-6-25]

Reliable exam questions materials alleviated my CMCN exam anxiety, ensuring an easy pass. Their exceptional resources are perfect for students, and I am thankful for their role in my educational success.
Lee [2025-4-10]

More CMCN testimonials...

CMCN Exam

User: Lev*****

Passing the cmcn exam in just 20 days was a life-changing achievement, made possible by the killexams.com practice exam guide. The challenging courses were simplified, and the references provided were incredibly helpful. I now work at a reputable company with a great salary, and I owe this success to killexams.com.

User: Savya*****

Thanks to Killexams.com, I was able to answer all the questions on the EC exam. I highly recommend this resource to anyone looking to pass their IT exams, as it is an excellent asset for exam preparation. Their mock exam were straightforward, and it made it easy for me to plan and prepare for the exam.

User: Sueta*****

Practice tests made my CMCN exam preparation the best I have ever experienced. Their comprehensive questions covered everything I needed to know, allowing me to pass without difficulty. The money-back ensure provided added assurance, and I am happy to recommend their resources to my peers.

User: Vitaliy*****

Thanks to the Killexams.com team, I was able to attempt their cmcn exam questions and achieve full marks. It was the first time that I used their guidance material, and I truly appreciate their team effort in putting together such effective resources.

User: Mariana*****

After an extensive search for reliable study resources, I discovered Killexams.com, and it exceeded my expectations. The team was incredibly supportive, providing high-quality exam questions materials that were instrumental in my CMCN exam preparation. Their well-organized content and responsive support made complex courses easy to grasp. I am deeply appreciative of their efforts, which played a significant role in my success.

CMCN Exam

Question: Where can I get 2021 updated CMCN genuine questions?
Answer: You visit the killexams CMCN exam page, you will be able to get complete details of 2021 updated latest CMCN questions. You can also go to https://killexams.com/demo-download/CMCN.pdf to download CMCN demo questions. After review visit and register to download the complete question bank of CMCN exam test prep. These CMCN exam questions are taken from genuine exam sources, that's why these CMCN exam questions are sufficient to read and pass the exam. Although you can use other sources also for improvement of knowledge like textbooks and other aid material these CMCN questions are enough to pass the exam.

Question: Is there a shortcut to fast pass CMCN exam?
Answer: Yes, Of course, you can pass your exam within the shortest possible time. If you are free and you have more time to study, you can prepare for an exam even in 24 hours. But we recommend taking your time to study and practice CMCN practice exam until you are sure that you can answer all the questions that will be asked in the genuine CMCN exam. Visit killexams.com and register to download the complete question bank of CMCN exam test prep. These CMCN exam questions are taken from genuine exam sources, that's why these CMCN exam questions are sufficient to read and pass the exam. Although you can use other sources also for improvement of knowledge like textbooks and other aid material these CMCN questions are sufficient to pass the exam.

Question: When It is good time to buy CMCN question bank?
Answer: You can register at killexams.com when you decide to prepare for your exam and have time to study and memorize the questions and answers. There are 3 months, 6 months, and 1-year download accounts available at killexams.com according to the genuine test planning of candidates. It is always a good time to register and download the question bank because you will have enough time to study and memorize the practice test.

Question: Can I pass the CMCN exam in one week?
Answer: One week is more than sufficient if you daily practice with killexams CMCN questions and spare more time to study. These mock exam are very easy to memorize and practice. The more you practice, the more you feel confident about the genuine test.

Question: How long it will take to setup my killexams account?
Answer: Killexams take just 5 to 10 minutes to set up your online download account. It is an automatic process and completes in very little time. When you complete your payment, our system starts setting up your account within no time and it takes less than 5 minutes. You will receive an email with your login information immediately after your account is setup. You can then login and download your exam files.

References

Frequently Asked Questions about Killexams Practice Tests

Does killexams provide live support?
Yes, killexams.com provides a live support facility 24x7. We try to handle as many queries as possible but it is always overloaded. Several agents provide live support but customers have to wait long for a live chat session. If you do not need urgent support you can use our support email address. Our team answers the queries as soon as possible.

Can I practice genuine CMCN questions on my computer?
Yes, For CMCN Practice tests, you need to Install Killexams exam Simulator on your computer with Windows operating system. You can follow the steps supply at https://killexams.com/exam-simulator-installation.html to install and open the exam simulator on your computer. The exam simulator is used to practice exam questions and answers.

Where can I get 2021 updated CMCN Practice Tests?
You visit the killexams CMCN exam page, you will be able to get complete details of 2021 updated latest CMCN questions. You can also go to https://killexams.com/demo-download/CMCN.pdf to download CMCN demo questions. After review visit and register to download the complete question bank of CMCN exam brainpractice questions. These CMCN exam questions are taken from genuine exam sources, that\'s why these CMCN exam questions are sufficient to read and pass the exam. Although you can use other sources also for improvement of knowledge like textbooks and other aid material these CMCN practice questions are enough to pass the exam.

Is Killexams.com Legit?

Certainly, Killexams is fully legit together with fully efficient. There are several includes that makes killexams.com genuine and legit. It provides up to date and 100 % valid actual questions comprising real exams questions and answers. Price is really low as compared to almost all the services on internet. The mock exam are modified on normal basis together with most latest brain dumps. Killexams account make and item delivery is incredibly fast. Record downloading is actually unlimited and fast. Assistance is available via Livechat and Electronic mail. These are the features that makes killexams.com a sturdy website that provide actual questions with real exams questions.

Other Sources

Which is the best testprep site of 2025?

Discover the ultimate exam preparation solution with Killexams.com, the leading provider of premium practice exam questions designed to help you ace your exam on the first try! Unlike other platforms offering outdated or resold content, Killexams.com delivers reliable, up-to-date, and expertly validated exam mock exam that mirror the real test. Our comprehensive question bank is meticulously updated daily to ensure you study the latest course material, boosting both your confidence and knowledge. Get started instantly by downloading PDF exam questions from Killexams.com and prepare efficiently with content trusted by certified professionals. For an enhanced experience, register for our Premium Version and gain instant access to your account with a username and password delivered to your email within 5-10 minutes. Enjoy unlimited access to updated mock exam through your download Account. Elevate your prep with our VCE practice exam Software, which simulates real exam conditions, tracks your progress, and helps you achieve 100% readiness. Sign up today at Killexams.com, take unlimited practice tests, and step confidently into your exam success!

100% Money Back Pass Guarantee

Back to List

Social Profiles

Certification in Managed Care Nursing Practice Test

CMCN exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

100% Money Back Pass Guarantee

CMCN PDF demo Questions

CMCN demo Questions

Killexams VCE exam Simulator 3.0.9

People used these CMCN certification test prep to get 100% marks

Latest 2025 Updated CMCN Real exam Questions

Tags

Killexams Review | Reputation | Testimonials | Customer Feedback

CMCN Exam

CMCN Exam

References

Frequently Asked Questions about Killexams Practice Tests

Is Killexams.com Legit?

Other Sources

Which is the best testprep site of 2025?

Important Links for best testprep material

100% Money Back Pass Guarantee

Social Profiles