Managed Care Home Study Program
CMCN/P Examination Preparatory Course
The AAMCN Pathway to Certification:
Step 1: Purchase AAMCN Home Study Program ($300/$350)
Step 2: Complete Program coursework within 6 months of purchase (Anticipated 20-40 hours of work, Earn 18 NCPDs)
Step 3: Apply for & Sit CMCN/P Examination ($250)
Please note: Completing the home study program is not the only path to qualify for the CMCN/CMCP exam. Instead, you may submit a resume for consideration of qualification.
Home Study Program
Taking a broad view of managed care, the AAMCN home study course: A Comprehensive Introduction to Managed Care Nursing, 5th Edition undertakes familiarizing students with the full spectrum of the managed care industry. From case management to continuous quality improvement, from utilization management to Medicaid managed care products, from HMOs & PPOs to Reimbursement, from provider profiling & accreditation to HIT; the program establishes a background of managed care key topics alongside history, legal and ethical issues, and negotiation skills.
In addition to a Textbook covering these wide ranging topics, the Study Guide contains over seven hours of video presentations that complement each chapter of the Textbook. The Study Guide also includes a glossary of terms and practice questions. Students get access to all of these materials online, and physical copies of the Textbook and Study Guide are available with the highest tier home study package.
Taking a broad view of managed care, the AAMCN Home Study Course: A Comprehensive Introduction to Managed Care Nursing undertakes familiarizing students with the full spectrum of the managed care industry. From case management to continuous quality improvement, from utilization management to Medicaid managed care products, from HMOs & PPOs to Reimbursement, from provider profiling & accreditation to HIT; the program establishes a background of managed care key topics alongside history, legal and ethical issues, and negotiation skills.
In addition to a Textbook covering these wide ranging topics, the Study Guide contains over eight hours of video presentations that complement each chapter of the Textbook. The Study Guide also includes a glossary of terms and practice questions. Students get access to all of these materials online.
Passing the Home Study Course post test earns the student 18 NCPDs. It also qualifies students to sit the Certification in Managed Care Examination administered by the ABMCN. This purchase includes one year of complimentary membership to AAMCN. This can be a new or renewing membership (one year of membership will be added to your expiration date).
If you prefer to have physical books, you can do the physical books add on. These contain all of the same content but give the students physical copies for notetaking, etc.
Access to the online program is handled manually. You will receive login information within three days of purchase.
Note: If you are on the fence about If the home study is right for you, we strongly encourage you to purchase the online-only home study program which has a much easier return process. Then, if you'd like to add the physical books to your program, you may do so.
You will receive a welcome email with your membership number within two weeks of purchase. Please note that there is no members-only portal/login on our website. Member information is communicated through emails. Please safelist jbeilhart@namcp.org in your email client to ensure you receive our communications.
Publication Date: October 15, 2025
Textbook Page Count: 124, 8.5 x 11
Study Guide Page Count: 270, 8.5 x 11
Table of Contents
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Possess an overview of Managed Care
Understand the spectrum of roles for nurses in managed care
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Describe the history of healthcare as it relates to the development of Managed Care
Identify significant milestones, concepts and laws
Understand the constant evolution of Managed Care
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Identify different types of government coverage & products
Identify some of the benefits of governmental managed care products
Recognize and describe the major components of and differences within government managed care models
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Identify types of commercial managed care products
List examples of commercial managed care product coverage & benefits
Describe major components of and differences within commercial managed care models
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Identify and define the multiple components of a utilization management program
Compare the elements of the utilization management process
Compare the elements that comprise the quality management/improvement process within utilization management
Recognize the fundamentals of utilization management and quality management/improvement as they impact the delivery of cost-effective quality care
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Define negotiation, why it matters, and its parts
Identify tools to use/develop for successful negotiation
Understand how to prepare for a negotiation
Identify how to have a successful negotiation in the healthcare environment
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Define basic managed care reimbursement terminology
Explain the relationship between types of provider reimbursement
Identify trends in reimbursement methodologies
Understand impacts on care delivery and outcomes
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Identify how provider profiling can summarize practice patterns that lead to improved provider performance
Explain why reliability measurement is an important component in evaluating a profile system
Examine the effect of provider profiling on the quality of care and disease management
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Describe the fundamentals of Quality Management and improvement programs
Identify basic quality improvement principles and activities used in a managed care setting
Understand the importance of quality performance
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Describe the history of health information technology
Identify the use of medical and clinical informatics in managed care
Discuss the nurse’s role in health information technology and informatics
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Identify various laws and rules that affect the managed care nurse’s role
Describe the managed care nurse’s role in maintaining compliance and managing risk
Identify methods of dispute resolution
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Describe the differences between principles, values and ethics
Describe the ethical decision-making model of nursing
Discuss pertinent issues from an ethical perspective
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Recognize the current accreditation bodies
Understand the implications of accreditation
Know how accreditation affects managed care
Continuing Education
Once you order your home study program, you will have 6 months to complete and return the post-test (open book, unproctored, and untimed), which will earn you 18 NCPD's (CEUs) with a passing grade of 70% or better.
The American Association of Managed Care Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Additional Information
The home study program purchase includes one year of complimentary membership to AAMCN. This can be a new or renewing membership (one year of membership will be added to your expiration date). In addition to continuing education, completing the home study program also qualifies students to sit the Certification in Managed Care Examination.
Students may purchase the online-only version which includes all of the Textbook and Study Guide content, bestows one year of complimentary AAMCN membership, awards the continuing education (NCPDs), and qualifies students to sit the CMCN/CMCP exam. Alternatively, students may purchase the highest tier home study program which includes everything in the online-only version in addition to physical copies of the Textbook and Study Guide.
The Textbook is also available for purchase separate from the home study program. The Textbook does not confer any NCPDs and does not act as a qualifier for sitting the CMCN/CMCP exam. The Study Guide is not available for individual purchase.
Publication Date: October 15, 2025
Textbook Page Count: 124, 8.5 x 11
Study Guide Page Count: 270, 8.5 x 11
