CMGT-BC case studies
CMGT-BC · Put your knowledge to work in context.
The Nursing Case Management Board Certification (CMGT-BC) is a specialty credential for registered nurses who coordinate care across settings - acute units, ambulatory clinics, payer organizations, home health, and community programs. It signals that a nurse has moved beyond bedside task competence into the broader accountability of case management: identifying the right patients for services, building workable plans of care, matching resources to needs, and shepherding people safely through transitions while keeping the payer's rules and the patient's preferences in the same frame. The CMGT-BC case studies are 5 cases and about 5,055 words.
1Four Consults, One Case Manager, Four Hours Left
You are the only case manager covering two inpatient units (7 West, 32 beds; 7 East, 28 beds) at a 240-bed community hospital. It is 1415 on a Tuesday; your shift ends at 1900 and no one is available to absorb overflow.
984 words, about 5 min2Day 18 in the SNF: Plateau, Coinsurance, and a Family That Won't Budge
R is 79 and on day 18 of a Medicare Part A skilled nursing facility stay after a hip hemiarthroplasty following a fall. Physical therapy documents that she has plateaued - she transfers with one-assist and ambulates 40 feet with a walker, unchanged for six consecutive days - and recommends discharge to home with home health.
978 words, about 5 min3Friday at 1600: A Heart Failure Discharge That Has Failed Three Times
L is 72 with heart failure with reduced ejection fraction (EF 25%), COPD, and stage 3 chronic kidney disease. He has been admitted four times in seven months, twice for volume overload.
1,051 words, about 5 min4A Trucker, a Seizure, and a Wife Who Wants Him Placed
K is 54, a long-haul truck driver, five days after resection of a glioblastoma. He is alert and conversant, scores 27/30 on a cognitive screen, and had one focal seizure on post-op day 2 that resolved with medication.
1,041 words, about 5 min5'Don't Tell Her It's Cancer': A Husband Interpreting for a Spanish-Speaking Patient
A is 41, Spanish-speaking, and has just been told by the oncology team that she has stage III breast cancer requiring neoadjuvant chemotherapy and surgery. She speaks no English and has limited health literacy.
1,001 words, about 5 min