CNML Certification: Overview and FAQ

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Written by Ann Real, BSN, RN Content Writer, IntelyCare
A nurse with CNML certification poses for a photo at the hospital.

A certified nurse manager and leader (CNML) is a professional credential awarded to nurses committed to managing healthcare teams, improving patient outcomes, and enhancing the overall efficiency of healthcare facilities. CNML certification is a great asset for any nurse who wants to validate their expertise as a leader or transition into administrative roles.

In this article, we’ll break down what the certified nurse manager and leader certification is, explain how to get it, and highlight how it can boost your career in nursing management.

What Is CNML Certification?

The CNML certification is a specialized credential designed for registered nurses (RNs) who complete advanced training in nursing management and leadership. It’s administered by the American Organization for Nursing Leadership (AONL), an organization dedicated to preparing effective nurse leaders who can move the healthcare system forward.

Curious what you’ll be tested on? Here’s the glimpse on the exam’s content outline:

  • Communication and relationship building
  • Healthcare environment and clinical principles
  • Leadership
  • Professionalism
  • Business skills and principles

These topics cover a range of practical skills and specific knowledge areas. A few examples include:

CNML Certification Requirements

Here’s a step-by-step guide to start your path toward becoming a CNML-certified nurse leader:

1. Meet Eligibility Criteria

To be eligible for the exam, you must meet the target practitioner definition and fulfill the following requirements:

  • A valid and unrestricted RN license
  • A bachelor’s degree or higher from an accredited school, with at least one degree in nursing
  • At least 2,080 hours in a nurse manager or primary unit leader role, or 4,160 hours in a comprehensive nursing leadership support role

If you’re an international nurse, make sure to validate your license and educational credentials through CGFNS International to qualify for the exam.

2. Start Preparing for the Exam

The exam focuses on four practice areas: financial management, human resource oversight, performance improvement, and strategic management and technology. Here’s a list of resources to help you study:

  • Candidate handbook
  • Practice exam
  • Examination reading list
  • Essentials review course
  • Nurse manager competency self-assessment

3. Submit Your Application

Then, you’ll need to fill out an online application by setting up an account and following the prompts. You’ll need to provide some details, like your nursing license information, proof of education, and work experience. After you make the payment, you’ll receive an email confirming eligibility and scheduling details. You’ll have 90 days to book a spot at a PSI test center and take the test.

4. Pass the CNML Exam

Your next step is to pass the exam. Be sure to arrive 30 minutes early for identity verification. Curious about the exam process? Here’s a quick rundown:

  • You’ll have 2 hours to complete the exam.
  • There are 115 multiple-choice questions: 100 are scored, and 15 are trial items.
  • You’ll need to correctly answer at least 75 of the scored questions to pass.

Once you successfully pass your exam, your certification will be mailed to you within four to six weeks.

5. Maintain the Certification

To keep your certification active, you’ll need to recertify every three years. When it’s time to renew, you have two options:

  • Retake the exam.
  • Provide proof of 45 contact hours of continuing education related to the exam content within the 3-year period.

You can submit your renewal application up to a year before your certification expires.

CNML Certification Cost

Let’s go over the costs so you can budget your career advancement effectively. Here’s a breakdown of the fees you can expect:

  • Exam fee: $450 for nonmembers, $300 for AONL members
  • Practice exam: $200 for nonmembers, $115 for AONL members
  • Recertification: $275 for nonmembers, $200 for AONL members

Frequently Asked Questions: CNML Certification

How hard is the CNML exam?

The CNML exam covers a broad range of nurse management skills and topics, which can be challenging for those who are more specialized in a specific area of nursing. Preparing well makes a difference — the CNML certification pass rate is 68.2%, meaning many candidates successfully pass the exam if they study well.

What happens if I fail the CNML exam?

Failed the exam? No worries — you can retake it 90 days after your last attempt. You have up to four tries within a two-year period to pass.

CNML vs. NE-BC certification: What’s the difference?

The Nurse Executive-Board Certified (NE-BC) certification is issued by American Nurses Credentialing Center (ANCC) and is designed for registered nurses who influence units, teams, or departments. It emphasizes strategic leadership, staff development, and broader decision-making at the executive level. The CNML credential is ideal for those in mid-level management and leadership roles.

How much does a CNML-certified nurse earn?

The average salary for medical and health services managers is around $134,440 a year. But keep in mind that your earnings can vary greatly based on your experience, education, job setting, and location. Your salary may be higher in these states:

Find out what you could earn in nurse manager-supervisor jobs in your location.

How do I verify my CNML certificate?

To verify your certification, use the CNML verification portal on the AONL website. Provide your employer with your name, city, state, and certification period, and they can check the list of certified individuals to confirm your status.

What are the benefits of a CNML certificate?

A CNML certificate comes with several perks:

  • Career boost: It can open doors to higher-level management roles in healthcare organizations.
  • Enhanced skills: You gain specialized knowledge in financial management, human resources, and quality improvement, making you a more effective leader.
  • Better patient outcomes: With the right practices for managing teams and units, you can help improve patient care.
  • Increased earning potential: It strengthens your nurse manager resume, helping you stand out for better-paying positions.
  • Organizational impact: You’ll be equipped to contribute to your organization’s goals, drive improvements, and lead initiatives that can make your facility more effective.

What are the related certifications?

Looking to level up your career with more certifications? These additional credentials may be useful in administrative and leadership roles in healthcare:

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