© Certification Application Guidelines

CERTIFICATION APPLICATION GUIDELINES

C A S E M A N A G E M E N T S O C I E T Y O F A U S T R A L I A 1 9 9 6

Contact us website: www.cmsa.org.au email: certification@cmsa.org.au

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CONTENTS

Purpose Statement for National Certification ....................................................................................... 1

The Certification Application Guidelines .............................................................................................. 1

Applying to be Certified ......................................................................................................................... 1

Stages of the Certification Process . ....................................................................................................... 2

The Online Application Form ................................................................................................................... 3 Pathway 1 - Certified Practising Case Manager™ Application ......................................................... 3 Pathway 2 - Certified Practising Case Manager™ Application ......................................................... 5 Pathway 3 - Certified Practising Case Manager™ Application ......................................................... 7 Pathway 4 - Certified Case Manager (Non Practising)™ Application ................................................ 9

Checklist of Evidence Required to Support an Application ................................................................ 11

Certified Copies of Original Documents .............................................................................................. 11 Part A ........................................................................................................................................... 11 Part B ........................................................................................................................................... 12 Getting Documents Certified ........................................................................................................ 12

Statutory Declarations .......................................................................................................................... 13

Auditing of Applications ........................................................................................................................ 13

Vocational Case Management Experience . .......................................................................................... 13 Employment Verification Form....................................................................................................... 13

Professional Training and Development (PTD) Activities .................................................................... 13 Form A and Form B ...................................................................................................................... 13 Examples of PTD Activities............................................................................................................. 13

Professional References ......................................................................................................................... 14 Referee Form 1 and Referee Form 2............................................................................................... 14

Online Examination ................................................................................................................................ 15

Compliance with the National Standards and National Code of Ethics for Case Management ...... 15

Graduation Ceremony (optional) ......................................................................................................... 15

Fees .......................................................................................................................................................... 16 Payment of Fees............................................................................................................................ 16 Schedule of Fees. .......................................................................................................................... 16

Appeals Regarding an Application for Certification ............................................................................ 17 CMSA Appeals Policy. ................................................................................................................... 17

Privacy of Your Information .................................................................................................................. 17

Attachments . ......................................................................................................................................... 18 Employment Verification Form – Example Only ............................................................................. 18 Professional Training and Development (PTD) Form A – Example Only ........................................... 20 Professional Training and Development (PTD) Form B – Example Only ........................................... 22 Referee Form 1- Example Only ...................................................................................................... 24 Referee Form 2 – Example Only .................................................................................................... 26 Pathways to Certification – Example Only ..................................................................................... 28

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PURPOSE STATEMENT FOR NATIONAL CERTIFICATION The CMSA is committed to advancing the profession and practice of case management and recognises that the National Certification of Case Managers is the next step in professional recognition and development for the many individuals throughout Australia who are employed in case management roles (practical or theoretical) within academia, health, education, research, welfare, social and human services settings and in independent practice. Certification encourages accountability and ensures consumer protection is a case manager’s highest concern. It underscores a case manager’s ability to work effectively in today’s multi-disciplinary team environment and is important for reassuring consumers, employers and funding bodies that the case manager has met a nationally recognised standard of practice and has the necessary skills and qualifications to perform this specialist role. It is the reverential belief of the CMSA that through the attainment of a nationally recognised minimum practice standard by all case managers, and a mandated compliance with the National Standards and National Code of Ethics, this will provide a preface for fundamental changes within the profession, thus increasing the quality of the case management services and outcomes for a client and/or their representative, throughout Australia. THE CERTIFICATION APPLICATION GUIDELINES The Certification Application Guidelines (herein referred to as “the Guidelines”) are designed to provide you with details pertaining to the application process and transparency of the information you are required to submit to the CMSA in your application for recognition as a Certified Case Manager™. These Guidelines should be read in conjunction with the Pathways to Certification (1-4) document flowchart and associated application forms available on the Certification page of the CMSA website www.cmsa.org.au. It is an obligatory requirement for each candidate to read in full all of the information within the Guidelines prior to submitting their online application to the CMSA. The rationale behind this stipulation is that the candidate is fully prepared and has all the information to hand for the successful completion of their online application. For all questions and or queries related to an application the candidate should on the first occasion refer to the Guidelines, for detailed information prior to contacting the CMSA. APPLYING TO BE CERTIFIED To be eligible to apply for certification a candidate must first demonstrate they have the necessary knowledge, skills, experience, and/or qualifications as described within one (1) of the four (4) Pathways to Certification (Practising or Non Practising). A copy of the Pathways to Certification has been included as an attachment to the Guidelines for your reference. All applications for recognition as a Certified Case Manager (Non Practising)™ or Certified Practising Case Manager™ must be submitted to the CMSA online. The CMSA will not accept nor process any applications (either full or part thereof) received by mail, email or facsimile. Accordingly, you will be required to provide certified copies (as outlined within the Guidelines and pursuant to your nominated pathway to certification) of all original documents (e.g. qualification or CMSA document/form) as evidence in support of your application. For these documents to be submitted to the CMSA at the time of your online application it is important that you have access to a scanned copy of each and every certified document to attach (i.e. upload from your personal computer). If you are not “computer savy” the CMSA recommends that you seek assistance from another individual or your employer to support you in completing your online application. The CMSA regrets to inform you that we cannot provide you with this support at the time of your online application.

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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STAGES OF THE CERTIFICATION APPLICATION PROCESS There are four (4) Stages to obtaining National Certification as follows:

Stage One

Application is submitted online to the CMSA. Fees paid in full upon application.

Stage Two (Week 1–3)

• Application is received by the CMSA and the candidate is notified in writing • Application is appraised by the CMSA • If an application is deemed incomplete or insufficient information has been provided the candidate is contacted by the CMSA and advised of the deficits and asked to re-submit application

Stage Three (Week 4-6)

• Candidate is invited by the CMSA to undertake the online multiple choice examination • Candidate achieves successful pass in the online examination or • Candidates fails online examination and is invited to re-sit online examination until a100% pass is achieved.

Stage Four (Week 6-8)

• Successful candidate receives three (3) year registration as a Certified Practising Case Manager™ or Certified Case Manager (Non Practising)™ • Use of Certified Practising Case Manager™ (i.e. CPCMCMSA) or Certified Case Manager (Non Practising)™ (i.e. CCMNPCMSA) credentials for 3 year term • Certified Practising Case Manager™ parchment (certificate) and lapel pin or Certified Case Manager (Non Practising)™ parchment (certificate) • Name, state and certification status (including expiry date) is published on the CMSA website as a registered Certified Practising Case Manager™ or Certified Case Manager (Non Practising)™ for public access, including optional contact details (i.e. email and phone number) • Full CMSA Membership benefits • Professional recognition and status • Optional Graduation Ceremony – all associated costs to be incurred by the graduate (e.g. hire of gown, mortar board, sash, travel etc)

Delays in Processing Applications

The timeframes within the application process (as outlined above) should be used by the candidate as a guide only. Whilst the CMSA will endeavour at all times to process your application pursuant to these guidelines there may be circumstances (foreseeable or non foreseeable) which arise resulting in a delay to your application.

These may include:

• Incomplete or insufficient application submitted by candidate. • Candidate fails to achieve a successful pass in the online examination and must re-sit online examination. • Variations to the business hours and operations of the CMSA, including Public Holidays, temporary closure of the CMSA office or limitations on CMSA resources i.e. staff leave or absences or high volume of applications. • Technical issues affecting access to the CMSA website, internet, client management systems or software.

• Delays in delivery or receipt of products from suppliers to the CMSA. • Delays in receipt of products to the candidate from Australia Post.

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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THE ONLINE APPLICATION FORM Each candidate will be required to submit different information, and certified scanned copies of evidence, at the time of the online application. It is important that you read and prepare the information and/or evidence (attachments) pursuant to your nominated Pathway to Certification (as outlined below) in readiness for your online application. Where “attachments” are requested you are required to upload a scanned copy or PDF copy of the document requested. Please ensure you have these copies available to access at the time of your online application. It is important you understand that you must provide all information as requested in order for your application to be processed by the CMSA. Omitting (by default) any required information as listed below will render your application invalid by the CMSA and you will be required to resubmit your online application.

Pathway 1 – Certified Practising Case Manager™ Application

Title

First Name

Last Name

Gender

Business Address Line 1

Business Address Line 2

Business Address Line 3

Suburb

State

Postcode

Postal Address Line 1

Postal Address Line 2

Postal Address Line 3

Suburb

State

Postcode

Business Phone

Mobile

Primary Email Address

Secondary Email Address

Date of Birth

Employer Name (Agency)

Position Title

Department Name

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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I am applying via the following Vocational Pathway to Certification.

1. Pathway 1

I have read the Certification Application Guidelines

1. Yes 2. No - Please ensure you have read these guidelines prior to continuing with your application 1. Pathway 1 - CHC70208 OR Masters degree, PhD in Case Management

Please select and attach evidence of your minimum level of qualification. Copy must be certified. I have attained the minimum vocational case management experience. Please note you must have practised for 12 months (1824 hrs) in the last 3 years Please attach the Employment Verification Form (copy must be signed by your employer & Certified) OR if Self Employed please attach a Statutory Declaration. Please attach Referee Form 1 (copy must be signed and Certified) Please attach Referee Form 2 (copy must be signed and Certified) I have submitted the following evidence as a mandatory requirement of my application and acknowledge that failure to do so will render my application incomplete for the purpose of assessment by the CMSA. I solemnly and sincerely commit to read, understand, utilise and apply the CMSA National Standards and National Code of Ethics within all my professional interactions as a Certified Practising Case Manager™ and member of the CMSA. I solemnly and sincerely declare that the contents of this application, including all information provided for and on my behalf, is true and correct to the best of my knowledge and belief. I acknowledge that the CMSA will conduct random audits of applications and if audited I will be required to provide evidence of any or all claims within my application within 28 days of notice by the CMSA. I have read and acknowledge the Certification Appeals Policy. I have read and consent to the CMSA Privacy Policy (see www.cmsa.org.au) and understand how it relates to the use of my personal information. I have read, acknowledge and agree to abide by the CMSA Constitution and By-laws Disclaimer of Liability - I acknowledge full responsibility for any (if required) Professional Indemnity Insurance and recognise the CMSA is not liable for any professional malpractice, misconduct, injury, damages, fraudulent or criminal acts pursuant to my registration as a Certified Practising Case Manager™ Please attach a copy of your Curriculum Vitae (CV)

1. Pathway 1- 2 years FTE (3648 hrs)

1. Employment Verification Form 2. Self Employed (Statutory Declaration)

1. Qualifications 2. Employment Verification Form OR Statutory Declaration 3. Curriculum Vitae (CV)

4. Referee 1 5. Referee 2

I hereby agree

I hereby declare and acknowledge

I hereby declare and acknowledge

1. Yes 2. No

I hereby agree

I hereby acknowledge

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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Pathway 2 – Certified Practising Case Manager™ Application

Title

First Name

Last Name

Gender

Business Address Line 1

Business Address Line 2

Business Address Line 3

Suburb

State

Postcode

Postal Address Line 1

Postal Address Line 2

Postal Address Line 3

Suburb

State

Postcode

Business Phone

Mobile

Primary Email Address

Secondary Email Address

Date of Birth

Employer Name (Agency)

Position Title

Department Name I am applying via the following Vocational Pathway to Certification.

2. Pathway 2

I have read the Certification Application Guidelines.

1. Yes 2. No - Please ensure you have read these guidelines prior to continuing with your application

Please select and attach evidence of your minimum level of qualification. Copy must be certified.

2. Pathway 2 - Undergraduate Bachelor degree

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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I have attained the minimum vocational case management experience. Please note you must have practised for 12 months (1824 hrs) in the last 3 years? Please attach the Employment Verification Form (copy must be signed by your employer & Certified) OR if Self Employed please attach a Statutory Declaration.

2. Pathway 2 - 3 years FTE (5472 hrs)

1. Employment Verification Form 2. Self Employed (Statutory Declaration)

Please attach a copy of your Curriculum Vitae (CV)

Please select and attach your Certificate of Attainment in Competency in the National Standards of Practice for Case Managers Please attach Referee Form 1 (copy must be signed and Certified)

2. Pathway 2

Please attach Referee Form 2 (copy must be signed and Certified)

I have submitted the following evidence as a mandatory requirement of my application and acknowledge that failure to do so will render my application incomplete for the purpose of assessment by the CMSA.

1. Qualifications 2. Employment Verification Form OR Statutory Declaration 3. Curriculum Vitae (CV) 4. Certificate of Attainment (Competency in the National Standards for Case Managers)

5. Referee 1 6. Referee 2

I solemnly and sincerely commit to read, understand, utilise and apply the CMSA National Standards and National Code of Ethics within all my professional interactions as a Certified Practising Case Manager™ and member of the CMSA. I solemnly and sincerely declare that the contents of this application, including all information provided for and on my behalf, is true and correct to the best of my knowledge and belief. I acknowledge that the CMSA will conduct random audits of applications and if audited I will be required to provide evidence of any or all claims within my application within 28 days of notice by the CMSA. I have read and consent to the CMSA Privacy Policy (see www.cmsa.org.au) and understand how it relates to the use of my personal information. I have read, acknowledge and agree to abide by the CMSA Constitution and By-laws Disclaimer of Liability - I acknowledge full responsibility for any (if required) Professional Indemnity Insurance and recognise the CMSA is not liable for any professional malpractice, misconduct, injury, damages, fraudulent or criminal acts pursuant to my registration as a Certified Practising Case Manager™ I have read and acknowledge the Certification Appeals Policy.

I hereby agree

I hereby declare and acknowledge

I hereby declare and acknowledge

1. Yes 2. No

I hereby agree

I hereby acknowledge

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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Pathway 3 – Certified Practising Case Manager™ Application

Title First Name Last Name Gender

Business Address Line 1 Business Address Line 2 Business Address Line 3 Suburb State Postcode

Postal Address Line 1 Postal Address Line 2 Postal Address Line 3 Suburb State Postcode Business Phone Mobile Primary Email Address Secondary Email Address Date of Birth Employer Name (Agency) Position Title Department Name I am applying via the following Vocational Pathway to Certification.

3. Pathway 3

I have read the Certification Application Guidelines.

1. Yes 2. No - Please ensure you have read these guidelines prior to continuing with your application 3. Pathway 3 - Diploma OR Certificate OR no formal qualification

Please select and attach evidence of your minimum level of qualification. Copy must be certified. I have attained the minimum vocational case management experience. Please note you must have practised for 12 months (1824 hrs) in the last 3 years?

3. Pathway 3. 5 years FTE (9120 hrs)

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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Please attach the Employment Verification Form (copy must be signed by your employer & Certified) OR if Self Employed please attach a Statutory Declaration. Please attach a copy of your Curriculum Vitae (CV) Please attach a scanned copy of all PTD Form A as a record of your PTD activities (each copy must be signed and Certified). Note: You must scan all copies of Form A into one (1) PDF document only. Multiple uploads are not available. Please attach a scanned copy of the PTD Form B as a summary of all 72 hrs of PTD activities (copy must be signed and Certified). Please select and attach your Certificate of Attainment in Competency in the National Standards of Practice for Case Managers Please attach Referee Form 1 (copy must be signed and Certified) I have submitted the following evidence as a mandatory requirement of my application and acknowledge that failure to do so will render my application incomplete for the purpose of assessment by the CMSA. I solemnly and sincerely commit to read, understand, utilise and apply the CMSA National Standards and National Code of Ethics within all my professional interactions as a Certified Practising Case Manager™ and member of the CMSA. I solemnly and sincerely declare that the contents of this application, including all information provided for and on my behalf, is true and correct to the best of my knowledge and belief. I acknowledge that the CMSA will conduct random audits of applications and if audited I will be required to provide evidence of any or all claims within my application within 28 days of notice by the CMSA. I have read and acknowledge the Certification Appeals Policy. I have read and consent to the CMSA Privacy Policy (see www.cmsa.org.au) and understand how it relates to the use of my personal information. I have read, acknowledge and agree to abide by the CMSA Constitution and By-laws Disclaimer of Liability - I acknowledge full responsibility for any (if required) Professional Indemnity Insurance and recognise the CMSA is not liable for any professional malpractice, misconduct, injury, damages, fraudulent or criminal acts pursuant to my registration as a Certified Practising Case Manager™

1. Employment Verification Form 2. Self Employed (Statutory Declaration)

Upload PTD Form/s A (One PDF file only of all scanned copies of Form A)

Upload PTD Form B

3. Pathway 3

Please attach Referee Form 2 (copy must be signed and Certified) 1. Qualifications (as applicable) 2. Employment Verification Form OR Statutory Declaration 3. Curriculum Vitae (CV) 4. Professional Training and Development (PTD) Form 5. Certificate of Attainment (Competency in the National Standards for Case Managers)

6. Referee 1 7. Referee 2

I hereby agree

I hereby declare and acknowledge

I hereby declare and acknowledge

1. Yes 2. No

I hereby agree

I hereby acknowledge

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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Pathway 4 – Certified Case Manager (Non Practising)™ Application

Title

First Name

Last Name

Gender

Business Address Line 1

Business Address Line 2

Business Address Line 3

Suburb

State

Postcode

Postal Address Line 1

Postal Address Line 2

Postal Address Line 3

Suburb

State

Postcode

Business Phone

Mobile

Primary Email Address

Secondary Email Address

Date of Birth

Employer Name (Agency)

Position Title

Department Name I have read the Certification Application Guidelines.

1. Yes 2. No - please ensure you have read these guidelines prior to continuing with your application 1. Yes 2. No - you have failed to meet the pre-requisite requirement for this application 1. Delivery of Case Management 2. Supervision of Case Managers 3. Management of Case Management Programs and/or Portfolios

I have a minimum of 2 years FTE (3618 hrs) vocational case management experience. Please note you must have practised for 12 months (1824 hrs) in the last 3 years? Please select area of case management practice (i.e. practical or theoretical)

4. Case Management Education 5. Case Management Research

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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Please attach the Employment Verification Form (copy must be signed by your employer & Certified) OR if Self Employed please attach a Statutory Declaration. Please attach a copy of your Curriculum Vitae (CV) Please attach your Professional Training and Development Forms A and Form B (copies must be signed and Certified) Please attach a scanned copy of all PTD Form A as a record of your PTD activities (each copy must be signed and Certified). Note: You must scan all copies of Form A into one (1) PDF document only. Multiple uploads are not available. Please attach a scanned copy of the PTD Form B as a summary of all 72 hrs of PTD activities (copy must be signed and Certified). Please attach Referee Form 1 (copy must be signed and Certified) Please attach Referee Form 2 (copy must be signed and Certified) I solemnly and sincerely commit to read, understand, utilise and apply the CMSA National Standards and National Code of Ethics within all my professional interactions as a Certified Case Manager (Non Practising)™ and member of the CMSA. I solemnly and sincerely declare that the contents of this application, including all information provided for and on my behalf, is true and correct to the best of my knowledge and belief. I acknowledge that the CMSA will conduct random audits of applications and if audited I will be required to provide evidence of any or all claims within my application within 28 days of notice by the CMSA. I have read and acknowledge the Certification Appeals Policy. I have read and consent to the CMSA Privacy Policy (see www.cmsa.org.au) and understand how it relates to the use of my personal information. I have read, acknowledge and agree to abide by the CMSA Constitution and By-laws Disclaimer of Liability - I acknowledge full responsibility for any (if required) Professional Indemnity Insurance and recognise the CMSA is not liable for any professional malpractice, misconduct, injury, damages, fraudulent or criminal acts pursuant to my registration as a Certified Case Manager (Non Practising)™

1. Employment Verification Form 2. Self Employed (Statutory Declaration)

Upload PTD Form/s A (One PDF file only of all scanned copies of Form A)

Upload PTD Form B

1. Employment Verification Form OR Statutory Declaration 2. Curriculum Vitae (CV) 3. Professional Training and Development (PTD) Form 4. Certificate of Attainment (Competency in the National Standards for Case Managers)

5. Referee 1 6. Referee 2

I hereby agree

I hereby declare and acknowledge

I hereby declare and acknowledge

1. Yes 2. No

I hereby agree

I hereby acknowledge

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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CHECKLIST OF EVIDENCE REQUIRED TO SUPPORT AN APPLICATION The following is a checklist of the evidence (“attachments”) that you must submit to the CMSA at the time of your online application. Please refer to your nominated vocational Pathway to Certification and use the list provided below to check that you have all the required “attachments” available on your personal computer to submit to the CMSA when you apply online. Pathway 1 – Certified Practising Case Manager™ Application  Copy of your minimal level of Qualification as applicable (i.e. PhD of Masters Degree or CHC70208 Vocational Graduate Certificate) copy must be certified  Employment Verification Form or Statutory Declaration Form (if self employed) copy must be signed by your employer and certified  A PDF copy of your Curriculum Vitae (CV) Pathway 2 – Certified Practising Case Manager™ Application  Copy of your minimal level of Qualification (i.e. Bachelor Degree) copy must be certified Employment Verification Form or Statutory Declaration Form (if self employed) copy must be signed by your employer and certified  A PDF copy of your Curriculum Vitae (CV)  Referee Form 1 copy must be signed by referee and certified  Referee Form 2 copy must be signed by referee and certified  Certificate of Attainment in Competency in the National Standards for Case Managers official PDF copy issued by CMSA Pathway 3 – Certified Practising Case Manager™ Application  Copy of your minimal level of Qualification ‘as applicable’ (i.e. Diploma OR Certificate) copy must be certified  Employment Verification Form or Statutory Declaration Form (if self employed) copy must be signed by your employer and certified  A PDF copy of your Curriculum Vitae (CV)  Professional Training and Development (PTD) Forms A and Form B copies must be signed by applicant and certified  Referee Form 1 copy must be signed by referee and certified  Referee Form 2 copy must be signed by referee and certified  Certificate of Attainment in Competency in the National Standards for Case Managers official PDF copy issued by CMSA Pathway 4 – Certified Case Manager (Non Practising)™ Application  Employment Verification Form or Statutory Declaration Form (if self employed) copy must be signed by your employer and certified  A PDF copy of your Curriculum Vitae (CV)  Professional Training and Development (PTD) Forms A and Form B copies must be signed by applicant and certified  Referee Form 1 copy must be signed by referee and certified  Referee Form 2 copy must be signed by referee and certified  Certificate of Attainment in Competency in the National Standards for Case Managers official PDF copy issued by CMSA CERTIFIED COPIES OF ORIGINAL DOCUMENTS Part A The following forms must be completed and certified copies submitted to the CMSA as part of your online application. The forms you are required to submit is dependent upon the vocational pathway you have nominated in your application for certification. These forms are available online at www.cmsa.org.au on the Certification page of the website. Please download and save a copy to your personal computer. Please note all information must be typed into the form, saved and then printed prior to being signed and certified. You must then scan the certified copy and save a copy to your personal computer in readiness to attach to your online application. Hand written copies will not be accepted by the CMSA.  Referee Form 1 copy must be signed by referee and certified  Referee Form 2 copy must be signed by referee and certified Please refer to the list below for details of the forms you are required to submit using Pathway 1, Pathway 2, Pathway 3 or Pathway 4.

1. Employment Verification Form This is a compulsory requirement for all applications via Pathway 1, 2, 3 & 4

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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2. Professional Training and Development (PTD) Form A (Individual PTD activity) This is a compulsory requirement for all applications via Pathway 3 & 4 3. Professional Training and Development (PTD) Form B (Summary of PTD activity) This is a compulsory requirement for all applications via Pathway 3 & 4 4. Referee form 1 *This is a compulsory requirement for all applications via Pathway 1, 2, 3 & 4 5. Referee form 2 This is a compulsory requirement for all applications via Pathway 1, 2, 3 & 4

Please note where a candidate is self employed they must submit a Statutory Declaration in lieu of an Employment Verification Form. This should include details of your vocational case management experience (practical or theoretical) with dates and total FTE equivalent hours for term of employment, pursuant to your nominated Pathway to Certification. You should refer to a copy of the Employment Verification Form when drafting your Statutory Declaration to ensure you provide the CMSA with the full particulars of your current and past employment details.

Part B

A certified copy of the following qualifications (as applicable) may be required depending on the vocational pathway you have nominated in your application for certification. Please refer to the list below to identify any qualifications that you are required to submit to the CMSA upon application. You are required to make a photocopy of the original qualification and have this copy certified. This copy should then be scanned and saved to your personal computer in readiness to attach to your online application.

• Pathway 1 - PhD or Masters Degree or CHC70208 Vocational Graduate Certificate • Pathway 2 - Bachelor Degree • Pathway 3 - Diploma or Certificate (this is not applicable where a candidate holds no formal qualification)

Getting documents certified.

Where a copy of a document (i.e. form or qualification) is required to be certified, it must be certified by one of the following individuals:

• Commissioner for Declarations • Commission of Oaths • Judge • Justice of the Peace • Magistrate • Police Officers in Victoria, Tasmania and Western Australia • Practising lawyer • Registrar/Deputy Registrar of the Magistrates Court in Victoria

Note: Medical Practitioners, pharmacists, registered nurses etc are not eligible to certify documents unless they are also one of the individuals on the above list provided.

When certifying documents, the above individual needs to include the following or similar statement on each page of the document:

1. I certify that this is a true copy of the original document.

Signature: Name: Designation: Date: Number:

Documents incorrectly certified will not be accepted by the CMSA.

To find a Justice of the Peace in your local area, go to http://australia.gov.au/topics/law-and-justice/justices-of-the-peace

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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STATUTORY DECLARATIONS If you are required to submit a Statutory Declaration in lieu of an Employment Verification Form (for those candidates who are self employed) these are available from each state and territory or from the Australian Government Attorney General’s Department. http://www.ag.gov.au/STATDEC AUDITING OF APPLICATIONS As part of the CMSA’s ongoing quality assurance of Certified Case Managers™ the Society will conduct random audits of applications, including authenticating information provided by the candidate or on the candidates behalf within the Employment Verification Form, Professional Training and Development (PTD) Form A and Form B, Referee Form 1 and Referee Form 2. Should you be audited you, and/or individuals submitting information in support of your application, will be given 28 days, from the date of notice issued by the CMSA, to verify, clarify and/or substantiate all claims. This may include a request for evidence (e.g. certified copies of certificates, letters of verification etc) of claims you have made as to your Professional Training and Development activities. VOCATIONAL CASE MANAGEMENT EXPERIENCE Employment Verification Form All candidates must complete and submit a certified copy of the Employment Verification Form as evidence of their vocational case management experience (practical or theoretical). This form is available online at www.cmsa.org.au on the Certification page of the website. Please download and save a copy to your personal computer. Please note all information must be typed into the form, saved and then printed prior to being signed and certified. You must then scan the certified copy and save a copy to your personal computer in readiness to attach to your online application. Hand written copies will not be accepted by the CMSA. Inclusive of the equivalent FTE total hours of vocational case management experience as stipulated within your nominated Pathway to Certification you must demonstrate that 12 months (1824 hours) Full Time Equivalent (FTE) practice (practical or theoretical) of your total hours has occurred in the past 3 years. This compulsory FTE is based on 38 hours per week over 48 weeks. • Download and provide a copy of the form in Microsoft Office Word to the individual completing the form. • Provide the individual with the CMSA contact details should they have any questions related to completing the form. • Check the completed form for any errors or omissions prior to having it certified. If you are self employed and are submitting a Statutory Declaration in lieu of an Employment Verification Form it is your responsibility to: • Download a Statutory Declaration form from the Australian Government Attorney General’s Department. http://www.ag.gov.au/ STATDEC • Prepare the content in full by referring to the Employment Verification Form. The CMSA will not contribute to this process and recommends you seek assistance from another individual in the drafting and review of the content. • Include details of your current and past vocational case management experience (practical or theoretical) with dates and total FTE If you are submitting an Employment Verification Form it is your responsibility to: • Provide a copy of the Certification Application Guidelines to the individual completing the form.

equivalent hours for term of employment, pursuant to your nominated Pathway to Certification. • Check the completed Statutory Declaration for any errors or omissions prior to having it certified. PROFESSIONAL TRAINING AND DEVELOPMENT (PTD) ACTIVITIES Form A and Form B

Pursuant to the pre-requisite requirement of an online application through the vocational Pathway 3 and Pathway 4 to Certification, a candidate is required to submit evidence of a minimum of seventy two (72) hours of Professional Training and Development (PTD) activities in the past three (3) years. You are required to use the CMSA resources and/or a combination of CMSA and other resources to meet the minimum level of PTD. The Competency in the National Standards for Case Managers training should be included within your record of PTD activities. It is essential that you complete a Professional Training and Development Form A for each individual PTD activity and a Professional Training and Development Form B as a summary of the total sum of seventy two (72) hours of PTD activities. As it is your responsibility to record, calculate and check the total hours of claimed PTD activities, the CMSA recommends you seek assistance from another individual to check the accuracy of your calculations. It is a compulsory requirement that you complete and submit both forms to the

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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CMSA with your application. An application received without either Form A or Form B will be deemed incomplete and will not be accepted by the CMSA. Both PTD forms are available online at www.cmsa.org.au on the Certification page of the website. Please download and save a copy to your personal computer. Please note all information must be typed into the form, saved and then printed prior to being signed and certified. You must then scan the certified copy and save a copy to your personal computer in readiness to attach to your online application. Hand written copies will not be accepted by the CMSA. As you will be completing numerous copies of Form A as a record of each PTD activity you are required to collate and scan all completed, signed and certified copies of Form A into one (1) PDF document. Depending on the number of PTD activities you have undertaken this will result in one (1) large scanned file to be attached to your online application. Please do not scan forms separately as multiple uploads will not be available when you complete your online application. Form A must be saved into one (1) PDF file only. The following are examples of activities that qualify as PTD activities: • Conferences, congresses, conventions, courses, forums, lectures, seminars, workshops and other professional educational activities presented by the CMSA and/or under the auspices of academic institutions, commercial establishments or other professional bodies. • Educational activities provided by the candidate’s employer or practice entity, either in-house or externally by individuals or organisations engaged by the employer and relevant to the candidates practice area or case management role. • Tertiary courses presented by educational institutions. • Self-study courses, training and programs facilitated by the CMSA or an approved provider, including E-learning and distance education. Should you have any doubts as to whether an activity qualifies for recognition by the CMSA as an approved PTD activity you should seek feedback and confirmation from the CMSA. PROFESSIONAL REFERENCES Referee Form 1 and Referee Form 2 Each candidate must submit two (2) professional references in support of their online application. These forms (i.e. Referee Form 1 and Referee Form 2) are available online at www.cmsa.org.au on the Certification page of the website. Please download and save a copy to your personal computer. Please note all information must be typed into the form, saved and then printed prior to being signed and certified. You must then scan the certified copy and save a copy to your personal computer in readiness to attach to your online application. Hand written copies will not be accepted by the CMSA. To qualify as a professional referee the individual must: • Have been in a professional working relationship with you for at least six (6) months in the last three (3) years. • Be familiar with your professional practice and the content of your certification application. Examples of Professional Training and Development (PTD) activities. All PTD activities must be congruent to the candidates vocation and role (practical or theoretical) pursuant to case management.

It is your responsibility to: • Ensure each referee understands their contribution to your application. • Share the content of your application and supporting documentation with your referees.

• Provide a copy of the Certification Application Guidelines to each of your referees. • Download and provide a copy of Referee Form 1 and Referee Form 2 in Microsoft Office Word to each nominated referee. • Provide each referee with the CMSA contact details should they have any questions related to completing the Referee Form. • Check the completed form for any errors or omissions prior to having it certified.

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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ONLINE EXAMINATION As the final stage of your application process you will required to undertake an online examination. You will receive an invitation in writing from the CMSA which will include all instructions for you to undertake the same. The receipt of this invitation is indicative that the CMSA has reviewed and processed your application and is satisfied that you are eligible to proceed with the last stage of the certification process. The online examination you undertake will consist of a minimum of fifty six (56) questions with four (4) available responses (i.e. A, B, C or D). You are required to read each question carefully prior to selecting one (1) of the four (4) possible options as the answer. All questions are derived from the National Standards of Practice for Case Management (3rd Revised Edition, 2013) and the National Code of Ethics for Case Management (2nd Edition, 2013) and answers are available within the same. Any previous editions of the aforesaid publications (i.e. 2009 or 2012 Editions) are not congruent to this examination and accordingly you will require access to the 2013 Editions in order to undertake this examination. As this is an “open book” examination, the CMSA recommends you have a copy of both publications with you at the time you undertake your examination. This will allow you to check your answers carefully by referencing the information within both publications. For the purpose of preparing for the examination the CMSA suggests you take the time to read both the National Standards and National Code of Ethics for Case Management. You will be required to provide 100% correct responses to achieve a pass in the examination. Should you not receive a 100% pass you will be invited to re-sit the online examination. There are no limitations placed by the CMSA as to the number of times a candidate may re-sit the online examination and you may do so for a period of twelve (12) months before the CMSA renders your application invalid. Should you wish to reapply you will be required to pay the non refundable application fee. If you chose not to reapply for certification you will be refunded your registration fee. Pursuant to the veracity, integrity and fidelity of the examination process the CMSA does not permit the unlawful duplication of the online assessment (full or part thereof). Any candidate who is found to have made a copy in any format (i.e. photograph, image, screen dump, written or verbal etc) for their personal or public use and/or gain will be determined by the CMSA as in breach of the certification process and will incur immediate suspension of their application or cancellation of their certification status. Any such actions are considered a serious ethical breach by the CMSA and may adversely affect any future certification application to the CMSA. COMPLIANCE WITH THE NATIONAL STANDARDS AND NATIONAL CODE OF ETHICS FOR CASE MANAGEMENT As a Certified Case Manager™ you are required to commit to read, understand, utilise and apply the CMSA National Standards of Practice for Case Management (3rd Revised Edition, 2013) and National Code of Ethics for Case Management (2nd Edition, 2013) within all of your day-to-day professional interactions with your colleagues, community, clients and/or representatives, key stakeholders and employer. Your continued compliance to the same will afford you with the foundational platform in meeting the nationally recognised minimum practice standard of case managers within Australia and provide endorsement as to the veracity, integrity and fidelity of the profession of case management. GRADUATION CEREMONY (OPTIONAL) An annual Graduation Ceremony will be held by the CMSA at each National Conference of the CMSA or, in the event the conference is bi-annual it will be held at a national location and date, as determined by the CMSA. A graduates participation will be optional with all costs associated with this event to be incurred by the Certified Case Manager™, including formal graduation attire, admission tickets to the ceremony and related costs pertaining to the graduates attendance at this event. The CMSA will liaise with the graduate as to the hire of the formal attire (e.g. graduation robe, sash and mortar board) and will facilitate the delivery and collection of the said attire to/from the venue. The CMSA will engage the services of professional photographer to attend this event and accordingly each graduate will receive a complimentary photo (included within the admission fee). The option for additional photos (“for a fee”) of graduates with their colleagues, family or friends will also be available at the event with orders and payment made direct to the photographer. Please note, graduates who have registered for this event and have not honoured payment of the nominated fees, pursuant to any required deadlines, will not be eligible to participate in the Graduation Ceremony.

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.

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