© Certification Application Guidelines

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

C E R T I F I E D C A S E M A N A G E R A U S T R A L I A & N E W Z E A L A N D C E R T I F I E D C A S E M A N A G E R A U S T R A L I A & N E W Z E A L A N D

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 & N E W Z E A L A N D 1 9 9 6