© Certification Application Guidelines

9

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.