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The Case Management Society of Australia and New Zealand and Affiliates
(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.
The Case Management Society of Australia and New Zealand and Affiliates (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.
COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)
IMPORTANT ~ PLEASE READ:
(i) All information must be typed into each CCM form (not handwritten).
(II) Each CCM form must be printed off and signed by the individual completing the form.
(ii) Each CCM form must be certified by the applicant’s supervisor/manager. Applicants without any direct line supervision should
nominate a proxy [an individual with seniority, integrity and of good standing and reputation in UAE] and contact the CMSA for
their feedback and approval.
(iv) Each CCM form must be scanned into a PDF file.
Obtaining a “certified copy” requires you to (i) make a photocopy of the original form or document - this is the copy that is to be
certified as “a copy of the original document” by your supervisor/manager or proxy (ii) Provide your supervisor/manager or proxy
with the original form or document and a photocopy of the original form or document (iii) ask your supervisor/manager or proxy to
certify the photocopy “as a copy of the original document” by adding their full name, position/title, company name (as applicable),
date and signature to the photocopied document.
PATHWAY FOUR (4) ~ CERTIFIED CASE MANAGER (NON PRACTISING)™
PRE-REQUISITES FOR
PATHWAY FOUR (4)
DOCUMENT NAME
FILE TYPE
CERTIFIED COPY REQUIRED?
Two (2) years FTE (3648 hrs)
vocational case management
experience, including
managerial application
(i.e. supervision of case
management practitioners
and/or programs and/
or portfolio/s) AND/OR
theoretical application (i.e.
case management education
or research);
Employment Verification
Form or CMSA UAE Statutory
Declaration ¹ ²
PDF (scanned copy)
Yes*
copy of Curriculum Vitae (CV)
Microsoft Word or PDF
No
Prior completion of the
CMCT01 Case Management
(National Certification)
Competency Training
CMCT01 Certificate of
Attainment
No
Two (2) professional referees³ Referee Form 1³
Referee Form 2³
PDF (scanned copy)
Yes*
Seventy two (72) hrs of
Professional Training and
Development (PTD) in the last
3 years
Professional Training and
Development (PTD) Form A
Professional Training and
Development (PTD) Form B
PDF (scanned copy)
Yes*
EXPLANATORY NOTES
These documents are submitted as evidence (proof) of your stated level of skills, knowledge, experience and/or qualifications and to
substantiate your eligibility to apply for endorsement as a Certified Practising Case Manager™ via Pathway Four (4).These documents
are essential for the CMSA to authenticate your application and are uploaded to the online CCMNP application form. As you complete
the online form you will be prompted to do so.
¹ The CMSA UAE Statutory Declaration Form may be used for Pathway Four (4) in lieu of the Employment Verification Form should
an applicant be self-employed and/or need to reference multiple employers/appointments for the required two (2) years FTE (3648
hrs) of vocational case management experience.
Please note: if you choose to provide a Statutory Declaration Form it must include: