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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)
The CCM™ Re-endorsement Forms
The Certified Case Manager™ is required to prepare and attach two (2) Re-endorsed CCM™ forms (certified copies) to their online
CCM™ Re-endorsement Application as evidence (i.e. proof) of their stated contemporary case management practice experience and
ongoing professional training and development.
The information from both forms is essential for the CMSA to authenticate a Certified Case Managers™ Re-endorsement Application.
FORM 1
RE-ENDORSED CERTIFIED CASE MANAGER™ EMPLOYMENT VERIFICATION FORM (OR UAE STATUTORY DECLARATION
FORM)
Demonstrates the Certified Case Managers™ ‘recency of practice’. ‘Recency of practice’ means that the Certified Case Manager™
has recent vocational case management practice experience (i.e. practical, managerial or theoretical) and their case management
skills are current and up to date.
The CMSA defines practice as: “...
the facilitation of case management, with or without remuneration, in which the Certified Case
Manager™ uses their advanced education, experience, knowledge and skills as a case management practitioner and/or professional
...practice is not restricted to the provision of direct case management (i.e. practical application) but may also refer to managerial
application (i.e. supervision of case management practitioners and/or programs and/or portfolio/s) or theoretical application (i.e. case
management education or research)
”
Contains details of the Certified Case Managers™ twelve (12) months (1824 hours) of vocational case management practice in the
past three (3) years i.e. since their previous Certified Case Manager™ endorsement/registration date.
If a Certified Case Manager™ is self-employed (and/or need to reference multiple employers/appointments) they should complete
the CMSA UAE Statutory Declaration form in lieu of the Re-endorsed CCM™ Employment Verification Form.
FORM 2
RE-ENDORSED CERTIFIED CASE MANAGER™ PROFESSIONAL TRAINING AND DEVELOPMENT (PTD) FORM
Demonstrates the Certified Case Managers™ commitment to maintain, improve and broaden their knowledge, expertise and
competence as a means to develop the professional qualities required for the specialist practice of case management.
Contains details of the professional activities the Certified Case Manager™ has undertaken, since their previous Certified Case
Manager™ endorsement (i.e. registration date), as part of their continuing professional education and practice development as a
case management practitioner or professional.
The CCM™ Re-endorsement Checklist
PRE-REQUISITES FOR CCM™
RE-ENDORSEMENT
DOCUMENT NAME
FILE TYPE
CERTIFIED COPY REQUIRED?
One (1) year FTE (1824 hrs)
vocational case management
practice experience in the past
3 years
Re-endorsed Certified Case
Manager™ - Employment
Verification Form or CMSA UAE
Statutory Declaration ¹
PDF (scanned copy)
Yes*
Twenty four (24) hours of
Professional Training and
Development (PTD) in the past
three (3) years
Re-endorsed Certified Case
Manager™ - Professional
Training and Development
(PTD) Form
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 re-endorsement as a Certified Case Manager™. These documents are essential for the CMSA
to authenticate your application and are attached/uploaded to the online form. As you complete the online form you will be prompted
to do so.
¹The CMSA UAE Statutory Declaration form may be used in lieu of the Re-endorsed Certified Case Manager™ Employment Verification