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CONTENTS
Purpose Statement for National Certification
....................................................................................... 1
Compliance with the National Standards and National Code of Ethics for Case Management
........ 1
Benefits of National Certification
. ......................................................................................................... 1
Certified Case Manager™ Exclusive Awards
......................................................................................... 1
Certified Practising Case Manager™ . ............................................................................................. 1
Certified Case Manager (Non Practising)™ ..................................................................................... 1
Vocational Pathways to Certification (i.e. Application Pathways) Explained
..................................... 2
Pathway One (1) Certified Practising Case Manager™ .................................................................... 2
Pathway Two (2) Certified Practising Case Manager™ .................................................................... 2
Pathway Three (3) Certified Practising Case Manager™ .................................................................. 3
Pathway Four (4) Certified Case Manager (Non Practising)™ .......................................................... 3
Documentation to Support an Online Application for National Certification
.................................... 3
Pathway One (1) Certified Practising Case Manager™ .................................................................... 3
Pathway Two (2) Certified Practising Case Manager™ .................................................................... 5
Pathway Three (3) Certified Practising Case Manager™ .................................................................. 6
Pathway Four (4) Certified Case Manager (Non Practising)™ .......................................................... 7
Certified Case Manager (CCM) forms
. ................................................................................................... 8
About Professional Training and Development (PTD)
........................................................................... 8
Introduction.................................................................................................................................... 8
Requirements for Certified Case Managers™.................................................................................. 9
Examples of Professional Training and Development (PTD) Activities................................................. 9
Completing the Professional Training and Development (PTD) Forms: PTD Form A & PTD Form B........ 9
Certification Fees
................................................................................................................................... 10
Payment of Fees............................................................................................................................ 10
Schedule of Fees. .......................................................................................................................... 10
The Certification Application Guidelines & Forms
............................................................................... 10
The Four (4) Stages of the Application Process
.................................................................................... 10
Stage One (1) .............................................................................................................................. 10
Stage Two (2) .............................................................................................................................. 11
Stage Three (3) ............................................................................................................................ 11
Stage Four (4) .............................................................................................................................. 12
Applying to be Certified - Submitting an Application to the CMSA
................................................. 12
The Certification Online Examination (multiple choice / open book)
............................................... 13
Key Points..................................................................................................................................... 13
The Seven (7) CCM Online Examination Modules . ....................................................................... 13
Certified Case Manager Trade Mark Logos (CCMTML)
....................................................................... 14
Introduction.................................................................................................................................. 14
Registration of Use ....................................................................................................................... 15
The CCMTML Logo Options for Certified Case Managers™ in the United Arab Emirates............... 16
Certified Case Manager™ Re-Endorsement
........................................................................................ 17
Introduction.................................................................................................................................. 17
Pre-requisites for CCM™ Re-endorsement..................................................................................... 17
Applying for CCM™ Re-endorsement........................................................................................... 17
The CCM™ Re-endorsement Process............................................................................................. 17
The CCM™ Re-endorsement Forms. ............................................................................................. 18
The CCM™ Re-endorsement Checklist.......................................................................................... 18
The CCM™ Re-endorsement Fees................................................................................................. 19
Attachments
. ......................................................................................................................................... 20
Employment Verification Form – Example Only ............................................................................. 20
Professional Training and Development (PTD) Form A – Example Only ........................................... 22
Professional Training and Development (PTD) Form B – Example Only ........................................... 24
Referee Form 1 – Example Only .................................................................................................... 26
Referee Form 2 – Example Only .................................................................................................... 28
Vocational Pathways to Certification 1 – 4 .................................................................................... 30
Application Checklist for Pathways 1 – 4 ...................................................................................... 31
UAE Statutory Declaration Form – Example Only ........................................................................... 32
Re-endorsed Certified Case Manager™ – Employment Verification Form....................................... 33
Re-endorsed Certified Case Manager™ – Professional Training and Development (PTD) Form........ 35