NATIONAL ACADEMY of CERTIFIED CARE MANAGERS

Transcription

1 NATIONAL ACADEMY of CERTIFIED CARE MANAGERS CMC RENEWAL INSTRUCTIONS Striving to certify knowledgeable, experienced, and ethical care managers

2 POLICY The National Academy of Certified Care Managers (NACCM) requires renewal of certification every three (3) years. The renewal process assures that the Care Manager, Certified (CMC) maintains care management practice and continues to expand his/her care management knowledge. It is the responsibility of the CMC to keep track of the certification period and submit the renewal application on a timely basis. The CMC must submit the CMC Renewal Form, Continuing Education Summary Forms, copies of CE/attendance certificates, and the renewal fee by the 15 th of the month the certification expires date. (E.g. Certification expires June 30 th, renewal application due to NACCM June 15 th ). An application received after the renewal deadline is subject to a late fee. If certification lapses for more than six (6) months, the CMC must reapply, meet requirements for initial certification, pay associated fees, and sit for the examination. Upon approval of the renewal application, a new certificate is mailed to the CMC. Criteria for Certification Renewal In order to renew, CMCs must: 1. Provide care management service as a care manager, care manager supervisor, administrator of a care management program, or consultant to a care management program throughout the three (3) year certification period. 2. Earn 15 contact hours of continuing education per year for a total of 45 hours over the three (3) year certification period. 3. Provide documentation of care management practice, professional consultation/supervision and continuing education on the forms provided by NACCM. 1

3 If unable to meet the above criteria, the CMC may re-apply to take the examination. The CMC will need to complete all application forms and submit the application and fees to NACCM. If certification lapses for more than six (6) months, the CMC must reapply, meet requirements for initial certification, pay associated fees, and sit for the examination. RENEWAL FEES The following fees apply: Application for certification renewal.$ Late renewal application.... $ (in addition to the certification renewal fee & non-refundable) Late renewal application (90+ days)..... $ (in addition to the certification renewal fee & non-refundable) Reprocessing of incomplete/incorrect renewals. $ (non-refundable) Extension Fee (requested in writing) $ (in addition to certification renewal fee & non-refundable) Payment must be enclosed with the application and must be a check or money order payable to NACCM. Fees may also be paid via PayPal; see For renewal by examination the following fees apply: Certification application and examination.$ Refunds If an applicant is found ineligible for certification renewal for any reason, the renewal fee will be refunded less a $75 processing fee. 2

4 CARE MANAGEMENT PRACTICE REQUIREMENT Practice: Care management practice is expected to be maintained by the CMC throughout the period of certification. The CMC s care management practice must include all the core functions of care management including face-to-face client contact and professional consultation/supervision activities. See list of Care Manager Tasks on pages The CMC seeking renewal must be actively engaged in care management practice in one or more of the following roles: direct care management practice, care manager consultation/supervision (as a leader or participant), administrator of a care management program or practice, consultant/educator regarding care management program development, professional consultation/supervision, quality assurance, or education. Professional Consultation/Supervision: NACCM views supervision as an ongoing process of consultation and performance appraisal for the purpose of maintaining and improving the quality of one s care management practice. Professional consultation/supervision may be conducted by professional peers, mentors or supervisors in formal and/or informal arrangements. Activities may include face-to-face, individual, group or peer review of performance, record review or audit, case review, or client satisfaction survey/analysis. The content of professional consultation/supervision should include discussion of care management issues, ethical issues, care plan development and care management interventions, use of clinical skills and core care manager functions. The supervision may be provided onsite, electronically or via teleconference. NACCM does not require a specific number of hours per year of professional consultation/supervision for certification renewal. The CMC must document the method and frequency of consultation/supervision that the CMC receives or provides. CONTINUING EDUCATION REQUIREMENTS Certification renewal requires a minimum of 45 hours of documented continuing education spread over the three (3) years of certification. Continuing education hours can be obtained either by being a participant or by being a presenter of a program meeting NACCM criteria. 3

5 Continuing education content must be: At least one hour (60 minutes) in length. Related to the NACCM content domains and task statements (see Care Manager Tasks on pages 12-13). Content areas may include but are not limited to those listed on page 14 Presented by certified care managers or other licensed, professionals, such as physicians, attorneys, social workers, nurses, psychologists, researchers, etc. Targeted to a professional audience (does not include networking groups, support groups, community or church groups, etc.). Be offered in the context of a college level course, institute, seminar, workshop, conference or in-service training. Be accrued during the three (3) year certification period, approximately 15 hours/year. On-line, professional journal, and home study programs are accepted but may not exceed 25 hours for the three year period. The following types of presentations do not meet the CE requirements stated above: marketing presentations, informational exchanges or networking activities, church groups, clubs, support groups, CNA/caregiver training, CPR training, etc. Train the trainer courses may be accepted in part or completely if the content outline has been submitted for review. Teaching* CMCs may accrue continuing education hours by teaching at institutes, seminars, workshops and conferences. Verification of the content, and length (time) of the presentation must be provided by the entity sponsoring the program. (e.g., The CMC presents a one hour session at an Alzheimer s conference; the CMC must submit a letter from that agency stating that CMC presented Topic A on this date for this amount of time). A presentation or course can not be submitted more than once per year. 4

6 Curriculum Development* CMCs may accrue continuing education credits for curriculum development activity, provided: 1. The course under development is at the college level; and 2. The course content is care management specific; and 3. Verification is provided by the academic institution of the course content and hours spent in preparation. Such verification must be signed by a faculty member. The curriculum development and course can not be submitted for the same year and not more than once per year. * Teaching and/or curriculum development may not exceed ten (10) contact hours per year during the certification period. Field Placements, Practicums, Peer Consultation/Supervision Because of the variability of field placement requirements nationally, field placement or practicum supervision does not meet the requirements of continuing education. Supervisory sessions, peer consultation (telephonic or in-person), case review do not count as continuing education and contact hours are not earned for these activities. Calculating Contact Hours In calculating the 45 contact hours of continuing education, the following guidelines apply: 1 contact hour = 60 minutes of classroom time 1 academic semester credit course = 15 contact hours Introductory and closing remarks, business meetings, exhibits, networking meetings, support groups, breaks, meals, receptions, etc., will not be included in the computation of contact hours. 5

7 Proof of attendance Any one of the following are accepted forms of proof of attendance at or participation in an educational activity: 1. A photocopy of an official continuing education certificate or certificate of attendance which includes the CMC s name, the name, location and date of the program, the number of contact hours earned, and the presenter or sponsoring organization signature. 2. The program agenda, with the presenter s signature and credentials, the content or course objectives, location, dates, total number of hours attended, and the CMC s name. 3. A letter on the sponsoring organization s letterhead, giving the name of the program, presenter's name and credentials, content, location, dates, total number of hours attended, and the CMC's name. 4. A formal course transcript from an educational institution that includes CMC s name and passing grade(s). 5. A letter documenting teaching or curriculum activities on the sponsor's letterhead, giving the CMC s name, program location, dates, subject taught and total number of hours of instruction or curriculum development. APPLICATION INSTRUCTIONS Review all the enclosed forms before completing them. Please provide all information requested by printing clearly or typing. The practice and professional consultation/supervision requirement is essential to satisfactory renewal of your CMC. CMC Renewal Form If you have held more than one position during the certification period please complete and submit a separate form for each position held. 1. Print the dates of the current certification period and the certificate number (C- ). This information can be found on the current CMC certificate and on the notification of renewal Print your name and any credentials as you would like them to appear on your new certificate. If you have changed your name since 6

8 your last certification, please complete the Change of Name Form included in this renewal package. 3. Print the name of your current place of employment (organization, agency, corporation, or care management practice) followed by the complete mailing address. If you need to document more than one place of employment for the certification period, please make a copy of this form and complete one form for each place of employment. Print your work phone number followed by the fax number. 4. Print your complete home mailing address and home phone number. 5. Print clearly the address you want NACCM to use when contacting you. 6. Print the current position or title you have at your place of employment. (one form for each place of employment) 7. Print the start date and ending date of your employment at the above listed agency/organization. (e.g., June 2007 to present or June 2007 April 30, 2009). 8. Description of Responsibilities: a. Check each role/function you perform. For each role/function you have checked write in the approximate number of hours per month you spend in each role or function. Only check Consultant to Care Management Programs/Agencies or Educator if you provide consultation in the areas of program development, CM protocol development, supervision of care management services or quality assurance programs on an administrative level, CM training/education or any other technical assistance to CM programs. b. Using the Care Manager Tasks list on pages 12, 13 and 14 as a guide, describe the core care manager functions you perform for each of the role/functions checked off in 8.a. The description of responsibilities should clearly describe the care management work (care manager, care manager supervisor or administrator of a care management program) done by the CMC. Job descriptions may be attached but do not replace the written description. 7

9 9. Provide a brief description of the peer consultation, supervision, or performance appraisal you receive and/or give. The description must include what methods are used and how often the professional consultation/supervision is provided. Supervision may include case conferences with other care managers, peer supervision, performance appraisal and evaluation of clinical care management skills, peer-peer consultation, client record reviews or consumer satisfaction data. Professional consultation/supervision may be provided in individual sessions, group sessions or peer-to-peer. Administrators must document the type and amount of professional consultation/supervision provided to care managers or care management staff. 10. Carefully read the attestation then sign and date the form. Your signature certifies all the information on the CMC Renewal Form is accurate, truthful, and complete. Continuing Education Summary Form The Continuing Education Summary Forms must be completed using one form for each year of certification. Each section of the form must be completed for every program listed or the application will be returned as incomplete. You may copy these forms if additional space is needed to document all educational activities. A copy of your proof of attendance (see page 6 for options) for each program must be attached to the corresponding summary form. The CMC s name must appear on each page. Use the following directions to complete the Continuing Education Summary Forms: Date: Write the actual date(s) of the program. Title of Program: Write the official title of the program and the sponsoring organization, e.g., Mood Disorders, CT Dept of Mental Health. Location: Write the name of the city, state, and location (e.g., Holiday Inn, Hartford, CT or Univ. of CT at Storrs) where the program was held. 8

10 Content Outline: Briefly describe the content of each educational activity or list the program objectives. Do not just repeat the title of the session. If the conference certificate lists the sessions offered write in see attached. Be sure to circle, check off or highlight the sessions you attended. Presenters: List the name(s) and credential(s) of presenter(s). Contact hours: Write the number of contact hours earned by attending the program. The attached certificates or proof of attendance should verify the number of contact hours and must include the CMC s name. Remember, each program/session must be at least one contact hour (60 minutes) in length. N.B., Introductory and closing remarks, business meetings, networking meetings, exhibits, support groups, breaks, meals, receptions, etc., are not to be included in the computation of contact hours. All documentation must be kept by the CMC for three (3) years following submission of the renewal. NACCM reserves the right to conduct random audits to verify professional practice, professional consultation/supervision, and continuing education at any time during the certification period for which the renewal is requested. Incomplete Applications and Incorrect Payment Please note that incomplete applications or applications with incorrect payment will be returned for resubmission and you will be required to submit an additional $75.00 reprocessing fee. The time needed for resubmission will delay processing of your renewal and potentially interrupt your period of certification. Therefore, please be sure that the application is completed carefully and in full and that the renewal fee is correct. The completed application form(s), continuing education summary forms, photocopies of certificates or proof of attendance, and the renewal fees must be mailed to: NACCM 3275 W. Ina Rd., Suite 130 Tucson, AZ

11 FAILURE TO MEET RENEWAL CRITERIA Failure to fulfill the continuing education requirement by the renewal date renders the certification in suspension. All rights granted by NACCM are null and void until the requirement is fulfilled and a non-refundable late renewal fee of $75.00 is paid. The applicant has six (6) months from the date on the certificate to be reinstated. If not renewed within the sixmonth grace period, certification expires. If the CMC cannot meet the practice and continuing education requirements for certification renewal, or if certification expires, the CMC must re-apply for certification. This includes submitting the application and associated fees, sitting for, and passing the certification examination. 10

12 Revocation of Certification Policies and Procedures NACCM is a certifying body that employs the use of a practice related exam to determine that individuals who call themselves Care Managers meet a minimum standard of experience and knowledge. This is done in an effort to protect consumers and contribute to the professionalization of the care management field. Consistent with other certifying bodies, NACCM strives to promote and maintain the highest standards of service and conduct for all persons it has recognized and certified to use its certification mark of CMC. Implied in the use of this mark, individuals are expected to comply with: All laws and requirements that govern their primary profession (when there is one, such as social work, nursing, psychology, etc); Codes of ethics and standards of practice of any and all professional association memberships related to care management service provision; And to act in an ethical and professionally responsible manner toward clients, payers and others who engage services or partner with the Care Manager, Certified (CMC). Misconduct leading to revocation of the CMC may include but is not limited to: Falsification of any information in the certification application process; Any irregularities in relationship to the testing process; Failure to maintain any eligibility requirements; Falsification of any information contained in the recertification process; Misrepresentation or misuse of certification status; Failure to pay initial or renewal fees; Revocation of a license in a primary profession; Actions that lead to limitations or sanctions imposed by another professional organization/association; Any illegal practices. NACCM reserves the right to revoke the certification of any individual who is found and determined by its internal processes to violate any of the above and to publish certification revocations. 11

13 NACCM Care Manager Tasks Content Domains and Task Statements Domain I. Assess and identify client strengths, needs, concerns, and preferences 1. Screen potential clients in order to determine the appropriateness of and eligibility for services and assist the client in making informed choices regarding care management. 2. Explain and discuss the role of the care manager, program parameters, and client rights and responsibilities in order to proceed with the structured assessment process. 3. Perform face-to-face assessment of the client s situation by interviewing, observing, and administering structured instruments, in order to collect data about the client s health, function, behavior, mental health, cognition, environment, finances, and support system. 4. Verify assessment data by contacting relevant sources such as physician(s), social support systems, and other care providers in order to validate and expand the information obtained. 5. Synthesize and interpret the assessment data by reviewing all available information in order to identify areas of concern. 6. Document all intake and assessment information in order to create a client record for baseline data, statistical analysis, and for quality improvement measures. Domain II. Establish goals and a plan of care 1. Prioritize areas of concern in collaboration with client and support system in order to identify potential areas for intervention. 2. Identify service options and resources that address the areas for intervention, and discuss their advantages, disadvantages, and costs with the client in order to establish mutually agreed upon goals. 3. Develop action steps in order to achieve the agreed upon care plan goals. 4. Document care plan, including formal and informal providers and the frequency, intensity, duration, cost, and source of payment for services, in order to develop a baseline for tracking, accountability, and quality measurement. 12

14 Domain III. Implement care plan 1. Coordinate services and interventions by referring, educating, negotiating, and mediating with client and formal and informal providers in order to meet goals of care plan. 2. Counsel, educate, negotiate, and mediate with client and social support system in order to strengthen and sustain the social support system, identify health promotion behaviors, and meet goals of care plan. 3. Document referrals, coordination of services, and action steps taken related to the provision of services and progress toward goals. Domain IV. Manage and monitor the ongoing provision of and need for care 1. Monitor delivery and quality of services and interventions provided in order to assure that agreed upon plan of care was implemented. 2. Perform ongoing monitoring and reassessment of client status and satisfaction with service in order to evaluate progress toward goal achievement, and determine need for and make adjustments to care plan. 3. Document monitoring activities and client status in order to record actions taken and progress toward goal achievement. 4. Discontinue services when client no longer needs or desires services, or becomes ineligible for services, and document discharge plan in client record. Domain V. Ensure professional practice 1. Advocate for client autonomy by mediating between values and needs of consumer and society in order to preserve client right to self-determination. 2. Recognize and respect diversity with respect to factors such as culture, religion, ethnicity, gender, sexual orientation, and socioeconomic status, in order to uphold client s value system, preferences, and choices. 3. Adhere to standards of practice and applicable ethical guidelines in order to maintain professional accountability and to protect client rights. 4. Work through ethical dilemmas by identifying the issue(s), consulting with an interdisciplinary team, and identifying strategies in order to preserve client rights and resolve the dilemma. 5. Evaluate and document care management services using tools such as peer review, record auditing, client satisfaction surveys, and grievance procedures and take corrective action in order to promote the quality of care management practice. 13

15 Sample Continuing Education Topics Acceptable topics include but are not limited to the following: human development, personality, behavior, systems, family, change, adult learning and crisis theory conflict resolution techniques time management techniques motivational techniques negotiation and mediation strategies problem solving techniques interpersonal relations communication techniques teaching and coaching techniques outcome measurement and quality assurance practices applicable standards of practice and ethical guidelines HIPAA informed consent professional liability legal and ethical issues appropriate record keeping and documentation writing goals that are specific, measurable, agreed upon, realistic, and time limited Reimbursement mechanisms such as health insurance, supplemental insurance, long-term care insurance, etc. entitlement programs such as Medicare and Medicaid, Veterans Administration, SSD, SSI, and their eligibility requirements options for financing care such as reverse mortgages, equity loans, annuities health issues for individuals with chronic health concerns or disabilities techniques for administering and interpreting of structured cognitive screening tools (orientation, memory, and judgment), and behavioral, emotional, and life satisfaction assessment tools common medications relating to individuals with chronic health concerns or disabilities impact of diversity in areas such as culture, religion, ethnicity, gender, sexual orientation, and socioeconomic status on behavior, perceptions and value systems that relate to health care abuse, neglect, and exploitation issues Topics not accepted include marketing and business topics, organization specific procedures or protocols, software training (e.g., MS Word, Excel, PowerPoint, Jewel Code etc.), use of electronics (e.g., phones, PDA, Blackberry, etc.), CPR, organizational meetings, and award ceremonies. This list is not all inclusive. Should you have a question about a specific topic or program, contact the NACCM office for clarification. 14