Deadline: February 14

Call for Nominations

National Case Manager of the Year Award

National Award of Service Excellence

The leading membership association providing professional collaboration across the health care continuum.

Case Management Society of America | 6301 Ranch Drive | Little Rock, AR 72223 T 501.225.2229 F 501.221.9068 E

National Case Manager of the Year Award

First awarded in 1993, CMSA’s nationally-recognized Case Manager of the Year (CMOY) award is given to bring recognition to an outstanding leader of the case management profession.

Championing best practices and case management excellence through sustainable leadership go hand-in-hand. In an effort to celebrate the dedication and leadership of those committed to the case management industry, this distinguished award is given to an individual whose notable contributions and exceptional dedication have provided a positive vision for the future of case management.

This award recognizes an individual whose leadership qualities, both professionally and personally, have encouraged others to develop their own gifts of leadership excellence and whose continuing commitment to leadership activities have shaped the industry.

Candidates must show through mature and effective professional skills, leadership ability and vision, that they have made significant accomplishments that influenced case management.

The scoring process utilizes objective point-driven criteria. The completesubmitted documentation is crucial to assuring that the nominee is scored to the fullest potential of the award.

National Award of Service Excellence

First awarded in 2002, CMSA’s Award of Service Excellence (AOSE) is given to a practicing case manager who exemplifies the essence of case management — innovation, creativity, collaboration and resourcefulness!

This award recognizes an “in-the-trenches,” grass roots case manager whose day-to-day case management practice has transformed their field and contributed to the greater good — not only for their clients but for their community as well. CMSA desires to recognize the extraordinary importance one individual can make through initiative, inspiration of others, and significant contributions to improving the quality of CM practice.

The evaluation process for this annual recognition utilizes Letters of Recommendation to determine the nominee’s contribution to:

Advancing case management

Exemplifying the Standards of Care and Standards of Performance as defined in CMSA’s Standards of Practice for Case Management

Demonstrating service excellence to clients and the case management community on a daily frontline basis

Incorporating innovation, creativity and resourcefulness in his/her case management practice

 Serving others through community service by utilizing their case management skills in a non-practice setting.

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Nomination and AWARD Benefits 

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WHAT HAPPENS TO YOUR NOMINATION?

Nominations are screened at CMSA National Headquarters to ensure they meet minimum criteria.

Those meeting minimum criteria are forwarded to the Awards Committee and evaluated according to stated criteria.

Entries are scored and tabulated by the Committee, who recommends the CMOY & AOSE recipients to CMSA’s National Board of Directors, who then ratifies the recommendation.

Award recipients are notified by CMSA’s President and the Committee Chair approximately 9-10 weeks before the Annual Conference.

The official award ceremony will be held at CMSA’s Annual ConferenceinJune.

Award Benefits

One (1) Complimentary Full-Conference Attendance
for Winner & One (1) Full-Conference Pass
for 1 Family Member or Guest

Personalized Crystal Award

Official Award Pin

Coach Airfare (subject to CMSA Travel Policy)

Hotel Stay (1 room for 3 nights)

Official Award Ceremony Recognition
at Annual Conference

DVD of Multimedia Award Presentation & Ceremony

National Press Release (Post-Conference)

One Year Complimentary CMSA Membership
(National & Chapter)

Email Completed Nomination by:FEBRUARY 14

TO:

Michele Lee
National Awards Staff Liaison


Phone: (501) 673-1120

AWARD FREQUENTLY

ASKED QUESTIONS

1.Can I self-nominate?NO

2.Can a non-CMSA member nominate me? YES

3.As Awards Committee Chair, what expenses
are paid?

One (1) ComplimentaryConference Registration

4.If I do not have access to the information required, may I obtain this information from the nominee?

YES

5.If Awards Committee Chair cannot attend the conference, who will present the awards? CMSA’s President

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Case Manager of the Year Award

Nomination Form

Indicate the Award for which you are submitting a nomination:

Case Manager of the Year (CMOY)

Award of Service Excellence (AOSE)

BOTH* - Must ensure that both sets of criteria are met
and full documentation submitted. *Nominee is eligibleto receive only one award.

NOMINEE Information:

Name of Nominee Credentials

CMSA Chapter

Place of EmploymentTitle

Mailing Address City/State/Zip

EmailPhone

NOMINATOR Information:

Name of NominatorCMSA Chapter

EmailPhone

Relationship to NomineeDate

To the best of my knowledge, the information submitted on this Nomination is true and accurate.

PROFESSIONAL REFERENCE and LETTERS OF RECOMMENDATION – Submit three (3) letters from professional individuals who can confirm the basisfor this individual to be submitted for this award.

Three letters must be submitted for each award they are being nominated and relative to that award. Letters should be emailed to . Subject line should indicate the name of the nominee and the award category. (Ex: Joe Smith, CMOY)

Award Checklist

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CMOY

Reviewed CMOY Award Criteria

Completed National Award Nomination Form

Completed CMOY Application

Email Curriculum Vitae to

Email three (3) reference letters to

AOSE

Reviewed AOSE Award Criteria

Completed National Award Nomination Form

Completed AOSE Application

Email Curriculum Vitae to

Email three (3) reference letters to

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Case Manager of the Year Award Application

Nominee Name:

CMOY Criteria
CMSA Membership:
Current CMSA class “A” member type:
Have been a member for five (5) years: / Membership Type: SelectYes, Case Manager "A" MemberNo, Associate "B" Member
CMSA Member: SelectYes, Nominee is a memberNo, Nominee is not a member
Dates of Membership:
Degrees:
List academic credentials/degrees: (i.e., BSN, PhD, MD, etc…) / Academic Credentials:
Certifications:
List any current national healthcare-related certifications: (i.e., CCM, CRC, CCP, etc…) / Healthcare Certifications:
CMSA National and/or Local Leadership:
CMSA Officer/Board of Directors
CMSA Committee/Task Force Chair
CMSA Committee/Task Force Member
List titles/positions, affiliation/organization, and term of office: / 1)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
2)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
3)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
4)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
5)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
6)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
7)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
8)Leadership Title:
Affiliation: SelectNational positionLocal chapter position
Year/Term:
Other Leadership:
List leadership positions with other national, state, or local level healthcare organizations on Board, or Committee roles, as well as any advisory task force panels or national initiative programs.
List title(s) and organization(s). / 1)Name of Organization:
Position Title:
Year/Term:
2)Name of Organization:
Position Title:
Year/Term:
3)Name of Organization:
Position Title:
Year/Term:
Published Articles:
List any case management articles authored within the past five (5) years in a nationally recognized professional journal. (Must be independent of nominee’s job description. / Name of article:
List where Published:
Year:
Name of article:
List where Published:
Year:
Name of article:
List where Published:
Year:
Name of article:
List where Published:
Year:
Name of article:
List where Published:
Year:
Educational/Professional Presentations:
List any programs conducted at a national or local conference or seminar related to case management. List program name, organization, and type of event that were presented within last five (5) years.
Name of Presentation:
Level of Conference: SelectNational levelLocal/Regional level
Organization:
Type of Event:
Name of Presentation:
Level of Conference: SelectNational levelLocal/Regional level
Organization:
Type of Event:
Name of Presentation:
Level of Conference: SelectNational levelLocal/Regional level
Organization:
Type of Event:
Name of Presentation:
Level of Conference: SelectNational levelLocal/Regional level
Organization:
Type of Event:
Name of Presentation:
Level of Conference: SelectNational levelLocal/Regional level
Organization:
Type of Event:
Other Educational/Professional Presentations:
List any programs NOT at a conference or seminar but related to case management, providing academic/educational programs to case managers, healthcare professionals or other audiences (i.e., academic course, meeting with public officials, training programs, etc…).
List program name, organization, and type of event that were presented within last five (5) years.
Name of Presentation:
Organization:
Type of Event:
Name of Presentation:
Organization:
Type of Event:
Name of Presentation:
Organization:
Type of Event:
Collaborative Practice Models:
Describe any collaborative practice models which were facilitated with interdisciplinary teams, including administrators and payors. These programs should be recognized for mentoring, inspiration of others to lead or become involved in case management along with nurturing growth and development in others.
Outcome Studies:
Provide a summary of how research findings were incorporated into clinical practice and/or how research was conducted to improve patient care or increase professional knowledge:
Provide examples of an outcomes study:
Tool of Measurement:
Share information on patient outcomes which are directly related to care rendered and how they are measured or assessed on a continuous basis:
Concept or White Papers:
List any activities of involvement with an advisory/task force to address barriers and/or write concept papers or white paper briefs:
Wide Reaching Programs:
Describe any programs developed based on common needs for clients, families, and/or communities:
Cost Savings:
Provide summary of information on any reports used to measure cost savings provided by service interventions documented in standard reporting formats:
Clinical Teaching/Mentoring:
Describe any program overviews provided in clinical teaching/mentoring and any design or implementation of staff development activities:
Academic/Educational Programs:
Describe any academic/educational programs for case managers, health care professionals or other audiences. Explain the method of presentation.
Title:
Description:
Presentation Style: SelectWebinar/Electronic PresentationLive Presentation/Slides
Audience:
Other Information:
Title:
Description:
Presentation Style: SelectWebinar/Electronic PresentationLive Presentation/Slides
Audience:
Other Information:
Case Management Systems:
Provide overview of clinical case management systems designed, implemented and evaluated:
Community Service:
List any community service initiatives which impacted the clients of case managers through the initiation or enhancement of a program. (i.e., support group, etc…):
Professional Groups:
List any involvement which significantly impacts communication with other professional groups:
Letter from the Nominator:
This is your opportunity to summarize to the awards committee why you feel this Nominee is deserving of the CMOY Award. Please create your letter in the text box below:

Award of Service Excellence Application

Nominee Name:

AOSE Criteria
CMSA Membership Verification:
Current CMSA class “A” member type.
Been a member for five (5) years and currently in good standing: / Membership Type: SelectYes, Case Manager "A" MemberNo, Associate "B" Member
CMSA Member: SelectYes, Nominee is a memberNo, Nominee is not a member
Dates of Membership:
Degrees:
List academic credentials/degrees(i.e., BSN, PhD, MD, etc…): / Academic Credentials:
Certifications:
List any current national healthcare-related certifications(i.e., CCM, CRC, CCP, etc…): / Healthcare Certifications:
Is nominee is activelyperforming the primary functions of case management according to CMSA’s Standards of Practice for Case Management?: / Select one: SelectYesNo
Describe the current caseload and primary functions:
Case Management Program(s):
Describe program, training, and outcomes for any nominee provided or assisted in product direction or development for case management programs with current or previous employers within the last two years.
Program Title:
Description:
Location:
Outcomes: SelectWebinar/Electronic PresentationsLive Presentation/ Program Slides
Other:
Program Title:
Description:
Location:
Outcomes: SelectWebinar/Electronic PresentationsLive Presentation/ Program Slides
Other:
Program Title:
Description:
Location:
Outcomes: SelectWebinar/Electronic PresentationsLive Presentation/ Program Slides
Other:
Program Title:
Description:
Location:
Outcomes: SelectWebinar/Electronic PresentationsLive Presentation/ Program Slides
Other:
Contributions to Patient Centered Solutions:
Share how this Nominee exemplifies the role of case manager by participating in various task force, committee, or advisory panels advancing integrated care management strategies.
List task force, committee, or advisory panels with focus of work and personal/professional contributions toward innovative patient centered solutions to demonstrate quality and cost efficient outcomes.
1)Position Title:
Organization: SelectCMSA NationalCMSA Local
Focus of work:
Contribution:
Other Information:
2)Position Title:
Organization: SelectCMSA NationalCMSA Local
Focus of work:
Contribution:
Other Information:
Patient Population Programs/Outcomes:
What programs/outcomes demonstrate/illustrate the implementation of assessment, planning, facilitation and advocacy with patients and patient population?
Describe patient and/or patient population programs and outcomes:
Service Excellence:
What actions demonstrate service excellence to clients and the case management community on a daily frontline basis? Describe patient and/or patient population programs and outcomes:
Case Management Innovation:
Describe innovations, creativity, and resourcefulness incorporated in their case management practice, and the resulting benefits.
Describe Innovations:
Describe Benefits:
Community Service:
Describe community service offered outside of job requirements where they served others in the community by utilizing their case management skills in a non-practice setting.
Describe Community Service:
Letter from the Nominator:
This is your opportunity to summarize to the awards committee why you feel this Nominee is deserving of the AOSE Award. Please create your letter in the text box below:

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AWARD CRITERIA

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National Case Manager of the Year Award

Minimum Criteria:

Current Class “A” member of CMSA for five years
and currently in good standing.

At least one national healthcare-related certification at time of nomination (CCM, CDMS, CRC, CRRN, COHN, etc.).

Current* Curriculum Vitae attached which validates five (5) years of currently engaged experience in case management.

Three (3) letters of referencewho can provide additional information to support the nominee for this award.

A completed National Nomination Form and CMOY

Nomination Form submitted with complete documentation emailed to y the February 14.

Award Criteria:

Participation in CMSA and/or other professional organizations at the national, state, or local level in one ormoreof the following areas:

•Officer

•Member of the Board of Directors

•Committee Chair/Committee Member

•Task Force Chair/Task Force Member

Authored an article published in current literature for national, state, or local distribution.

Conducted educational/professional presentation(s) related to CM at one or more of the following:

•National conference/seminar

•State or local conference/seminar

•Group of professionals outside of normal job duties; related to CM (i.e. academic training program; meeting with public officials)

EXCELLENCE IN CM LEADERSHIP

Significantly enhances the body of CM knowledge

Supports research in the study of case management

Significantly and positively impacts case management practice in a particular setting

Develops new & innovative management approach to a commonly recognized barrier to wellness

Provides CM service to all clients or family or group of clients which is considered to exceed usual expectations & which has resulted in significant improvement in quality of care

Provides case management service to a client or family or group of clients which is considered to exceed usual expectations and which has resulted in significant cost savings

Exceeds usual expectations in the training of case managers, as a supervisor or manager of a staff of case managers
Impacts the clients of case managers through the initiation or enhancement of a community service (i.e., a support group, etc.)

Significantly impacts communication with other
professional groups

National Award of Service Excellence

Minimum Criteria:

Must be current Class “A” member of CMSA for five years and currently in good standing.

Must have at least one national healthcare-related certification at time of nomination.
(CCM, CDMS, CRC, CRRN, COHN, etc.).

Current* Curriculum Vitae or other form of documentation must indicate that the nominee is actively managing cases at the time of receiving the award.

Three (3) letters of referencewho can provide additional information to support the nominee for this award.

Must have a completed National Nomination Form and AOSE Nomination Form submitted with completedocumentation emailed y February 14 .

Award Criteria:

Nominee should have made significant contributions to their current and previous employers, and have demonstrated innovative service to their clients and the practice of case management.

Nominee should be recognized as a “thought leader” committed to CMSA’s mission … advancing case management.

Three Letters of Recommendation.
•One letter must be from nominee’s current employer
where nominee has been actively case managing cases for at least one year of employment.
•One should include acomplete explanation as to why
this case manager is submitted for the Award of Service Excellence.

Recommendation must include how the nominee’s contributions:

•Advance case management

•Exemplify the “Standards of Care and Standards of Performance” as defined in CMSA’s Standards of Practice for Case Management †

•Demonstrate service excellence to clients and the
case management community on a daily frontline
basis

•Incorporate innovation, creativity and resourcefulness in their practice

•Serving others through community service by utilizing their CM skills in a non-practice setting

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