Certified Behavioral Health Case Manager
Provisional Upgrade On-the-Job Supervision Verification Form
CBHCMP Upgrade On-the-Job Supervision Verification Form Florida Certification Board (FCB)
Effective Date: May 2019
Qualified Supervisor
Definition
A qualified supervisor must be current and fall within one of the following designations:
•
A physician or physician’s assistant licensed under Chapters 458 or 459, Florida
Statutes
• A professional licensed under Chapters 490 or 491, Florida Statutes
• An Advanced Registered Nurse Practitioner licensed under Part 1 of Chapter 464,
Florida Statutes
• A Master’s Level Certified Addiction Professional (MCAP)
• A Certified Addiction Professional (CAP)
• A Certified Behavioral Health Case Manager Supervisor (CBHCMS)
On-the-Job
Supervision
Requirement
50 hours of on-the-job supervision of the applicant’s performance of core competencies.
The 50 h
ours are allocated across performance domains as follows:
1. Engagement and Assessment (initial and ongoing): 10 hours
2. Service Planning and Development (initial and ongoing): 10 hours
3. Coordination, Linkage and Monitoring: 10 hours
4. Documentation: 10 hours
5. Professional, Legal and Ethical Responsibilities: 10 hours
For certification purposes, the FCB benchmarks reasonable and achievable supervision at the
rate of 3 hours per week/156 hours per year.
Elig
ible on-the-job supervision occurred within the last 5 years.
PERFORMANCE DOMAIN CATEGORIES
Minimum of 10 hours must be completed in each performance domain listed below.
ENGAGEMENT AND ASSESSMENT (initial and ongoing): Supervision in this domain is directly related to observing and
providing feedback to the applicant as he or she performs tasks such as engaging the client in services and conducting
an assessment to determine the client’s individual strengths and needs.
SERVICE PLANNING AND DEVELOPMENT (initial and ongoing): Supervision in this domain is directly related to
observing and providing feedback to the applicant as he or she performs tasks such as translating the results of
assessment activities into functional services and tasks that address immediate, short-term, long-term and ongoing
needs.
COORDINATION, LINKAGE AND MONITORING: Supervision in this domain is directly related to observing and
providing feedback to the applicant as he or she performs tasks such as assisting the client to implement the case
management plan and monitoring the ongoing effectiveness of the plan in meeting client outcomes.
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ontinued on next page)