Director of Case Management

About the role

Director of Case Management - EDWP for Visiting Nurse Health System’s Elderly and Disabled Waiver Program ensures high‑quality, member‑centered care coordination for older adults and individuals with disabilities who have medical and social needs. The role provides strategic leadership, operational oversight, and clinical guidance for case management services across VNHS community‑based programs, serves as a liaison to the Executive Director of Operations, leads a large team including senior managers, team leads, and clinical and non‑clinical staff, and develops case management models to promote service access, improve health and social outcomes, and ensure compliance with regulatory, contractual, and funding requirements.

Visiting Nurse Health System has been a trusted leader in caring for Atlanta for over 78 years, providing home healthcare, long‑term care at home, hospice, and palliative care services as a non‑profit organization. The organization’s vision is to be the first choice for patients, families, payers, and providers seeking home healthcare, with commitments to exceptional patient and employee satisfaction, strong community partnerships, coordinated care solutions, workforce development, and innovative technologies that improve affordability and access to care.

Responsibilities

• Lead and oversee EDWP case management operations, policies, quality assurance, and performance improvement initiatives.
• Provide leadership, coaching, and direction to the Sr. Manager of Case Management, Team Leads, Case Managers, and support staff.
• Monitor performance metrics, clinical outcomes, compliance, and productivity; identify trends and implement corrective action plans.
• Develop strategic initiatives and community partnerships that strengthen care coordination, resource integration, and program outcomes.
• Provide clinical consultation, participate in assessment conferences, conduct joint home visits when necessary, and review documentation for quality and compliance.
• Oversee recruitment, staffing, onboarding, performance management, training, and professional development for case management teams.
• Ensure services are delivered in accordance with EDWP, Medicaid, Medicare, accreditation, reimbursement, and VNHS standards.
• Serve as the primary liaison with the Department of Community Health (DCH) for the EDWP.
• Lead complaint resolution,