Director of Case Management

Director of Case Management - EDWP

Visiting Nurse Health System is looking for an experienced and mission-driven Director of Case Management - EDWP to lead care coordination for our Elderly and Disabled Waiver Program. In this highly visible leadership role, you will provide strategic leadership, operational oversight, and clinical guidance for case management services in VNHS community-based programs. This in-office position is based at our Hartsfield or Marietta office, Monday through Friday.

Who are we?

For more than 78 years, Visiting Nurse Health System has been a trusted leader in caring for Atlanta. As a non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services, we help patients and families receive the support they need where they feel most comfortable—at home. Here, your work is more than a job; it is an opportunity to lead with purpose, make a meaningful impact, and improve lives across the communities we serve.

Our vision is to be the first choice for patients, families, payers, and healthcare providers seeking home healthcare services. We are committed to exceptional patient and employee satisfaction, strong community partnerships, coordinated care solutions, workforce development, and innovative technologies that improve affordability and access to care. We strive to be a place where healthcare professionals are proud to work, supported in their growth, and empowered to do their best work. For more information on our organization, please visit us here.

We are looking for leaders who bring our values to life every day—in the way they support their teams, serve members, collaborate with partners, and lead through change.

• Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest, and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees.
• Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate.
• Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us, with each of us contributing toward a shared purpose.

• Care – We provide compassionate, person-centered care while respecting individual physical, emotional, and spiritual needs.

Job Overview:

The Director of Case Management (DCM) for Visiting Nurse Health System’s (VNHS) Elderly and Disabled Waiver Program (EDWP) ensures high-quality, member-centered care coordination for older adults and individuals with disabilities who have medical and social needs. Serving as a liaison to the Executive Director of Operations (EDO), the DCM is a key member of the leadership team, aligning case management operations with organizational goals and promoting equitable access to care. The DCM leads a large team, including the Sr. Manager of Case Management, Team Leads, and clinical and non-clinical staff across multiple locations.

The DCM develops and implements case management models to promote service access, improve health and social outcomes, and ensure compliance with regulatory, contractual, and funding requirements. The DCM oversees multidisciplinary teams, sets performance standards, and builds partnerships with healthcare providers, social service agencies, government entities, and community organizations.

WHO THRIVES IN THIS ROLE

This position rewards someone who thinks in systems, not just tasks — building the case management models, performance standards, and policies that then govern outcomes across a large, multi-location team, rather than personally managing each person in it. The direct reporting line stays small and deliberate — the Sr. Manager of Case Management and the Team Leads — which suits someone who leads best through the structures they design and the small circle of people they trust to execute them.

The right person communicates in a direct, factual way and is comfortable being the one who delivers a hard truth in writing rather than softening it in conversation. Strategic calls in this role — a new service line, a partnership with a community organization, a corrective action plan submitted to the EDO — get made only once fully thought through, and this person will hold that line even under time pressure rather than rush to a decision that hasn't been reasoned all the way out.

What sustains this person's engagement is a genuine goal worth chasing — expanding service access, closing a compliance gap, building a partnership that didn't exist before — followed by real recognition tied to the outcome, not a ceremonial thank-you. A structured but fast-moving environment, where the work keeps evolving and there's always a next problem to solve, will hold their interest far longer than a steady, unchanging routine.

What you'll be doing:

The Director of Case Management - EDWP provides strategic leadership and oversight of case management services across community programs, ensuring high-quality, member-centered care, regulatory compliance, and strong operational performance. This role leads clinical and non-clinical teams, drives quality improvement initiatives, develops community partnerships, and ensures effective coordination of services.

• 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, clinical investigations, risk management, and regulatory compliance activities.
• Foster a collaborative, culturally responsive, and member-centered environment through effective communication and team engagement.
• Promote member safety, infection control, and evidence-based practices throughout service delivery.

Minimum Qualifications:

• Bachelor’s degree in human services, health sciences, social work, or a related field.
• Master’s degree is a plus (MSW or MHA).
• Licensed Clinical Social Worker is a plus (LCSW).
• Licensed Master Social Worker is a plus (LMSW).
• Certified Social Work Case Manager (C-SWCM) is a plus.
• Valid CPR certification.
• Current, valid driver’s license.
• Minimum of five years of case management experience.
• Minimum of five years of leadership experience.
• Minimum of five years of experience working with Medicaid Waiver programs.
• Minimum of five years of experience in community-based healthcare, public health, care coordination, or a similar healthcare or social services role.
• Knowledge of Medicaid Waiver policies and regulations.
• Demonstrated knowledge of KPIs and performance management.
• Strong knowledge of healthcare regulations, quality standards, and care coordination models.
• Strong understanding of community health issues and social determinants of health and access to care.
• Demonstrated proficiency using digital tools and platforms for communication, documentation, reporting, and data tracking.

• Experience working with underserved or vulnerable populations.

• Proficiency with Microsoft Office applications, internet navigation, email, computer file management, online HR services, and online training platforms. Knowledge of the Georgia Horizon system is a plus.

Why Join Visiting Nurse Health System?

• Lead a mission-focused program that helps older adults and individuals with disabilities remain supported in the community.
• Join a respected non-profit organization with a long-standing legacy of service in Atlanta.
• Make a meaningful impact by developing teams, improving systems, and advancing quality care.
• Work in a collaborative environment that values respect, integrity, excellence, stewardship, and compassionate care.

Salary Range: $90,000.00- $115,000.00

Our organization incorporates a survey called Culture Index into our hiring process. This brief, 7-minute assessment helps us better understand your behavioral traits as they relate to the role. If you are selected to move forward, you will receive a link to complete the evaluation.

If you are a case management leader who is passionate about community-based care, team development, and improving outcomes for vulnerable members, we invite you to join us in our mission to provide excellent care, comfort, and dignity to those we serve.

Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at View phone number on aiapply.co.

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