Senior Manager, Case Management (EDWP) – Community Care Leader

Visiting Nurse Health System; Atlanta (GA); On-site; USD 80,000 - 100,000; Full time

Job summary

Visiting Nurse Health System in Atlanta, GA is seeking a Senior Manager of Case Management - EDWP to partner with the Director of Case Management to oversee care coordination across community-based programs. In this in-office role, you will lead daily operations, support team performance, and ensure members receive coordinated, high-quality services.

The ideal candidate brings extensive case management leadership, knowledge of Medicaid Waiver programs, and a drive to improve outcomes.

Qualifications

• Bachelor’s degree in health sciences, social work, counseling, or a related field.
• Master’s degree is a plus.
• Licensed Clinical Social Worker (LCSW) is a plus.
• Licensed Master Social Worker (LMSW) is a plus.
• Certified Social Work Case Manager (C-SWCM) is a plus.
• Valid CPR certification.
• Current, valid driver’s license.
• Minimum of three years of case management experience.
• Minimum of three years of leadership experience.
• Minimum of three years of experience working with Medicaid Waiver programs.
• Minimum of three 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.
• Proficiency with digital tools 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.

Responsibilities

• Oversee daily EDWP operations, resource allocation, staffing, and program performance.
• Lead and support Team Leads and Case Managers through coaching, consultation, performance management, and professional development.
• Monitor key performance metrics, identify variances, and implement quality improvement and corrective action strategies.
• Provide clinical oversight through complex case consultation, joint home visits, assessment conferences, and documentation reviews.
• Ensure care is coordinated effectively with physicians, nursing leadership, DCH, and community stakeholders.
• Support recruitment, onboarding, orientation, performance evaluations, and ongoing development of case management staff.
• Promote culturally responsive, member-centered care and effective integration of medical, behavioral, and social services.
• Support complaint resolution, clinical investigations, risk management, and documentation requirements.
• Serve as a secondary liaison with the Department of Community Health (DCH) for theEDWP.
• Ensure compliance with EDWP, Medicaid, Medicare, federal/state regulations, accreditation standards, and VNHS policies.
• Promote member safety, infection control, and evidence-based practices across the program.

Skills

Leadership experience

Case management knowledge

Team coaching

Performance management

Communication skills

Education

Bachelor’s degree in health sciences, social work, counseling, or related field

Master’s degree (plus)

LCSW / LMSW / C-SWCM (plus)

Tools

Microsoft Office

Georgia Horizon system

Job description

Visiting Nurse Health System in Atlanta, GA is seeking a Senior Manager of Case Management - EDWP to partner with the Director of Case Management to oversee care coordination across community-based programs. In this in-office role, you will lead daily operations, support team performance, and ensure members receive coordinated, high-quality services.

The ideal candidate brings extensive case management leadership, knowledge of Medicaid Waiver programs, and a drive to improve outcomes.