Our Leadership
We don’t just manage care. We redefine what care management can be.
Together, we are more than colleagues. We are a force in case management. With complementary strengths that span the cutting edge of clinical evidence and the depth of operational leadership, we bring dual perspectives to every challenge. That is why attorneys, financial advisors, and families trust us with the cases where the stakes are highest.
Our partnership is built on expertise, strategy, and compassion, and it drives CCS’s mission to deliver solutions that stand up in court, hold up under pressure, and change what’s possible for the clients we serve.
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Principal Owner
Tippi Suzanne Geron, OTD, OTR/L, CCM is a licensed occupational therapist and Certified Case Manager with advanced expertise in behavioral health, functional cognition, cognitive impairment, and complex care across the lifespan. Holding a Doctorate in Occupational Therapy, she has built a career at the intersection of clinical practice, higher education, case management, and policy.
She has directed two doctoral programs at Shenandoah University and served as a full-time professor at The George Washington University School of Medicine and Health Sciences, where she developed and taught courses in mental health, neuroscience, theory, and ethics. She also designed accessibility-focused curricula reflecting a commitment to inclusive environments. These academic contributions directly inform her expertise in cognition, movement disorders, dementia, and complex care, positioning her as a leading clinician and educator in functional cognition and interdisciplinary care planning. She continues to hold adjunct faculty appointments and is a nationally recognized lecturer on mental health, cognition, and complex care.
Earlier in her career, she developed and led a stage-based dementia program for Inova Health System’s PACE Program that transformed how cognitive change was understood and supported in long-term care. The model centered on functional cognition, matching support to a person’s actual functional cognitive stage and abilities rather than diagnosis, and trained caregivers to sustain independence, preserve identity, honor situational awareness, and reduce distress through meaningful daily engagement. The result was a program known for its precision, humanity, and measurable impact: a blueprint for dementia care that replaced guesswork with clarity and restored dignity to the process of decline.
At the national level, she represented the American Occupational Therapy Association in policy discussions with the American Medical Association’s CPT Advisory Panel, contributing to the development of reimbursement frameworks and access standards for cognitive and functional evaluation services. This systems-level experience informs her case management practice, enabling her to navigate payer systems, anticipate barriers, and secure services in even the most complex cases.
She also serves as an expert witness in guardianship and capacity evaluations, integrating advanced cognitive testing with practical insight to clarify a person’s abilities, risks, and support needs in high-stakes legal and care decisions. Her work integrates clinical insight, operational strategy, and systems navigation to design solutions that are both evidence-based and pragmatically achievable.
With a distinctive blend of clinical precision, policy fluency, and family-centered advocacy, she is a trusted partner to families, attorneys, and advisors facing complex care challenges, bridging the worlds of healthcare, law, and lived experience.
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Principal Owner
Nancy Fagan brings more than 30 years of leadership in the long-term care and care management fields. As a Certified Care Manager (CMC), she has overseen facilities management, accreditation, care management operations, business development, and financial partnerships. In her prior role as Chief Operating Officer of a leading regional care management firm, she was instrumental in building the organization into the largest in the Metro DC area, establishing systems and industry standards that defined its peak years of growth and performance.
Her expertise extends beyond operations into systems-level advocacy and policy. Nancy has worked with LeadingAge, the national association advancing aging services through research, advocacy, and innovation, giving her deep insight into the challenges facing older adults and those who support them. She is also a Certified Synectics Facilitator, trained to guide families and professionals through high-conflict situations with clarity, creativity, and compassion.
Nancy’s organizational leadership and systems thinking now define her work with families: she calms crises, untangles contested guardianship disputes, brings fractured systems back into alignment, and serves as an expert witness. With a holistic view that spans both immediate challenges and the larger systems at play, she is the steady force people rely on in high-profile cases marked by legal battles, financial strain, and conflict.
She is also the only care manager admitted to membership in the Northern Virginia Estate Planning Council (NVEPC), where she collaborates with estate attorneys, financial advisors, and real estate professionals to bridge the worlds of healthcare, law, and finance. This unique role expands her ability to advocate across disciplines and ensure that care decisions are fully integrated with legal and financial planning.
With a rare combination of strategy, systems knowledge, and empathy, Nancy is a formidable advocate and trusted partner for families, attorneys, and advisors when the stakes are highest.