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.

  • Principal Owner

    Tippi Geron is a licensed occupational therapist in Virginia and a Certified Case Manager (CCM), practicing clinically across the age and disability spectrum. She holds a Doctorate in Occupational Therapy and 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 created accessibility-focused coursework, reflecting her commitment to inclusive environments. These academic contributions directly inform her expertise in cognition, movement disorders, dementia, and complex care, making her uniquely positioned to bridge scholarship and practice. She continues to hold adjunct faculty appointments and is a nationally recognized lecturer on mental health, cognition, and complex care.

    At the national level, Tippi represented the American Occupational Therapy Association in policy discussions with the American Medical Association’s CPT Advisory Panel, where she contributed to shaping reimbursement and access to care. This policy experience informs her case management practice, equipping her to anticipate barriers, navigate payer systems, and secure services in even the most complex cases.

    She also serves as an expert witness in guardianship and functional cognition evaluations. With expertise in stroke and brain injury, cognition, mental health, and home modification, she brings the same rigor to case management that she has to academia and policy. Her background allows her to assess situations holistically, anticipate barriers in health and payer systems, and design solutions that are both clinically sound and practically achievable. Families, attorneys, and advisors rely on her not only for her academic and clinical expertise but for her ability to turn insight into coordinated, actionable care.

  • 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. She previously served as Chief Operating Officer of the largest care management organization in the Metro DC area, where she led teams, expanded services, and set standards for quality across the region.

    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.