Waiver Case Management Unites to Strengthen Services

Reach has been providing Developmental Disabilities (DD) Waiver Case Management for many years, since 2015. In February 2023, we expanded our waiver case management services to include Community Access for Disability Inclusion (CADI) and Brain Injury (BI) Waiver Case Management. At that time, these new services were established as a separate department from our existing DD Waiver Case Management team.

In early 2025, leadership transitions opened the door for a thoughtful and strategic merge of the two departments into one unified Waiver Case Management team. This shift was designed to align processes, streamline communication, and centralize resources. It strengthens our ability to deliver high-quality, person-centered support while minimizing administrative redundancies.

Leading this next chapter are Nathan Orr, Director of Waiver Case Management, and Mackenzie Nadeau, the newly appointed Assistant Director. Together, they are guiding the department through this evolution with a focus on consistency, clarity, and collaboration.

The goal of this new structure is to empower staff to take ownership of their roles, operate with greater independence, and make informed decisions that support the individuals and families we serve. By reducing overlap and building a culture of trust and autonomy, the merged department is cultivating a work environment where each team member feels valued, capable, and connected to our mission.

This is not just a departmental change. It is a reinvestment in people and purpose, paving the way for long-term impact and sustainable success.