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CSA Team Staff

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Each employee is an important part of our team. Our CSA team staff members promote growth and resiliency at all levels. We make hope tangible. We do this by being flexible, supportive, and accountable to each other and the community. The individuals we support experience a wide range of disabilities, including intellectual disabilities and other developmental disabilities, brain injury, mental illness, and substance use.

Although our office is located in Des Moines, Community Support Advocates Integrated Health Program provides services in Polk, Warren, Story, and Jasper County. We provide Case Management and Service Coordination to individuals living in Polk County. We also provide integrated services such as Community Living, Employment and Education Supports, and Recreational Supports, to individuals in Polk County. These services are driven by choice, with a focus on individualized community services and supports, and maximum community integration. CSA team promotes a collaborative culture both within and outside of the organization, working together to meet the needs of persons served.

Executive Team

Christina Smith
President/CEO
Christina Smith has worked for Community Support Advocates since 1998. She originally worked within the Integrated Services Program as an Integrated Service Coordinator, Team Leader, and then Director. Christina took over as CEO in 2009. She attended both Central College (Pella, IA) and Iowa State University (Ames, IA). She has a Bachelors Degree in Family Services and has over 22 years of experience supporting individuals with disabilities. Christina graduated from the Greater Des Moines Leadership Academy’s Transformational Leadership program in 2004, and the From Vision to Action Leadership Academy in 2009.
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David Higdon
Director of Accounting and Clinical Services
David Higdon has spent 38 years working in various service delivery and system planning roles in the disability field. He has an undergraduate degree in social work from Iowa State University and a Master’s degree in Public Administration from Drake University. He completed Unity Point, Polk County and Vision to Action Leadership programs. He has served as an adjunct faculty member at Grandview University.
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Melissa Ahrens
Director of Case Management and Care Coordinator Services
Melissa Ahrens has been employed by CSA since 1998. She received her Bachelor’s degree in Psychology from Simpson College with additional graduate study in Counseling at Drake University. Melissa is Licensed in Iowa as a Bachelor’s level Social Worker. She graduated from the Greater Des Moines Leadership Academy’s Transformational Leadership program in 2004 and has over 26 years of experience in the human services field.
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Angela Wacker
Director of Operations and Integrated Services
Angela Wacker moved from Minnesota to Iowa in 2003 and began working with CSA as a Targeted Case Manager. In 2006 Angela became the Team Leader for the KEY program. Angela took over as Director of Operations in March of 2018. She has a Master’s in Psychology from Capella University. Angela has over 20 years of experience supporting individuals with disabilities.
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Support Team

Gail Brush
Accountant
Patty Foster
Medicaid Billing Specialist/Records Manager
Natalie Milbourn
Referral Coordinator
Christon Smith
Quality Assurance
Savanna Spray
Records Manager/Front Desk
Michele Swessinger
ISA/KEY Program Support
Lauren Vidimos
IHP Support
Shannon Wright
Quality Assurance

Integrated Services & KEY

Jennifer Muto
ISA - Team Lead
JoAnn Eastman
KEY - Team Lead
Emily Secrest
ISA Team 1 - Integrated Service Coordinator
Julie Niehaus
ISA Team 1 - Client Advocate
Janet Wilson
ISA Team 1 - Client Advocate
Jason Miller
ISA Team 2 - Integrated Service Coordinator
Deb Belcher
ISA Team 2 - Client Advocate
Connie Hansen
ISA Team 2 - Client Advocate
Jon Yanders
ISA Team 3 - Integrated Service Coordinator
Beth DePauw
ISA Team 3 - Client Advocate
Doug Miller
ISA Team 3 - Client Advocate
Shawn Morris
ISA Team 3 - Client Advocate
Cami Clark
ISA Team 4 - Integrated Service Coordinator
Misty Nation
ISA Team 4 - Client Advocate
Rebecca Steege
ISA Team 4 - Client Advocate
Renee Johnson
ISA - Peer Recovery Specialist
Elle Fitzgerald
KEY - Integrated Service Coordinator
Shannon Kaster
KEY - Integrated Service Coordinator
Josh Myatt
KEY - Client Advocate
Shienne Wittwer
KEY - Client Advocate

Momentum Art

Kelsey Kleinow
Program Coordinator
Angela Ayala
Program Assistant

Integrated Health Home

Kristen Atkinson
Team Leader
Anna Klatt
Team Leader
Julia Baray Alvarado
Nurse Care Manager
Emily Barnes
Care Coordinator
Shandra Carrigan
Care Coordinator
Britt Fowler
Recovery Support Specialist
Colby Gochanour
Recovery Support Specialist
Julie Holscher
Care Coordinator
Chance Johnson
Family Peer Support Specialist
Theresa Kresse
Care Coordinator
Ashley Kubby
Care Coordinator
Anne Mattox- Keeney
Care Coordinator
Sara Richardson
Care Coordinator
Victoria Torres
Care Coordinator
Carlie Wright
Care Coordinator
Austin Yoakum
Care Coordinator

Case Management and Service Coordination

Brooke Pagano
Team Leader - Service Coordination and Case Management
Hannah Stevenson
Case Manager
Kammi Grimm
Service Coordinator
Abby Llewellen
Service Coordinator
Julie Prochnow
Service Coordinator
Jennifer Schenck
Service Coordinator
Jenn Tielbur
Service Coordination
Bethany Tuel
Service Coordinator
Nicole Wessling
Service Coordinator

Clinical Services


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