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Davidson County health director reports leadership changes, budget savings and accreditation push

Davidson County Board of Health · June 2, 2026
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Summary

The health director told the Board of Health that longtime budget officer Tim Manis has been promoted to assistant county manager, county manager Casey Smith has resigned effective mid'July, and staffing vacancies produced year'to'date savings while creating workload challenges; staff will report final budget figures after July 1 and are racing to meet an accreditation documentation deadline.

The health director updated the Davidson County Board of Health on leadership and budget developments at its June meeting, saying the department is navigating a mid'year personnel shift while preparing accreditation documents.

The director announced that Tim Manis, previously the county budget officer, was promoted to assistant county manager. She also said County Manager Casey Smith has submitted his resignation with a mid'July departure; an interim manager will serve while the county begins a candidate search.

“Tim Manis, y'all may or may not know him… now Tim Manis is the new assistant county manager,” the director said. She added that staff expect to continue working through the transition and that Manis remains involved with budget work as needed.

On finances, the director said vacancies across the health department have produced significant savings this year but warned that unfilled positions have increased workload for existing staff. “Tim … gave me a call and said, ‘Um, y'all saved a ton of money this year at the health department,’” she said, adding that final year'end numbers are not closed and the department will report back after July 1 when the new budget year begins.

The director also flagged time'sensitive accreditation work: the department must submit documentation to site reviewers by the end of the month and respond to any document requests before the site visit. She told the board that failing to meet accreditation requirements could put funding at risk and asked for board support while staff complete the files.

Board members were briefed on recruitment plans the department has underway, including posting two PHN positions (one temporary and one full time) and hiring additional clinic and nutrition staff by the end of the month. The proposed county budget presented to the board includes a 2.5% plus $500 cost'of'living increase for staff and lists the new positions; board members will review the packet and a county public hearing is scheduled so members can provide formal input.

The board did not take formal action on the staffing announcements or the accreditation steps during the meeting; staff committed to return with updated budget and savings figures after July 1.