--- title: "When a Nurse Becomes a Practice Manager: Insights on Leading a Thriving Community Practice" description: Nurse Cynthia Voorhees shares her journey from acute care to managing Texas Neuro Spine, highlighting the importance of adaptability, teamwork, and continuous learning in medical practice management. --- [![pmi-logo-white-on-blue](https://info.pmimd.com/hs-fs/hubfs/pmi-logo-white-on-blue.png?width=174&name=pmi-logo-white-on-blue.png "pmi-logo-white-on-blue")](https://www.pmimd.com/) - [About PMI](https://www.pmimd.com/about/) - [Online Training Center](https://www.pmimd.com/onlinetraining/) - [Instructors](https://www.pmimd.com/instructors.php) - [Contact Us](https://www.pmimd.com/contact.asp) # When a Nurse Becomes a Practice Manager: Insights on Leading a Thriving Community Practice Posted by [Practice Management Institute](https://info.pmimd.com/blog/author/practice-management-institute) on Dec 19, 2024, 9:54:25 AM ![Practice Management Institute](https://info.pmimd.com/hubfs/pmilogo-1.gif) - [Tweet](https://twitter.com/share) This article highlights the unique journey of Cynthia Voorhees, an acute care nurse practitioner who transitioned into a dual role as CFO and operations manager for Texas Neuro Spine (TNSPINE), one of San Antonio’s leading neurosurgery group This article highlights the unique journey of [Cynthia Voorhees](https://oncpracticemanagement.com/authors?autid=389:cynthia-voorhees), an acute care nurse practitioner who transitioned into a dual role as CFO and operations manager for Texas Neuro Spine (TNSPINE), one of San Antonio’s leading neurosurgery groups. Cynthia’s career path began with her passion for patient care, which evolved into a commitment to understanding the intricacies of medical practice management. Recognizing a need for expertise in billing and coding, she pursued night classes while continuing her clinical duties. These efforts not only helped her navigate the complexities of insurance processes but also positioned her to address significant operational challenges. She recounts the hurdles of building a private practice from scratch, such as staffing with aligned values, securing insurance approvals, and creating a collaborative culture among doctors. Through determination and a strategic approach, TNSPINE has grown to include seven neurosurgeons, five nurse practitioners, and partnerships with military neurosurgeons. Cynthia’s background in both clinical care and business operations gives her a unique perspective, allowing her to bridge the gap between medical and administrative needs. Her leadership philosophy emphasizes teamwork, servant leadership, and fostering an environment where staff and physicians feel supported. Her journey underscores the value of adaptability, continuous learning, and a compassionate approach to healthcare management. As she writes, “Being in this position has not been easy, but it has been deeply rewarding. This is not just a job for me; it’s part of my life.” For the full article, visit [Oncology Practice Management](https://oncpracticemanagement.com/issues/2024/december-2024-vol-14-no-12/3527:when-a-nurse-doubles-as-a-practice-manager-thoughts-on-running-a-successful-community-practice).   Topics: [CMOM](https://info.pmimd.com/blog/tag/cmom), [PMI Certification](https://info.pmimd.com/blog/tag/pmi-certification), [cmom certification](https://info.pmimd.com/blog/tag/cmom-certification) ### Subscribe Here! ### Recent Posts ### Posts by Tag - [Practice management (50)](https://info.pmimd.com/blog/tag/practice-management) - [medical office manager topics (43)](https://info.pmimd.com/blog/tag/medical-office-manager-topics) - [CMOM (35)](https://info.pmimd.com/blog/tag/cmom) - [medical practice issues (33)](https://info.pmimd.com/blog/tag/medical-practice-issues) - [medical coding (28)](https://info.pmimd.com/blog/tag/medical-coding) - [Certified Medical Office Manager (25)](https://info.pmimd.com/blog/tag/certified-medical-office-manager) - 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