The Next Door – Chief Operating Officer


The Next Door is a non-profit organization dedicated to serving women in crisis, equipping them for lives of wholeness and hope. The Next Door provides services to women who are impacted by addiction, mental illness, trauma and/or incarceration. In recognition of the common need among residents for mental health and addiction counseling, The Next Door provides an integrated model to address the co-occurring disorders. A professional team of counselors, case managers, nurse practitioners – both medical and psychiatric, medical doctors, master’s level social work interns, mentors, and job coaches complete the staff to provide comprehensive coverage to residents’ needs.

The Next Door provides hope through addiction treatment, recovery and re-entry services exclusively for women. As a non-profit organization, we are able to serve those of various financial means and strive to serve thousands of women in the Nashville and Chattanooga areas.

The Next Door Nashville’s services include Medically Monitored Detoxification, Residential Drug and Alcohol Treatment, Partial Hospitalization, Intensive Outpatient, Outpatient, Aftercare and Family Services. We also offer permanent housing, known as the Freedom Recovery Community, for women in recovery and their children.

Tennessee’s first Correctional Release Center is The Next Door’s Chattanooga location, which offers a unique program in partnership with the Tennessee Department of Correction. Women served by The Next Door in the Chattanooga area are currently incarcerated and receive short-term transitional services that are rooted in evidence-based practices to address their needs.


The Next Door provides a continuum of evidence-based services for women and their families impacted by addiction, mental illness, trauma and/or incarceration with Christ-centered compassionate care.


The Chief Operations Officer’s purpose is to strategically lead the Next Door (TND) as Nashville’s preeminent faith-based addiction treatment facility for Women by productively and proactively managing the revenue cycle, operations and accounting functions of the organization. This role will have full oversight of billing, admission, accounting and operations staff. The primary focus will be on developing, optimizing, continuously improving and managing all key processes of the organization in order to ensure profitability, productivity, cash flow efficiencies as well as seamless systems, employee and departmental integration. The Chief Operations Officer will report to the CEO with a dotted line to the Board of Directors.


  • 5-10 years residential behavioral health facility operations experience including personnel management, work prioritization and workflow management experience
  • Proven knowledge of finance, legal, risk management and health-care specific regulatory issues
  • Bachelor’s degree is required; Master’s degree in health administration, business administration, psychology, social work, nursing or related field (preferred)
  • Has an extensive knowledge of QA (Quality Assurance)/QI (Quality Improvement) and diverse policy and procedure development experience preferred
  • Healthcare Software expert or extensive working knowledge
  • Willingness to support the mission minded culture and core values of organization
  • Demonstrates a deep knowledge of the need’s assessment process, which ensures the referral to the clinically appropriate level of care
  • Demonstrates knowledge of legal, risk management and health-care specific regulatory issues
  • An internally driven visionary with evidence of entrepreneurial nature
  • The ability to inspire trust, confidence and operate at the highest level of integrity
  • Maintains a “Results Orientation”—Possesses ability to work toward outcomes with urgency
  • Consistently treat residents and co-workers with respect
  • Keep all information regarding staff, residents, diagnosis, group information, etc. confidential
  • Participate in ongoing trainings as required
  • Model ethical and professional behavior


  • Responsible for the implementation and oversight of all Finance and Accounting functions of the company, including the generation of monthly income statements, management of balance sheet, and interfacing annually with the company’s audit firm;
  • Responsible for the revenue cycle, which will include but not be limited to the following departments: billing, business office functions (contracts, collections, cash posting, etc.), utilization review, front office procedures, pre-admission procedures, patient access, KIPU records, admission/registration, contract negotiations, budgeting, expense management and reimbursement and financials of the organization, Tracks cash flow effectively, leads, supports and interfaces with other departments that touch and effect the RCM from initial contact with customers to post-discharge collections
  • Responsible for operational efficiency (cost containment, FTE equivalents, clients and staff); Implement processes to facilitate achievement and measurement of the revenue team goals; Monitor day-to-day operations/pipeline
  • Responsible for the strategic funding by overseeing the creation, review and management of proformas, product lines, and contract—Handle all banking activities including negotiating the financing of loans and lines of credit
  • Works closely with State-government departments, grant entities and other governmental funding streams (and representatives including MCOs) for effective relationship management and review of potential new streams of funding to assess the appropriateness for TND; Supports positive relationships with all contract vendors
  • Recognize trends or variances in the company’s operations and healthcare industry changes, specifically in the addiction treatment space and help the management team respond quickly and effectively to them
  • Manage the utilization review and clinical management processes holding all employees and departments accountable to reach strategic plan metrics—This would include initial and concurrent authorizations, peer reviews, appeals and denials management
  • Establish and maintain departmental policies and standard operating procedures. Lead and monitor team members to ensure compliance with these processes
  • Collaborate with the CEO and Medical/Clinical Director and Director of Admissions on overall strategy and to ensure meeting needs of community while maintaining fiscal health
  • Actively involved in interviewing, hiring, and training the best people possible, setting expectations and holding them accountable for their performance while giving constructive feedback to ensure progress within the team
  • Provide regular reports to the Chief Executive Officer and when requested, to the Board of Directors, on the organization’s financial health, new initiatives, and operational status


Our client and Buffkin / Baker firmly support the principle and philosophy of equal opportunity for all individuals, regardless of age, race, gender, creed, national origin, disability, veteran status of any other protected category pursuant to applicable federal, state or local law.


Buffkin / Baker
10 Cadillac Drive
Suite 190
Nashville, TN 37027

Craig Buffkin, Managing Partner
Office: 615-988-2580
Cell: 615-417-4383

Jen Bradley, Associate Partner
Office: 615-988-2583
Cell: 615-478-9919

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