Our Ripple Ranch Team

Manny Nsien, MHA, ACHE, Executive Director

Manny began his career working as an Operations Consultant within several Emergency Rooms across the United States. During his time as an Ops. Consultant, Manny acquired extensive experience in EHR system implementation, Operations Management, Managerial Finance, and Continuous Quality Improvement. His primary focus was on improving quality and throughput within the ER and improving patient experience, which led to improved core quality measures, leading to increased hospital reimbursements. He later began working with Elements Behavioral Health, focusing on using data analytics to improve payer relations, revenue cycle management, treatment outcomes and the patient experience.

He has a key specialty in developing strong teams to execute financial objectives while developing a culture that is highly patient-centric. His passion and goal for the behavioral health industry is to reduce the stigma towards treatment and improve patient equity and knowledge on the different modalities of treatment.

When Manny is not at work, he is an active member of the American College of Healthcare Executives (ACHE). He also enjoys spending time with his wife and son, traveling to Mexico to visit ancient ruins. He received a B.S. degree in Bio Immunology from the University of Texas at San Antonio and a Master’s degree in Health Administration from George Washington University.

Jeffrey Butts, D.O., Medical Director

Dr. Butts is a Fellow of the American Board of Addiction Medicine. A longtime family physician, he has been certified by the American Society of Addiction Medicine since 2008. His expertise in both general medical practice and the specialized field of addiction medicine guide him in his role as director of our medical team at Ripple Recovery Ranch. With his leadership, our clients receive the medical support they need to manage a variety of health care concerns while in residence, including management of post-acute withdrawal symptoms and chronic pain issues. As an addiction specialist, he guides medical treatment options that are supportive of recovery, while avoiding those that may be problematic to recovery.