Our Leadership

Our committed leadership team brings a wealth of diverse experience in health care. We ensure consistent on-site management, backed by a collective average of over 25 years in outpatient orthopedic surgery management, finance, purchasing, infection control and quality.

• Colleen Ramirez, RN, CASC – Chief Administration Officer
• Emily Maynard – Business Office Manager
• Chrissy Bence, RN, BSN – Pre-Post Surgical Services Manager
• Laurie Yike, RN – Operating Room Manager
• David Christunas – Purchasing Director

Colleen Ramirez, RN, CASC

Chief Administration Officer, Bone & Joint Surgery Center of Novi

Colleen Ramirez, RN, CASC, is a healthcare executive with over 27 years of nursing experience and 18 years of expertise in managing and overseeing ambulatory surgery centers (ASCs). In her role, Colleen is responsible for both the clinical and financial operations of the ASC, ensuring adherence to all regulatory and professional standards, including those set by the Accreditation Association for Ambulatory Health Care (AAAHC), Centers for Medicare and Medicaid Services (CMS), and State of Michigan. Her extensive knowledge of the ASC environment and strong leadership have been instrumental in the continued success and growth of the Bone & Joint Surgery Center of Novi.

As part of her strategic oversight, Colleen organizes annual meetings for the governing body and shareholders and leads various operational committees, including the Medical Executive Committee, Quality Improvement and Infection Control, and Safety and Risk Management. Her guidance ensures that the ASC consistently meets the highest standards of care and compliance.

In collaboration with clinical personnel, Colleen works diligently to maintain cost-effective services and regularly reviews billing, collections, and accounts receivable reports to ensure the financial stability of the center. She also maintains ASC efficiencies through ongoing supervision of clinical managers, purchasing, employees, anesthesia personnel, and medical staff. Colleen also oversees staffing plans, HR policy compliance and employee and physician recruitment. She prepares and monitors the Center’s annual budgets, encompassing operational, personnel, and capital expenses.

Outside of work, Colleen enjoys spending time with her husband, three children, labradoodle, friends and family. She loves boating, lacrosse, and listening to her oldest son play guitar. Colleen is also an active member of the Ambulatory Surgery Center Association (ASCA) Education Committee.

Emily Maynard

Business Office Manager, Bone & Joint Surgery Center of Novi

Emily Maynard serves as the Business Office Manager at the Bone & Joint Surgery Center of Novi, where she plays a critical role in the efficient and effective management of the center’s financial and administrative operations. Emily’s primary responsibilities include the supervision of business office staff, timely processing of accounts payable, payroll submission, credentialing, and oversight of the billing agency.

In her role, Emily directly supervises non-medical personnel in the business office, overseeing hiring, orientation, evaluations, and scheduling. Additionally, Emily is responsible for month-end financial reconciliation and bi-weekly payroll processing. She ensures that business office operations run smoothly and efficiently, striving for high patient satisfaction through the expedited registration of patients and scheduling of surgical cases.

Her leadership and meticulous attention to detail are essential to the successful operation of the Bone & Joint Surgery Center of Novi, where she plays a pivotal role in maintaining the financial health and administrative excellence of the facility.

Chrissy Bence, RN

Pre/Post-Surgical Services Manager/ Quality & Infection Control Director

Chrissy Bence is the Pre/Post-Surgical Services Manager at the Bone and Joint Surgery Center of Novi, where she manages all activities and operations of the Pre-Op/PACU and Pre-Surgical Testing departments. In this role, Chrissy collaborates closely with physicians and the executive leadership team to ensure smooth and efficient center operations. She plays a key role in interpreting and ensuring compliance with facility policies, as well as local, state, and federal regulations. In addition to her management duties, Chrissy holds the title of Quality & Infection Control Director, overseeing quality and performance improvement activities as well as the infection control program.

Chrissy is a passionate and experienced healthcare professional with a Bachelor of Science in Nursing from the University of Michigan. She began her career in the fast-paced environment of the Emergency Department, where she honed her clinical skills and developed a deep commitment to patient care. Later, she transitioned into nursing administration as a Project Implementation Facilitator, where she led initiatives to drive meaningful change across hospital operations.

In 2014, Chrissy joined the Bone and Joint Surgery Center team as a Circulating Nurse, bringing her expertise to the surgical setting. She was promoted to Quality Director in 2016, a role in which she has been instrumental in maintaining and elevating the center’s high standards of care. Recognizing her focus on patient safety, Chrissy also took on the role of Infection Preventionist in 2017, further broadening her influence on patient outcomes and healthcare quality. In the fall of 2022, she expanded her responsibilities even further by becoming the Pre/Post Surgical Services Manager while continuing to lead as the Quality and Infection Control Director.

Outside of her professional life, Chrissy is rooted in her love for family and community. She resides in Ann Arbor with her husband and their two young daughters, where they enjoy the vibrant culture of the city. She and her family love to travel across the country, exploring new places and creating lasting memories. Whether she’s on the road, relaxing by the lake, or cheering on the Wolverines, Chrissy cherishes time spent with her loved ones.

Laurie Yike, RN

Operating Room Manager, Bone & Joint Surgery Center of Novi

With over 20 years of hands-on experience in the operating room, Laurie Yike is a highly skilled Operating Room Manager specializing in orthopedics. Having mastered many roles from scrubbing to circulating, Laurie brings a wealth of knowledge and expertise to every surgical team.

Throughout Laurie’s career, she has demonstrated a profound commitment to patient safety, efficient workflow, and exemplary surgical outcomes. Her background in orthopedics has equipped her with a deep understanding of complex procedures and the ability to manage high-stakes environments with precision and care.

In her role as Operating Room Manager, Laurie is known for her leadership, strategic planning, and dedication to fostering a collaborative and supportive team atmosphere. Her passion for continuous improvement and her ability to adapt to the ever-evolving landscape of surgical technology makes her an invaluable asset in the operating room.

Outside of work, Laurie enjoys spending time with her family on the water during the summer and has a great passion for singing & going to karaoke with friends. This blend of professional dedication and personal enjoyment reflects a well-rounded and vibrant approach to life.

David Christunas

Purchasing Director, Bone & Joint Surgery Center of Novi

David brings over 25 years of experience as a Purchasing Director, with a proven history of successfully managing supply chain, logistics, and materials operations. He collaborates closely with implant and surgical supply vendors to secure optimal pricing and timely delivery of implants, instruments, sterile supply and surgical equipment. Additionally, David oversees the proper function and ongoing maintenance of clinical equipment throughout the Center, including medical gases, boilers, vacuum systems, and sterilization equipment. He is dedicated to ensuring that both patients and surgeons have access to the highest quality products for their procedures.

David also brings strategic planning and hands-on expertise to every aspect of his role, ensuring excellence in purchasing and contributing to the ongoing growth and success of the Bone & Joint Surgery Center of Novi. He enjoys spending time at his second home in Traverse City, MI, with his twin brother and two sons. Passionate about the outdoors, David takes every opportunity to appreciate the beauty of northern Michigan.

 We look forward to providing you with the highest quality of care for your surgical experience.