Rehabilitation Nurse/Case Management/Med-Legal (e.g., Life Care Planning, etc.) Nurse Specialist

Special Interests

Health Policy/Quality Health Care/Case Management/Medical Legal Consultation/Life Care Planning

Present / Past Positions and Appointments

  • President, Roughan & Associates at LINC. Created, marketed, and implemented an independent medical, psychiatric, and legal case analysis and management business. The primary areas of service encompass the Western Region of the United States. Specialization includes both adult and pediatric population
  • Consultant to MediCal with regard to establishing an internal case management program
  • Independent Consultant to health care reimbursement and provider communities
  • Chairman of the Group Health Committee of the National Insurance Rehabilitation Study Group
  • Insurance Advisor to the National Head Injury Foundation
  • Consultant to the Surgeon General of the United States on Health Affairs (e.g., AIDS)
  • Insurance Industry Representative for Health Insurance Association of America
  • Adviser to United States Congress, Office of Technology Assessment, Health Programs (e.g., Pediatrics)
  • Product Development Consultant for industry response to continuum of care needs for special populations
  • Peer Reviewer for Annual National Symposia, National Head Injury Foundation, Spinal Cord Injury Association
  • Chairman of Case Management Society of America Third Annual Southern California Conference
  • Conference/Educational Committee for National Association of Nurse Life Care Planners
  • Chairman of Certification Board – American Association of Nurse Life Care Planners

Selected Previous Positions

  • President and CEO of PsiMed Physician Billing Services
  • Vice President and Business Manager/Director — The Equitable Life Assurance Society, Case Management Services
  • Healthcare Administration — Nursing Supervisor of multispecialty acute care hospital
  • Independent Critical Care Contractor — Multispecialty acute care hospitals
  • Critical Care Instructor — Multispecialty acute care hospitals
  • Health Promotion Consultant/Instructor, California State University (Los Angeles), Pasadena Community College and City of Alhambra, California
  • Head Nurse, Cardiac Surgical Unit, National Medical Enterprises
  • Program Director, Cardiac Rehabilitation, National Medical Enterprises


  • Claremont Graduate School, Executive Management Certificate Program, 1987
  • California State University at Los Angeles, Bachelor of Science Degree/Public Health Nurse Certification, Nursing, 1981
  • Rio Hondo Community College, Associate of Science Degree, Nursing, 1975

Registrations and Certifications

  • Board of Registered Nursing, Registered Nurse, License Number Z257276 since 1974
  • Board of Registered Nursing, Certified Public Health Nurse since 1981
  • Rehabilitation Nursing Certification Board, Certified Rehabilitation Registered Nurse since 1991
  • The Commission for Case Manager Certification, Certified Case Manager since 1993
  • American Association of Nurse Life Care Planners, Certified Nurse Life Care Planner since 2004
  •  Member of American Academy of Professional Coders (AAPC)
  •  Member of American Association of Life Care Planners
  •  Member of American Association of Legal Nurse Consultants

Recognitions and Honors

  • Peer Reviewer for the American Association of Spinal Cord Injury Nurses
  • Peer Reviewer for National Head Injury Foundation
  • Peer Reviewer for American Association of Nurse Life Care Planners
  • Hope and Freedom Award, Ability Center in recognition for dedicated service towards improving the life of others, 2009