Profession
Rehabilitation Nurse/Case Management/Med-Legal (e.g., Life Care Planning, Medical Billing Analysis, etc.) Nurse Specialist
Special Interests
Health Policy/Quality Health Care/Case Management/Medical Legal Consultation/Life Care Planning/Healthcare Coding & Costing
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 Specialization includes both adult and pediatric population.
- President/CEO of com Hospital Operations: PsiMed/LINC/HealthCheck
- Consultant to MediCal regarding implementation of 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)
- Adviser to United States Congress, Office of Technology Assessment, Health Programs (e.g., High Risk Infants/Pediatrics)
- Insurance Industry Representative for Health Insurance Association of America
- 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 American Association of Nurse Life Care Planners
- Chairman Certification Board – American Association of Nurse Life Care Planners
Selected Previous Positions
- President/CEO Com Healthcare Operations: PSI-Med, LINC, HealthCheck
- Board of Directors Com Healthcare Informatics
- 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/Developer, Cardiac Rehabilitation, National Medical Enterprises
Education
- Claremont Graduate School, Executive Management Certificate Program, 1987
- California State University at Los Angeles, Bachelor of Science Degree: Nursing/Public Health Nursing Certification, 1981
- Rio Hondo Community College, Associate of Science Degree, Nursing, 1975
Registrations and Certifications
- Board of Registered Nursing, Registered Nurse: License Number Z257276 – 1975
- Board of Registered Nursing, Certified Public Health Nurse – 1981
- Rehabilitation Nursing Certification Board, Certified Rehabilitation Registered Nurse – 1991
- Commission for Case Manager Certification, Certified Case Manager – 1993
- American Association of Nurse Life Care Planners, Certified Nurse Life Care Planner – 2004
- Certified Life Care Planner Certification Board, Certified Healthcare Professional Life Care Planner – 2023
- Member of American Academy of Professional Coders (AAPC) – 2004
- Member of American Association of Nurse Life Care Planners– 200
Recognitions and Honors
- Peer Reviewer for the American Association for 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 of dedicated service towards improving the life of others, 200