Registered Nurse · Clinical Informatics Leader

Where bedside nursing meets enterprise data.

25+ years as an RN. A decade leading the application development and analytics behind some of healthcare's highest-stakes decisions - from the ICU to the EHR.

BEDSIDE DATA
Available for part-time bedside RN roles Open to contract informatics consulting
About
Portrait of Brandee Sealey Gonzales, RN, BSN
25+ yrs
Bedside nursing & health IT
$600M+
Charge capture impact, enterprise-wide
55% ↓
ICU length of stay, PE workflow pilot
Active
TX RN License #680029, since 2001

I started as a staff and charge nurse in labor & delivery and intermediate care, then moved into a supervisor role overseeing 50 FTEs and 45 beds on a transplant and cardiac telemetry unit. Somewhere along the way, I kept noticing the same thing: the technology meant to support patient care was usually a half-step behind the people actually delivering it.

So I moved into clinical informatics — not to leave nursing, but to fix the systems nursing depends on. Over a decade at HCA Healthcare / Methodist Healthcare System, I've built and led the application development and BI work behind registry reporting, clinical alerting, and revenue-capture systems used across multiple facilities, while staying close enough to the bedside to know whether they actually work.

Today I'm looking for the same kind of fit that's defined my career: real, hands-on impact to help solve the toughest challenges. That might be a part-time bedside RN role, a contract informatics engagement, or both.

What I bring

Clinical

Critical Care Nursing Labor & Delivery Infection Control CPOE & Med Rec Adoption Clinical Decision Support NIH Stroke Scale Certified Charge Nurse / Staffing Leadership

Technical & Analytics

SQL ETL Pipelines BI Tools & Dashboards Meditech PDOC / OE / EDM / NUR Application Development Workflow Redesign Data Quality & Validation
Selected projects

Two systems, one job: get the right information to the right person before it's too late.

Enterprise scale
$600M+
in additional charges captured enterprise-wide

Procedure Charge Capture

Problem

Bedside procedures like central line insertion, intubation, and paracentesis were routinely under-billed because charge capture depended on manual entry.

Approach

Built ETL pipelines pulling directly from the medical record, paired with an automated bot that charged qualifying cases against defined clinical criteria, removing the manual step entirely.

Result

Scaled the system enterprise-wide, recovering over $600 million in charges that were previously missed.

Clinical decision support
↓ AKI
post-procedure kidney injuries, system-wide

NOKI Alerting System

Problem

Patients scheduled for left heart catheterization or PCI need consistent IV hydration to protect kidney function, but that hydration wasn't happening reliably.

Approach

Designed a desktop alert that pushed pertinent clinical data and the ordering physician's contact information directly to the bedside nurse during the pre- and post-procedure window.

Result

Closed the communication gap driving inconsistent hydration and significantly reduced post-procedure acute kidney injuries.

44% ↑ / 55% ↓

PE workflow pilot with a third-party vendor: a 44% increase in indicated thrombectomies and a 55% reduction in ICU length of stay. The database and dashboard I built went on to support the unit's Pulmonary Embolism Center of Excellence designation.

ELSO Platinum

Directed the architecture of a custom registry reporting application that served as a foundational data component in the ECMO program's Platinum Center of Excellence designation.

Experience

25 years, one throughline: closer to the patient than the org chart suggests.

2024 — 2026

Manager, App Dev / Business Intelligence

HCA Healthcare (Methodist Healthcare System)

Led a multidisciplinary team driving enterprise data strategy, workflow optimization, and application performance across multiple facilities.

2019 — 2024

Sr. Business Analyst, App Dev / Business Intelligence

HCA Healthcare (Methodist Healthcare System)

Clinical SME for development projects; validated SQL databases and ETL pipelines; led development of the NOKI alerting system.

2014 — 2019

Consulting EHR Support / Senior Clinical Analyst

HCA Healthcare (Methodist Healthcare System)

Managed Meditech modules (PDOC, OE, EDM) and led EHR implementations; coordinated EHR Change Control Boards.

2012 — 2013

Clinical Informaticist

HCA Healthcare (Methodist Healthcare System)

Advanced CPOE and Med Rec adoption system-wide through super-user training and clinical education.

2009 — 2015

Independent Contractor — RN Scribe

Acute Rehabilitation Hospital (Contract)

Documented progress notes for three physicians and supported clinical decision-making through accurate, timely communication.

2001 — 2012

Certified Infection Control Practitioner, ICU & Charge RN, EHR Core Team

Christus Santa Rosa / Scott & White / Southeast Baptist Hospital

Led infection surveillance and Meditech optimization; critical care nursing with NIH Stroke Scale certification; trained 600+ users through an EHR implementation; supervised 50 FTEs and 45 beds on a transplant and cardiac telemetry unit.

Education & affiliations

Education & Licensure

BSN, Summa Cum Laude
Galen College of Nursing, 2022
MS in Data Analytics (in progress)
Colorado State University Global
ADN
San Antonio College, 2001
Texas RN License #680029
Active since 2001

Professional Affiliations

HIMSS, South Texas Chapter
Advocacy Committee Co-Chair (2025–2026); member since 2012
American Nurses Association / Texas Nurses Association
Member since 2022
Invited Panelist
South Texas HIMSS webinar, "The Evolution of Clinical Informatics: Past, Present, and Future" (2026)