You Don’t Have to Face the Healthcare System Alone

Private Healthcare Navigation & Care Coordination

Whether you are managing a complex diagnosis, preparing for a major procedure, or feeling overwhelmed by the administrative burden of your own care, we’re here to help you make sense of a fragmented system. Staffed by Registered Nurses, we serve as your clinical partner—ensuring you never have to face the medical system alone.

Who we serve

Whether you are managing your own healthcare or coordinating support for someone you love, Zafrany provides expert clinical navigation tailored to your needs:

  • Self-Advocating Patients who want an experienced clinician in their corner for complex diagnoses, specialist visits, and administrative follow-up.

  • Busy or Out-of-State Families seeking a dedicated, on-the-ground Registered Nurse in Portland to oversee a loved one's care.

  • Families Navigating Crises who need immediate bedside oversight during hospital stays, surgeries, or post-acute discharges.

  • LGBTQ+ Individuals & Chosen Families: Individuals seeking culturally competent, non-judgmental advocacy to ensure their identities, chosen family dynamics, and healthcare directives are fully respected across every medical setting.

How We Support You

Acting as your dedicated clinical ally, we bridge the gap between busy medical teams and your personal health goals. We accompany you to medical visits, ask targeted clinical questions, decipher treatment plans, and ensure your care is coordinated, safe, and aligned with what matters most to you.

Gabby Dubrow or Gabrielle Dubrow or Gabrielle Ruimy

Gabby Ruimy, RN, BCPA

Meet the Founder

Gabby Ruimy, RN, BCPA, is a registered nurse and board-certified patient advocate with over two decades of experience navigating the complexities of modern healthcare. Her extensive background spans the entire care continuum—from high-volume cancer centers to rural hospitals, from inpatient units to outpatient clinics, and in-home hospice care. Having served both as a bedside caregiver and a system-level clinical analyst, Gabby possesses a rare, dual-perspective understanding of direct patient care and the structural workings of healthcare systems.

Driven by a commitment to compassionate care, Gabby bridges the gap between complex medical information and patient understanding. She translates medical jargon into clear, actionable insights, empowers patients and families to communicate effectively with their care teams, providing a steady, supportive presence during vulnerable moments. Whether guiding a family through a critical diagnosis or advocating for seamless care transitions, Gabby ensures no patient walks their healthcare journey alone.

What People Are Saying

  • Gabby has an incredible willingness to dig in and get real answers. She takes control of appointments and works through every single concern until everyone is comfortable.

    Cam D.

  • I'm grateful for Gabby's compassion and support at the end of my husband's life. She helped me understand what to expect and how to manage his medications.

    Dawn T.

  • Frank had been so stressed about being in rehab but after meeting with Gabby he felt so much better. He was noticeably calmer, reassured, and relieved to have someone in his corner

    Susan R.