Joanne McCulloch, RN

96 Augsburg Drive, Attleboro, MA 02703

508-455-2341 email: jm589ad2@westpost.net
WORK EXPERIENCE
RN Case Manager Aug 2008 - present Confidential | MA
Medical management of claims for specific population. interaction with patients,
adjusters and providers. determination of anticipated treatment and disability
based on Presley-Reed and ODG guidelines.
Medical Record Review Sept 2006 - Aug 2008 John Hancock, Boston, MA
Medical Record review of applications for long term care insurance. Review and s
ummarize medical records for Underwriting Dept. obtained from applicants APS to
determine suitability of risk based on health history. review consisted of ident
ifying pertinent information from lab values, disease process, treatment plans a
nd diagnoses.
Program Manager March 2003 - July 2005 Arbour-Fuller, Attleboro, MA
Program Manager, Inpatient Psychiatric Unit, other. -Program Manager, Adolescent
Unit for behavioral and developmentally challenged individuals. duties included
staffing, treatment team, on call as needed, involved in multidisciplinary team
. employed by facility as RN Reviewer for behavioral health; intensive chart rev
iew and decision making with multidisciplinary team. Act as liaison to managed c
are companies as patient advocate for hospitalization. Per Diem RN Supervisor; c
overs entire hospital in supervisory hospital: admissions, crisis intervention,
assist staff on units, overall senior nurse during that time. also floated as st
aff charge nurse to all inpatient units as needed.
Discharge Planner Sept 2002 - March 2003 St. Josephs Hosp, RI
Case manager/UR for inpatient medical setting including discharge planning. resp
onsible for DRGs, safe discharge plan, coordination with Social Work for rehab p
lacement. Duties included assessment of patient health history, socioeconomic st
atus and discharge needs throughout the hospital stay.
Medical Case Manager July 2000 - March 2002 Travelers, Middleboro, MA
Telephonic case management for Massachusetts and case mgmt/UR for RI workers com
pensation claims. Use of Presley-Reed MDA and Intracorp criteria.
TCM/UR Jan 2000 - July 2000 CMC | Waltham, Boston, MA
Utilization Review for auto, healthcare and workers compensation; extensive use
of InterQual criteria and Presley-Reed Medical Disability Advisor. Telephonic ca
se manager for workers compensation cases

Joanne McCulloch, RN page 2

TCM/UR Jan 2000 - July 2000 CMC | Waltham, Boston, MA

Utilization Review for auto, healthcare and workers compensation; extensive use
of InterQual criteria and Presley-Reed Medical Disability Advisor. Telephonic ca
se manager for workers compensation cases
Registered Nurse 1986 to 1999 Area hospitals/trauma ctr
-Endoscopy Charge Nurse; implemented standards in department according to SGNA g
uidelines.
-Operating Room Nurse; scrub and circulating duties; Eye Team Leader; Plastics,
Vascular, GU, Ortho, General Surgery
-Pre-Admission Testing area; IVs, ekg, lab work, admit for day surgery.
-PACU; for outpatient and inpatient including critical care recovery areas

EDUCATION
PC Repair Sept 1998-Apr 1999 Computer-Ed Inst, RI
PC Repair Program; Hardware and software training in repair, configuration and t
roubleshooting of PCs. Applications included Microsoft Excel I and II, Word I an
d II, Access.
ADN Nursing Sept 1983-June 1986 CCRI, Lincoln, RI
College curriculum courses designed for licensure as registered nurse.

PROFESSIONAL MEMBERSHIPS / AFFILIATIONS

Case Management Society of America; New England Chapter member