Journey with us! Combine your career goals and sense of adventure by joining our exciting team of employees Royal Caribbean Group is pleased to offer a competitive compensation & benefits package and excellent career development opportunities each offering unique ways to explore the world
Position Summary:
The Crew Medical Case Manager is responsible for the management of medical care for crew who are medically disembarked in ports of call and/or are repatriated to their home country or designated medical center for medical care in compliance with applicable United States federal law (46 USCA Sec 688 / Jones Act)
The role provides direct oversight of medical care and services coordinated through appropriate medical providers via collaboration with intermediaries port and/or agents as needed in assigned countries/regions until the crewmember has been declared at maximum medical improvement (MMI) The case manager may collaborate with the ship medical team on decisions regarding care management plan for crew requiring extended medical treatment ashore He/she follows company policies and procedures to ensure delivery of all crew medical care is provided promptly properly and adequately as required by applicable law The case manager is also responsible for the documentation of all contacts with the crew member family providers and agents and the timely collection of all pertinent medical information including hospitalization and office notes labwork diagnostic tests therapies medications etc He/she will maintain the privacy of all Protected Health Information (PHI) in compliance with applicable HIPAA and GDPR regulations The case manager will ensure that any crew member who is determined to be at MMI may return to work where applicable in support of the operational needs of his/her department This decision can be made independently through consultation with management or by committee decision for more involved cases
Essential Duties and Responsibilities:
Plans evaluates and facilitates crew medical care and benefits via local port/country agents intermediaries or designated medical providers in assigned countries/regions until crewmember is declared at maximum medical improvement (MMI)
Maintains documentation on case status regularly in Riskonnect System
Communicates with crewmember regarding medical benefits and treatment plan at least biweekly- or as deemed by the severity stratification
Calculates and updates financial reserves for each assigned case at least monthly and with any significant treatment plan or new diagnosis- Exercises independent judgment and discretion to identify high exposure/significant medical cases expected to exceed applicable deductibles and thereby necessitating applicable P&I Club notification
Collaborates with and supports crew in port and/or repatriated to determine appropriate treatment location for medical disembarkation Decision should take into consideration the patient’s medical condition patient transport tolerance available medical equipment supplies medications and medical expertise at receiving facility- Arranges second medical opinions as necessary
Communicates with crew to ensure understanding of benefits and risks associated with complex surgical procedures treatment plans and medications- Facilitates communications with crew member’s emergency contact/family to advise of medical status and company’s actions to provide care or efforts in repatriation of remains in case of crew member’s death abroad
Participates in case review meetings of active medical and/or litigated cases- Prepares reports on active cases
- Identifies and prepares cases for direct settlement review in conjunction with Legal team
Collaborates with Legal team in the transferring of cases that become represented in identification and preparation of case reviews for potential settlement/buyout- Participates in pre-deposition/pre-trial conferences where applicable
Supports Legal department through participation at depositions and/or trials as company representative as required- Keeps current on availability of medical resources in assigned countries/regions commensurate with new developments in medical industry
- Exercises independent judgment and/or collaborates with Network team in the negotiation of most favorable rates for quality medical services worldwide
Liaises with CareTeam members on crew medical disembarks deaths or other serious illness/injuries- Organizes medical escorts and/or air ambulance evacuations worldwide
Performs other duties as required This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position- Employees will be required to perform any other job-related duties assigned by their supervisor or management
Performs other duties as required This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position Employees will be required to perform any other job-related duties assigned by their supervisor or management
Qualifications Knowledge & Skills:
Bachelor’s degree or equivalent experience in health care or case management required
- Minimum of three (3) years case management experience in handling Maritime/Jones Act and/or personal injury cases
Ability to work flexible work schedules and occasional weekend days to support fleet and department as assigned and/or required- Work shift changes may be required based on business necessity (high season/itinerary changes and time zone)
- Registered Nurse (RN) highly preferred
- Strong independent decision-making ability regarding care management plan for ill/injured crew based on merits of each case and review of all medical records and treating physician recommendations
Excellent communication skills both written and verbal Ability to read- analyze and interpret business/professional documents
Able to effectively summarize complex and at times- voluminous medical records
Bi-Lingual preferred but not required (ie Spanish- Tagalog)
- Understanding of medical terminology
- Detail oriented
Ability to perform basic math compute calculate- percent and to interpret bar graphs
Computer Skills required: Microsoft Office Lotus Notes PeopleSoft- Will need to learn Riskonnect and SeaCare for the management of cases
We know there is a lot to consider As you go through the application process our recruiters will be glad to provide guidance and more relevant details to answer any additional questions Thank you again for your interest in Royal Caribbean Group We will hope to see you onboard soon!
It is the policy of the Company to ensure equal employment and promotion opportunity to qualified candidates without discrimination or harassment on the basis of race color religion sex age national origin disability sexual orientation sexuality gender identity or expression marital status or any other characteristic protected by law Royal Caribbean Group and each of its subsidiaries prohibit and will not tolerate discrimination or harassment
#LI-MP1