Case Manager, Crew Medical

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Royal Caribbean Group’s Global Shoreside Crew Medical Team has an exciting career opportunity for a full time Case Manager, Crew Medical reporting to the Crew Medical Manager
.

This is a weekend position. Ability to work flexible work schedules and 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).

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 crew member 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 crew member is declared at maximum medical improvement (MMI).
• Maintains documentation on case status regularly in Riskonnect System.
• Communicates with crew member 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.…