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Manager, Crew Health Doctor

Job in Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Holland America Line Inc
Full Time position
Listed on 2026-02-23
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 75000 - 100000 USD Yearly USD 75000.00 100000.00 YEAR
Job Description & How to Apply Below

This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of specialists to ensure timely, empathetic communication and resolution of high‑complexity cases involving clinical, legal, and logistical challenges.

Key Responsibilities
  • Review care plans, coordinate with internal stakeholders, support disability claims, and facilitate return‑to‑work planning.
  • Escalate high‑risk cases, conduct utilization reviews, and represent the company in arbitration when needed.
  • Support shipboard medical teams, participate in the 24/7 duty rotation, and manage onboard referrals and disembarkations.
  • Monitor performance metrics, drive continuous improvement, and lead the development of crew health programs and policy development.
Essential Functions Case Management Oversight
  • Manage high‑complexity cases involving clinical challenges, cases in port, legal and regulatory risks, and logistical constraints.
  • Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate, timely care delivery.
  • Communicate with seafarers and their families with professionalism and empathy.
  • Review clinical care plans for appropriateness and support the case management team in decision‑making.
  • Oversee care coordination for referred and disembarked crew, ensuring adherence to evidence‑based and cost‑effective practices.
  • Facilitate crew return‑to‑work planning in compliance with regulations and employment obligations.
  • Support disability claims and benefits review for crew unable to return to duty.
  • Collaborate with the crew health team to assess fitness for duty per International Maritime Health standards.
Crew Medical Claims Management
  • Escalate high‑risk crew cases to risk management, legal, HR, and clinical governance teams.
  • Review crew claims for relevance and appropriateness in coordination with internal and external legal teams.
  • Represent the corporation in arbitration proceedings related to crew medical cases.
  • Lead investigations into complaints or concerns regarding crew medical issues.
  • Conduct utilization reviews to assess medical necessity and customary costs and contribute to documentation accuracy.
  • Identify areas of improvement with healthcare providers and assistance companies and work with necessary stakeholders to build relationships, improve workflows and grow healthcare networks.
Operational Support
  • Provide logistical and clinical support to shipboard medical teams, especially for complex cases.
  • Work with the Health Operations Center to serve as a resource and for medical emergencies, medevacs, public health concerns, and other critical crew health issues.
  • Coordinate onboard care referrals and disembarkation processes.
  • Participate in the 24/7 duty schedule for crew medical support.
  • Support the Senior Manager of Case Management in developing and maintaining policies and procedures for crew health and case management.
  • Conduct quality assurance and patient satisfaction audits to ensure compliance and continuous improvement.
Team Management
  • Coach and performance manage the case management team to meet or exceed productivity and quality goals.
  • Establish and promote best practices and workflows for case management, including coordination with assistance companies.
  • Collaborate with internal departments to ensure aligned and well‑coordinated health initiatives.
  • Monitor key performance indicators, population health data and produce recurring reports on case management metrics.
Crew Health Programs
  • Identify illness trends and lead the development of preventative and screening health programs based on medical evidence.
  • Train and work with shipboard and shoreside medical teams to implement and monitor effects of health programs.

Performs other duties as assigned.

Qualifications
  • MD / DO required.
  • Medical background with knowledge in occupational health, family practice, legal policies, and procedures.
  • Minimum 3 years supervisory experience and 7 or more years in clinical or related administration position.
  • Preferred to have at least 2 years of clinical practice on cruise ships.
Knowledge, Skills, and Abilities
  • Ability to apply analytical and…
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