Medical Case Manager

Great Vacations Begin With Great Employees!

Combine your experience and sense of adventure by joining our exciting team of employees in Miami, FL.  Royal Caribbean Cruises Ltd. 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 Medical Case Manager coordinates care for crew who are medically disembarked and repatriated to their home country or designated medical center for extended/complex medical care. Coordination of care with medical providers in assigned countries/regions until crewmember has been declared fit for duty, unfit for duty and/or at maximum medical improvement.

Career Snapshot:

• Manage crew medical care with designated medical providers in assigned countries/regions
• Communicate with ill/injured crewmember regarding medical benefits and treatment plan
• Maintain updates on case status regularly in RMIS (Risk Management Information Systems)
• Work within and maintain information is eseacare EMR system
• Maintain expertise of medical resources available in assigned countries/regions
• Monitor, report, and update legal department regularly on case management activity of active medical cases in litigation
• Coordinate second medical opinions as recommended and/or requested
• Assign financial reserves for each case and update regularly as required
• Timely notifies appropriate P&I Club of high exposure medical cases expected to possibly exceed deductible, provide case overview and medical records
• Review all case reserves monthly
• Meet with Team Leader on complex medical cases; utilize strategic thinking and discussions to develop care management plans
• Meet with ship Case Manager and Team Leader to determine treatment location most appropriate on a case by case basis for medically disembarked crew
• Prepares written summary of cases where complex surgery has been recommended for review/approval by MPH management
• Negotiate best possible rates for quality medical services provided
• Identify and discuss cost savings opportunities with management
• Liaise with CareTeam members on crew medical disembarks, deaths or other serious illness/injuries
• Attend/Participate in regularly scheduled case review meetings of active medical only and/or litigated cases. Preparation/Review of reports on active cases and Identify case for consideration for direct settlement and present at claim review meetings
• Travels occasionally to assigned countries and visit new/existing medical facilities treating our crew
• Organize medical escorts and/or air ambulance evacuations as required
• Assist in training of new/temporary staff and updating of form documents and EMR
• Attend/Participate in depositions or trials as company representative as required. May be required to participate in pre-deposition/pre-trial conferences

Requirements:

• Nursing Degree from accredited college or nursing school
• Ability to work flexible schedule and a minimum of one assigned weekend per month, as well as remotely to support fleet and department as required
• Strong independent decision making ability regarding care management plan for ill/injured crew based on merits of each and interpret business /professional documents
• Able to effectively summarize complex and at times, voluminous medical records
• Detail Oriented  
• Understanding of medical terminology
• Ability to perform basic math, compute, calculate, percent and interpret bar graphs
• Computer Skills: Microsoft Office, Lotus Notes, PeopleSoft, AIRTS, RMIS, and eSea Care

Preferences:

• RN with valid nursing license or LPN with valid license with a minimum of two years case management experience
• Bi-Lingual

Thank you for your interest in this role. Royal Caribbean Cruises Ltd. is the world's second largest cruise company, operating under Royal Caribbean International, Celebrity Cruises and Azamara Club Cruises brands. These brands offer an array of onboard activities, services and amenities, including simulated surfing, swimming pools, sun decks, beauty salons, exercise and spa facilities, ice skating rinks, in-line skating, basketball courts, rock climbing walls, miniature golf courses, gaming facilities, lounges, bars, Las Vegas-style entertainment, cinemas and Royal Promenades, which include interior shopping, dining and an entertainment boulevard.

Join our team as a Medical Case Manager.  Once you click to apply below, it will take you 10-15 mins to complete our application, which will help us better qualify your candidacy.   If you are being considered for this position you will hear back from us within the next < 30-60 > days.  During this time, you can view your application status on our career site. 

Join us at Royal Caribbean Cruises Ltd., where great vacations begin with great employees!

RCL is an Equal Employment Opportunity employer.