Manager, Case Management, RN

Carnival Corporation

  • Miami, FL
  • Permanent
  • Full-time
  • 7 days ago
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 associates and specialists to ensure high efficiency and effectiveness in the providing care coordination, communication with crew regarding the care they receive at home or at centers of excellence.Key responsibilities include reviewing care plans, coordinating with internal stakeholders and assistance companies and facilitating expedited return-to-work planning. The Manager also escalates high-risk cases, conducts care coordination and utilization reviews.Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship referrals and disembarkations. The Manager monitors performance metrics, drives continuous improvement, and leads the implementation of the crew health programs, and policy development.This position requires strong knowledge of cruise ship medicine, maritime regulations, and crew health standards, and involves collaboration across brands, medical teams, and external providers.Carnival Corporation is comprised of eight brands with approximately 95 ships carrying over 14 million guests annually and employing over 160,000 crew members.Essential Functions:Case Management OversightManage and review cases, including those at domicile or regional centers of excellence.Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate, timely care delivery.Communicate with crew 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 guidelines.Crew Medical Claims ManagementReview crew cases of high risk and escalate to the attention of risk management and the case management (MD), clinical governance, legal, and HR 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 SupportProvide logistical and clinical support to shipboard medical teams.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 audits and quality checks to ensure compliance and continuous improvement.Team ManagementCoach and performance manage the team of associates and specialists related to Key Performance Indicators 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 ProgramsAssist with identifying illness trends and in the development of preventative and communication of crew health programs.Coordinate with shipboard medical teams, HR and other operational teams to ensure seamless implement crew wellness programs across the fleetMonitor the enrollment rates, effects of crew wellness programs and provide feedback and reports to shoreside leadership.Work with Seafarer Medical Supervisor to have crew members enrolled from Crew Medical Certificates Examination Programs.Performs other duties as assignedQualifications:​​Clinical Degree/License required, RN​.Minimum 3 years supervisory experience and 7 or more years in clinical or related administration position.Knowledge, Skills, and Abilities:Preferred to have at least 2 years of clinical practice on cruise ships. Medical background with knowledge in occupational health, preventative health, legal policies, and procedures.Preferable occupational health qualifications or experience in occupational health particularly seafarers. Strong understanding and proficiency in using the Microsoft suite such as Excel, Word, Visio etc.Physical Demands: Must be able to remain in a stationary position at a desk and/or computer for extended periods of time.Travel: Less than 25% with shipboard travel likelyWork Conditions: Work primarily in a climate-controlled environment with minimal safety/health hazard potential.This position is classified as “in-office.” As an in-office role, it requires employees to work from a designated Carnival office in South Florida Tuesday through Thursday each week. Employees may work from their homes on Mondays and Fridays. Candidates must be located in (or willing to relocate to) the Miami/Ft. Lauderdale area.Offers to selected candidates will be made on a fair and equitable basis, taking into account specific job-related skills and experience.At Carnival, your total rewards package is much more than your base salary. All non-sales roles participate in an annual cash bonus program, while sales roles have an incentive plan. Director and above roles may also be eligible to participate in Carnival's discretionary equity incentive plan. Plus, Carnival provides comprehensive and innovative benefits to meet your needs, including:
  • Health Benefits:
  • Cost-effective medical, dental and vision plans
  • Employee Assistance Program and other mental health resources
  • Additional programs include company paid term life insurance and disability coverage
  • Financial Benefits:
  • 401(k) plan that includes a company match
  • Employee Stock Purchase plan
  • Paid Time Off
  • Holidays - All full-time and part-time with benefits employees receive days off for 8 company-wide holidays, plus 2 additional floating holidays to be taken at the employee's discretion.
  • Vacation Time - All full-time employees at the manager and below level start with 14 days/year; director and above level start with 19 days/year. Part-time with benefits employees receive time off based on the number of hours they work, with a minimum of 84 hours/year. All employees gain additional vacation time with further tenure.
  • Sick Time - All full-time employees receive 80 hours of sick time each year. Part-time with benefits employees receive time off based on the number of hours they work, with a minimum of 60 hours each year.
  • Other Benefits
  • Complementary stand-by cruises, employee discounts on confirmed cruises, plus special rates for family and friends
  • Personal and professional learning and development resources including tuition reimbursement
  • On-site Fitness center at our Miami campus
#Corp#LI-EJ1#LI-HybridAbout UsCarnival Corporation & plc is the world's largest leisure travel company, our mission to deliver unforgettable happiness to our guest through our diverse portfolio of leading cruise brands and island destinations, including Carnival Cruise Line, Holland America Line, Princess Cruises, and Seabourn in North America and Australia; P&O Cruises and Cunard Line in the United Kingdom; AIDA in Germany; Costa Cruises in Southern Europe.Join us and embark on a career that offers not only the chance to grow professionally but also the opportunity to be part of a global community that makes a difference.In addition to other duties/functions, this position requires full commitment and support for promoting ethical and compliant culture. More specifically, this position requires integrity, honesty, and respectful treatment of others, as well as a willingness to speak up when they see misconduct or have concerns.Carnival Corporation & plc and Carnival Cruise Line is an equal employment opportunity/affirmative action employer. In this regard, it does not discriminate against any qualified individual on the basis of sex, race, color, national origin, religion, sexual orientation, age, marital status, mental, physical or sensory disability, or any other classification protected by applicable local, state, federal, and/or international law.

Carnival Corporation