This role reports to the Supervisor of Case Management to work towards obtaining high quality, cost effective, and timely health care for all hospitalized and non-hospitalized crew members. 

This role will work as a liaison between shipboard medical teams, the crew member and shoreside medical providers and assistance companies to promote appropriate medical care for crew members through the coordination of logistical aspects as well as medical evaluation to identify risks, trends, and /or missing actions throughout the cases. They will ensure that the appropriate documentation is kept.

The Specialist, Case Management will act as a health advocate and be responsible for cases from beginning to end, assisting crew with getting appropriate care and making decisions, receive the appropriate benefits related and ensure timeliness of communication and support from the company and review return to work.

The Case Management Specialist will also work with People’s Team / Crew Care / Travel Teams to ensure that crew members disembarked out of their domicile have the necessary medical care, is supported in hospitals / medical facilities, that appropriate transportation and hotel arrangements are available and that there is compliance with immigration / customs authorities. 

The Case Management Specialist will work closely with Assistance Companies with regards to care provided to Crew Members, but the focus will be dealing with high risk, long-term cases, high cost and complex cases to bring them to a timely conclusion and return to work where possible.

Position includes rotational on call to ensure 24-7 medical coverage.

This role will interface with all brands, medical teams onboard, shoreside health services and public health leaders as well as external vendors that manage our healthcare systems. Carnival Corporation is comprised of nine brands with approximately 95 ships carrying over 12 million guests annually and employing over 100,000 team members. 

Essential Functions:

Case Management: Engage with the Crew Member, Next of Kin, medical providers, and other stakeholders from moment of disembark to return onto the vessel.  The liaison between the shipboard medical team and shore-side medical providers to facilitate medical appointments, assist with retrieval and review of medical reports and documentation, and ensure timely communication with treating physician for general updates and/or recommendations on changes in course of treatment if necessary.  Act as the Healthcare Advocate for crew members who are medically disembarked, with focus for crew members admitted outside of domicile. Organizes the logistics for medical transfers of patients by any means (e.g. Air Ambulances, Commercial Flights, Ground Ambulance, Medical escorts etc.) from shipboard to shore-side, within shoreside and repatriation to their home country.  Determines fitness to work status based on Statutory and Company fitness standards while prioritizing patients’ health condition and minimizing sick time. Work with teams such as Crew Care / Care Team / Port Agents / Travel Teams and Assistance Companies to ensure that team members basic needs are met such as accommodation, food and communications with family while away from domicile. Work with Hospitals / Port Agents / HR teams and other authorities to ensure that appropriate requirements are met with regards parole and other customs requirements Ensures that cost estimates for medical procedures are provided and that they seem appropriate.  Reviews financial quotes and obtains management approval when not within the current margin of spending guidelines. Reviews and approves/rejects medically related invoices after referencing clinical chart details.    Maintains electronic medical documentation for each patient with case management, including updating medical history, case summaries. Maintain any appropriate communication logs of interactions with crew members, medical providers, and other stakeholders. Review and action cases in a frequent and timely manner Be part of a 24/7 On-Call Roster Risk Management: Identifies high risk/catastrophic crew cases and alerts management accordingly.  Identifies patterns and/or trends in crew member illnesses and injuries Assist with and review of medical charts for quality assurance when required or requested in terms of complex cases.  Assist with and review of medical charts when required or requested for medicolegal purposes and coordinate with legal / claims and risks teams for mitigation of cases. Calls out any concerns or red flags as well as patterns related to medical providers Operational Support: Work with the shipboard medical teams and health operations teams with regards to cases of medical disembarks of crew members. Provide assistance with projects or other requirements as operationally necessary.

Qualifications:

Bachelor’s degree. Clinical background, BSN/RN or MD required.  5+ years combined experience in patient care, case management, occupational health, and/or utilization review. 

Knowledge, Skills and Abilities:

Familiarity and experience with medical billing procedures. Excellent organizational and communication skills. Proficiency in Microsoft Outlook, Word, Excel and PowerPoint Ability to handle multiple projects efficiently and complete in timely manner. Strong communication and organizational skills. Able to use PowerPlatform based applications. Shipboard clinical experience preferred.

Physical Demands: Must be able to remain in a stationary position at a desk and/or computer for extended periods of time. Requires regular movement throughout CCL facilities.

Travel: No or very little travel likely

Work Conditions: Work primarily in a climate-controlled environment with minimal safety/health hazard potential. May be requested to work a different shift.

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 from Tuesday through Thursday.  Employees may work from home on Mondays and Fridays. Some positions may require additional in-office time each week and final schedule is determined by your leader.  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 7 company-wide holidays, plus an additional floating holiday 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 preschool program and wellness center at our Miami campus

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