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Carnival Corporation

Manager, Case Management, MD

Carnival Corporation, Miami, Florida, us, 33222

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Overview

Manager, Case Management, MD role at

Carnival Corporation . 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. Responsibilities

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 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 logistic skills; maintain attention to detail and accuracy. Preferable occupational health qualification 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 likely Work Conditions

Work primarily in a climate-controlled environment with minimal safety/health hazard potential. Work Location / Schedule

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. Benefits

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 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

Carnival Corporation & plc is an equal employment opportunity/affirmative action employer. It does not discriminate against any qualified individual on the basis of sex, race, color, national origin, religion, sexual orientation, age, marital status, mental or physical disability, or any other classification protected by applicable law.

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