Case Mgr, Crew Medical

Position Summary:
The Crew Medical Case Manager is responsible for the management of medical care for crew who are
medically disembarked in ports of call and/or are repatriated to their home country or designated medical
center for medical care in compliance with applicable Philippine law.
The role provides direct oversight of medical care and services coordinated through appropriate medical
providers, via collaboration with intermediaries, port and/or agents as needed, in assigned
countries/regions, until the crewmember has been declared at maximum medical improvement (MMI).
The case manager may collaborate with the ship medical team on decisions regarding care management
plan for crew requiring extended medical treatment ashore. He/she follows company policies and
procedures to ensure delivery of all crew medical care is provided promptly, properly, and adequately as
required by applicable law. The case manager is also responsible for the documentation of all contacts with
the crew member, family, providers and agents and the timely collection of all pertinent medical
information including hospitalization and office notes, labwork, diagnostic tests, therapies, medications,
etc. He/she will maintain the privacy of all Protected Health Information (PHI) in compliance with applicable
HIPAA and GDPR regulations. The case manager will ensure that any crew member who is determined to
be at MMI may return to work where applicable in support of the operational needs of his/her department.
This decision can be made independently, through consultation with management, or by committee
decision for more involved cases.
Essential Duties and Responsibilities:
• Plans, evaluates, and facilitates crew medical care and benefits via local port/country agents,
intermediaries or designated medical providers in assigned countries/regions until crewmember is
declared at maximum medical improvement (MMI).
• Maintains documentation on case status regularly in Riskonnect System.
• Communicates with crewmember regarding medical benefits and treatment plan at least biweekly,
or as deemed by the severity stratification.
• Calculates and updates financial reserves for each assigned case at least monthly and with any
significant treatment plan or new diagnosis. Exercises independent judgment and discretion to
identify high exposure/significant medical cases expected to exceed applicable deductibles and
thereby necessitating applicable P&I Club notification.
• Collaborates with and supports crew in port and/or repatriated to determine appropriate
treatment location for medical disembarkation. Decision should take into consideration the
patient’s medical condition, patient transport tolerance, available medical equipment, supplies,
medications, and medical expertise at receiving facility. Arranges second medical opinions as
necessary.
8F and 9F One Ayala, Ayala Ave., Makati City 1226, Metro Manila, Philippines I royalcaribbeangroup.com
• Communicates with crew to ensure understanding of benefits and risks associated with complex
surgical procedures, treatment plans and medications. Facilitates communications with crew
member’s emergency contact/family to advise of medical status and company’s actions to provide
care or efforts in repatriation of remains in case of crew member’s death abroad.
• Participates in case review meetings of active medical and/or litigated cases. Prepares reports on
active cases.
• Identifies and prepares cases for direct settlement review in conjunction with Legal team.
• Collaborates with Legal team in the transferring of cases that become represented, in identification
and preparation of case reviews for potential settlement/buyout. Participates in predeposition/
pre-trial conferences where applicable.
• Supports Legal department through participation at depositions and/or trials as company
representative as required. Keeps current on availability of medical resources in assigned
countries/regions commensurate with new developments in medical industry.
• Exercises independent judgment and/or collaborates with Network team in the negotiation of most
favorable rates for quality medical services worldwide.
• Liaises with CareTeam members on crew medical disembarks, deaths or other serious
illness/injuries. Organizes medical escorts and/or air ambulance evacuations worldwide.
• Performs other duties as required. This job description in no way states or implies that these are
the only duties to be performed by the employee occupying this position. Employees will be
required to perform any other job-related duties assigned by their supervisor or management.
Performs other duties as required. This job description in no way states or implies that these are the
only duties to be performed by the employee occupying this position. Employees will be required to
perform any other job-related duties assigned by their supervisor or management.