🚀 Manager, Case Management, RN

Job Overview

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 provision of 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, supports shipboard medical teams, participates in the 24/7 duty rotation, manages ship referrals and disembarkations, 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.

Essential Functions

• Case Management Oversight
  • Manage 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 Management
  • Review crew cases of high risk and elevate to risk management and case management, 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 stakeholders to build relationships, improve workflows, and grow healthcare networks.
• Operational Support
  • Provide logistical and clinical support to shipboard medical teams.
  • 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 audits and quality checks to ensure compliance and continuous improvement.
• Team Management
  • Coach 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 Programs
  • Assist with identifying illness trends and developing preventative and communication strategies for crew health programs.
  • Coordinate with shipboard medical teams, HR, and other operational teams to ensure seamless implementation of crew wellness programs across the fleet.
  • Monitor enrollment rates and program effects and provide feedback and reports to shoreside leadership.
  • Work with Seafarer Medical Supervisor to enroll crew members in Crew Medical Certificates Examination Programs.
• Perform other duties as assigned.

Qualifications

• Clinical Degree/License required, RN.
• Minimum 3 years supervisory experience and 7 or more years in a 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, preventive 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 likely.

Work Conditions

Work primarily in a climate‑controlled environment with minimal safety/health hazard potential.

Compensation & Benefits

This position is classified as an “in‑office” role. 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.

• 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 employees receive days off for 8 company‑wide holidays, plus 2 additional floating holidays.
  • Vacation Time – All full‑time employees start with 14 days/year; director and above start with 19 days/year. Part‑time employees receive time off based on hours worked, minimum 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 employees receive time off based on hours worked, minimum 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.

Equal Employment Opportunity

Carnival Corporation & 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.

Additional Information

Offers to selected candidates will be made on a fair and equitable basis, taking into account specific job‑related skills and experience. All non‑sales roles participate in an annual cash bonus program; sales roles have an incentive plan. Director and above roles may also be eligible to participate in Carnival’s discretionary equity incentive plan.

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