Specialist, Case Management (Nurse / On-site)

Cruise Administration Services, Inc.; Pasay; On-site; PHP 600,000 - 900,000; Full time

Job summary

Cruise Administration Services, Inc. is seeking a Specialist, Case Management to coordinate health care for crew members, from disembarkation to return to the vessel.

You will liaise between shipboard medical teams, shoreside providers, and assistance companies to ensure timely, quality, and cost-effective care. The role includes organizing medical transfers by air or ground, maintaining electronic medical records, and supporting fitness-to-work decisions.

Qualifications

• Bachelor's Degree required in a relevant field.
• Clinical background with BSN/RN or MD.
• 5+ years combined experience in patient care or case management.
• Familiarity with medical billing procedures.
• Strong organizational and communication skills.
• Proficiency with Microsoft Office and PowerPlatform applications.
• Shipboard clinical experience preferred.

Responsibilities

• Coordinate health care for crew members from disembarkation to return to vessel.
• Liaise between shipboard medical teams, shoreside providers, and assistance companies.
• Organize medical transfers by air, ground, or other means.
• Review medical reports and documentation and ensure timely communication.
• Maintain electronic medical records and case summaries.
• Participate in 24/7 on-call roster.

Skills

Communication skills

Organizational skills

PowerPlatform familiarity

Microsoft Office suite

Education

Bachelor's degree

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

PowerPoint

Job description

About the role

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.

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

Key responsibilities

• Engage with the Crew Member, Next of Kins, medical providers, and other stakeholders from moment of disembark to return onto the vessel
• Act as 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
• Act as the Healthcare Advocate for crew members who are medically disembarked, with focus for crew members admitted outside of domicile
• Organize the logistics for medical transfers of patients by any means (eg. Air Ambulances, Commercial Flights, Ground Ambulance, etc) from shipboard to shore-side, within shoreside and repatriation to their home country
• Determine 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
• Ensure that cost estimates for medical procedures are provided and that they seem appropriate. Review financial quotes and obtain management approval when not within the current margin of spending guidelines
• Maintain electronic medical documentation for each patient with case management, including updating medical history, case summaries
• Identify high risk/catastrophic crew cases and alert management accordingly
• Be part of a 24/7 On-Call Roster

About you

• Bachelor's Degree required
• Clinical background, BSN/RN or MD required
• 5+ years combined experience in patient care, case management, occupational health, and/or utilization review
• 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
• Able to use PowerPlatform based applications
• Shipboard clinical experience preferred
• Full commitment and support for promoting ethical and compliant culture