Specialist, Case Management

Location: Philippines

Job Summary

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. The Specialist, Case Management 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 and medical evaluation to identify risks, trends, and/or missing actions throughout the cases. They will ensure that the appropriate documentation is kept.

Essential Functions

Case Management

• Engage with the Crew Member, Next of Kin, medical providers, and other stakeholders from the 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 physicians for general updates and/or recommendations on changes in the course of treatment if necessary.
• Organize 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.
• 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.
• Work with Hospitals / Port Agents / HR teams and other authorities to ensure that appropriate requirements are met with regards to parole and other customs requirements.
• Ensure 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.