Manager, Health Services

Medical Manager Health Services

This role is based in Weybridge UK

Journey with us!

Combine your career goals and sense of adventure by joining our Clinical Operations team Royal Caribbean Group is pleased to offer a competitive compensation and benefits package and excellent career development opportunities each offering unique ways to explore the world

About Us

Royal Caribbean Group is the world’s largest cruise line It couldn’t be a more exciting time to join a global business that is blazing a trail in the travel industry right now

At Royal Caribbean Group we never rest on our laurels; we constantly strive to improve our work and be at the forefront of the industry The work that we do is exciting challenging and innovative We are passionate we are innovative and we are unstoppable

The Role

The Medical Manager Clinical Operations is a shoreside clinical leader responsible for supporting the safe high-quality and ethical delivery of medical care across the fleet This is an entry-level role designed for a licensed physician transitioning from direct clinical practice into shoreside medical operations The Medical Manager serves as a real-time clinical decision-support resource for shipboard medical teams provides oversight of clinical quality and case management participates in the company's 24/7 emergency medical support helpline response function and travels to vessels to conduct medical training audits and other tasks as delegated

Consistent with fleet medical governance this position provides guidance advice and clinical decision-support to shipboard medical teams but does not make direct patient-care or treatment decisions The final decision on the treatment of any patient including the need to evacuate a patient rests with the ship's treating doctor(s) The role combines clinical judgment operational coordination and stakeholder collaboration The successful candidate will grow into progressively greater responsibility for fleet medical governance while receiving structured mentorship from senior medical managers and executive leadership

Essential Duties and Responsibilities

Shoreside Ship Management

Serve as a shoreside point of contact for assigned vessels on medical operational matters

• coordinating between shipboard medical teams and shoreside departments Support day-to-day medical operations of the fleet including resource coordination medical supply and equipment escalation staffing coverage issues- and continuity of care across ports Track open medical cases and follow-ups to resolution- ensuring appropriate documentation and handover Liaise with operational port agent security and guest/crew services teams to resolve medical logistics (eg specialist coordination ambulance staging port medical facility arrangements care team handover crew medical team handover)

24/7 Emergency Response Helpline (On-Call Responder)

• Participate in the rotational on-call roster as a first-line clinical responder on the company's 24/7 medical emergency response helpline Provide real-time telephonic and telemedicine clinical decision support to shipboard physicians and nurses for medical emergencies complex cases- and time-critical decisions Advise on emergency escalations including medical diversions medical evacuations (MEDEVAC) and shoreside referrals in coordination with operations security and third-party evacuation/assistance providers- recognizing that the final evacuation and treatment decision rests with the ship's doctor Document all calls clinical advice given- and decisions accurately and promptly in the designated case-management system
• Escalate to senior leadership per established protocols and when a case exceeds the scope of the on-call role

Surgical Package Review

Review shoreside requests for surgical or procedural interventions (“surgical packages”) for clinical appropriateness safety capability of the provider

• and alignment with company clinical protocols Review and provide recommendations to approve defer or decline requests- ensuring documentation and explanation of the need for the requested procedure
• Assess risk/benefits of procedure recommended
• Request second medical opinions to ensure crew members can make an informed decision on high-risk elective procedures For emergency or time sensitive procedures- liaise with crew medical to review supporting documentation without delaying care

Crew Shoreside Disembarkation (Medical Sign-Off) Review

Review medical disembarkation requests for crew members assessing fitness-to-work / fitness-to-remain-onboard clinical justification

• and destination-of-care considerations Ensure disembarkation decisions comply with company policy flag-state and maritime medical standards (eg seafarer fitness frameworks)- and applicable regulations
• Maintain accurate records supporting each disembarkation decision

Clinical Review of Shipboard Doctors' Performance

Conduct structured clinical case reviews and quality assurance of care delivered by shipboard physicians as per Key Performance Indicators (and where relevant

• nurses/paramedics) Identify clinical practice trends learning opportunities- and deviations from protocol; provide constructive feedback and coaching Contribute to competency assessment credentialing support onboarding review- and continuing professional development recommendations for shipboard clinicians
• Escalate significant clinical concerns to senior medical leadership and support any resulting performance-improvement processes

Performance and Ethical Investigations (in Partnership with HR)

Participate in and over time help lead investigations into medical-ethics professional-conduct and clinical-complaint matters involving medical staff

• in close partnership with Human Resources Gather and review clinical records and relevant evidence objectively apply medical-ethics principles and company standards- and contribute factual clinical findings Maintain strict confidentiality impartiality- and appropriate documentation throughout investigations Support the development of remediation corrective action- or process-improvement recommendations for clinical staff performance
• Participate in peer review committee to assess clinical practice and performance of clinicians

Vessel Visits & Medical Audits

Travel to vessels to conduct scheduled and ad hoc medical audits covering clinical practice documentation medical facility readiness equipment and pharmacy stock controlled-substance handling infection prevention and control and regulatory compliance

• as per Key Performance Indicators Assess shipboard medical operations against company protocols and applicable maritime/health regulations- and produce clear written audit reports with findings and corrective-action recommendations
• Build effective working relationships with shipboard medical teams and command; provide on-site coaching and support during visits
• Follow up on corrective actions to closure

Public Health & Infectious Disease Support

Provide medical consultation and guidance together with the shoreside Public Health team to shipboard medical teams on onboard crew infectious-disease cases and outbreaks (eg chickenpox measles

• tuberculosis) Support and facilitate shipboard infectious-disease vaccination programs including influenza and SARS-CoV-2- as needed Support outbreak preparedness and response in coordination with shoreside Public Health- including deployment to ships during illness outbreaks where required

Crew Health & Case Management

Review pre-employment / re-employment physicals of new and returning crew

• as needed
• Support crew wellness programs
• Support the Crew Medical and Risk Management teams to ensure effective review and management of medical cases

External Liaison & Fleet Support

Support liaison with health authorities and engagement with other government officials as needed

• to support the company's operations (with senior medical leadership retaining primary responsibility for these relationships) Travel with public health authorities for ship inspections- as needed
• Assist with the recruitment of shipboard doctors and nurses Assess the capabilities of and help establish relationships with- medical facilities in relevant ports

Other Related Duties

Contribute to the development and revision of clinical protocols policies

• and guidelines Support outbreak / public-health response incident reviews- and continuous-improvement initiatives Participate in projects meetings- and other duties as assigned by medical leadership commensurate with the role

Qualifications / Skills

Required

Medical degree (MD DO MBBS

• or international equivalent) from an accredited institution Current- unrestricted license to practice medicine in at least one recognized jurisdiction Completion of postgraduate/residency training; 5 years of post-training independent clinical practice (emergency medicine internal/family medicine critical care general practice- or a related acute-care field)
• Sound clinical judgment across a broad range of acute and general presentations
• Strong written and verbal communication in English Ability and willingness to participate in a rotating 24/7 on-call schedule including nights weekends- and holidays
• Ability and willingness to travel internationally and to spend time onboard vessels at sea Valid passport and eligibility to obtain required visas seafarer documentation- and medical/vaccination clearances

Preferred

Board certification/eligibility in emergency medicine internal medicine family medicine

• or a related specialty Experience in maritime cruise offshore expedition military aviation- or other remote/austere-medicine settings
• Familiarity with telemedicine and remote clinical decision support Knowledge of maritime medical standards and seafarer fitness frameworks (eg ILO/IMO MLC STCW medical fitness- flag-state requirements) Exposure to clinical governance quality assurance audit- or medical administration
• Additional language skills

Other Competencies

Clinical decision-making under pressure — calm

• structured judgment in time-critical and resource-limited situations Communication & collaboration — clear professional interaction with clinicians non-clinical operations staff HR- and external partners Integrity & ethics — impartiality confidentiality and sound professional judgment- especially in investigations and performance reviews Organization & documentation — accurate- timely record-keeping and case tracking Adaptability — comfort with shifting priorities time zones- and an around-the-clock operational environment Coaching mindset — constructive- development-oriented feedback to shipboard teams

On-Call & Availability

• Participation in a rotating 24/7 emergency response roster is a core requirement of this position On-call responders must be reachable and able to respond within a defined timeframe- with reliable phone and internet connectivity and a suitable environment for confidential clinical discussions On-call periods include nights weekends and public holidays on a shared- equitable rotation with other medical managers

Travel & Physical Requirements

Approximately 15–30% travel domestic and international

• including embarkation on vessels while at sea Ability to board and move about vessels including stairs tenders and gangways- and to tolerate travel by air and sea
• Standard office environment when shoreside; some work performed remotely during on-call periods
• Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the role

We know there's a lot to consider As you go through the application process our recruiters will be glad to provide guidance and more relevant details to answer any additional questions

It is the policy of the Company to ensure equal employment and promotion opportunity to qualified candidates without discrimination or harassment on the basis of race colour religion sex age national origin disability sexual orientation sexuality gender identity or expression marital status or any other characteristic protected by law Royal Caribbean Group and each of its subsidiaries prohibit and will not tolerate discrimination or harassment

Thank you again for your interest in Royal Caribbean Group We'll hope to see you onboard soon!

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