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The Differences between Utilization Management and Case Management

Effective Care Management involves many people with differing roles and responsibilities, collaborating for the benefit and wellbeing of patients/members. Care Management itself is a wide umbrella, which Utilization Management (UM) and Case Management (CM) are both under. Depending on the structure of an organization, UM may be a stand-alone service in partnership with CM, or […]

The Season of Thanksgiving with Shearwater Health

In this season of Thanksgiving, Shearwater Health wants to acknowledge all the ways we’re grateful this year in 2023. Each year is unique, and our business is met with opportunities, challenges, changes, and everything in between. While obstacles have been a part of this year, Shearwater Health has succeeded in many ways, which excites us […]

Strategies to Address and Alleviate Nurse Burnout

The stresses in the nursing profession are well-documented. In 2021, the nursing workforce in the US saw its biggest decline in 40 years. In 2022, a survey of almost 30,000 registered and advanced nurses and more than 24,000 licensed practical or vocational nurses found that over 25% of them planned to leave the industry or […]

How Shearwater Health Navigates Visa Retrogression

Any business is tasked with problem-solving within its field. The healthcare space is no different, and at Shearwater Health, we pride ourselves on developing creative strategies to drive optimized clinical performance. However, some problems we face, like Visa Retrogression, are beyond our control to solve. How Visa Retrogression Impacts the Immigration Process The immigration process is […]

Navigating Complex Coding Requirements to Minimize Denials

Revenue streams are in a state of flux in today’s changing healthcare landscape. However, at least one constant remains: quality medical coding is a critical factor in maintaining a healthy revenue stream. Around 42% of claims are denied because of coding issues, emphasizing the importance of precise coding practices. It is important to ensure your […]

Realizing the American Dream

As the Marketing Coordinator for Shearwater Health, my day-to-day is typically geared towards the client facing side of the business. While I hear about nurse arrivals and work indirectly with the CPO side of Shearwater, I’ve never had the one-on-one time with the nurses whose time and commitment to their profession make up a big […]

Shearwater Health Welcomes New CHRO to the Executive Team

Jen Bales joins Shearwater Health Executive Team as Chief Human Resources Officer (CHRO) Nashville, TN, October 10, 2023 – Shearwater Health, a global leader in clinical solutions for the healthcare industry announced today that Jen Bales has joined the executive team as chief human resources officer (CHRO). Bales is a seasoned human resources professional with […]

Shearwater Health Invests in Bedside Nurses with Launch of STAR Program

Among the many disruptions the healthcare industry has experienced in recent years, one of the most crucial is also one of the most hands-on and profound: an all but crippling shortage of nurses. In fact, even before the pandemic hit in 2019, the International Council of Nurses (ICN) reported a staggering global shortage of 30.6 […]