The Key to Effective Utilization Management Better Patient Care Reduced Cost

Utilization management is commonly assumed to be a strategy payers implement to reduce healthcare cost. Although successful UM programs do result in reduced cost of claims, the focus of an effective utilization management program is improved quality of care. When utilization management programs focus on denials – prioritizing cost savings over patient care – they […]

3 Best Practices of a Successful Utilization Management Program

Effective utilization management programs are based on providing the right patient care at the right time. Outlined below are the 3 best practices employed by the most successful UM programs. 1. Clearly Define Processes, Responsibilities, And Policies A well-defined utilization review process – that clearly maps out each step in the process and the roles […]

Clinical Process Outsourcing: The Future of Healthcare

The U.S. is expected to need 1.2 million additional registered nurses by 2030 and the healthcare industry anticipates a struggle to fill those roles. Some of those struggles are compounded by a nursing educator shortage, the stress of the job due to an aging population and the pandemic, as well as nurses’ preference to work […]

The COVID-19 Vaccine and Immigration What You Need to Know

As of October 1, the CDC is requiring that all nurses that are going to an embassy interview have the COVID-19 vaccine. All foreign nationals must submit proof of the COVID-19 vaccination prior to their embassy interview. In addition, President Biden put out an executive order that requires all employers with over 100 employees to mandate the vaccine […]

Shearwater Health Adds Two New Members to Leadership Team

To support continued strong demand from the healthcare markets we serve to expand the size and impact of clinical teams, we are thrilled to announce two new additions to the Shearwater Health leadership team, Kari Delahunty, President of Pharma and Life Sciences, and Todd Silmon, President of Payer Services. Both Silmon and Delahunty bring extensive healthcare leadership […]

How Shearwater Places Foreign Nurses in U.S. Hospitals

If you’re a foreign nurse considering working in a U.S. hospital, there are many steps to complete in the immigration process with the help of an employer sponsor. You can read more about the eb-3 immigration process here, but what about actually getting placed in a hospital? This is how Shearwater places foreign nurses in U.S. […]

Shearwater Health Selected as Member to the HITRUST Asia Advisory Council and Renews HITRUST CSF® Certification

Nashville, TN and Manila, Philippines Shearwater Health announced that it has been named to the HITRUST Asia Advisory Council (the Council). The Council is comprised of Asia-Pacific-based companies and HITRUST® to represent a wide variety of organizations supporting global information protection efforts. The members will serve a two-year term on the Council and leverage their diverse expertise […]

How We Help Nurses Meet EB3 Visa Requirements

It’s never been more crucial to understand EB3 visa requirements. Across the U.S., doctors and nurses are overwhelmed with patients suffering from COVID-19, and experts estimate 1 in 8 nursing positions will go unstaffed this year.  While that prediction brings anxiety, it also brings opportunity. In order to fight COVID-19, the U.S. healthcare system needs creative solutions to solve their […]

8 U.S. Nursing Myths Explained

Shearwater Nurse Leaders, Melissa Lacy and Jenny Altman, recently sat down over a cup of coffee to discuss U.S. nursing myths. We wanted to capture this insightful conversation on video for nurses around the world to learn from their experience. Watch the full interview here: In our conversations with international nurses, we’ve found that expectations […]