Ensuring that an injured worker receives the right care at the right time through the utilization review process is an important aspect of managing a workers’ compensation claim. Utilization review providers are tasked with the challenge of delivering quality care and a positive patient experience that promotes recovery and return to work, while also managing costs. This becomes increasingly difficult as employers, insurance carriers, and other claim organizations face rising health costs, staffing shortages, overutilization, and burnout.
At Shearwater Health, we recognize that effective strategies are imperative in solving some of the challenges faced in the workers’ compensation industry. With over 4,000 clinicians to support clinical and administrative functions, Shearwater Health offers utilization review providers a cost-effective solution. We provide thorough training on the utilization review process and clinical practice guidelines to ensure that our clinicians are well-equipped to support your UR program.
These are the key benefits when clients choose to partner with Shearwater Health for utilization review support service. Our operational and training structures adapt to the specific needs of our clients, thus, alleviating the long-term training burden often placed on leadership. Our robust knowledge of the UR process allows us to provide the finest solutions for our client’s needs, acting as an extension of their already established teams.
About Shearwater Health
Because of a shortage of clinicians, it’s often difficult to scale healthcare organizations. Shearwater Health provides teams of remote and onsite clinicians that expand the size and impact of clinical teams so that clients can focus on internal teams practicing at the peak of their license. From bedside to back-office, there are over 4,000 Shearwater clinicians solving medical and administrative problems every hour of every day all over the world. Shearwater combines clinical expertise with Six sigma process excellence and RPA technology to improve healthcare outcomes.
