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Medical VA · Reviewed 2026-08-14

Shearwater Health

A clinical process outsourcing firm employing thousands of clinicians, doing payer and provider work such as clinical review and coding from the Philippines.

Target my resumeOfficial site All agencies

Research note from the agency's public site. Not a hiring or certification promise. Verify the live role, country, and application path before you send documents.

Put Shearwater Health on your desk. The Utilization Review course, the resume signals and the interview track all follow the field this agency actually staffs, and the application desk keeps the six steps in one place. Not a hiring promise.

What they appear to look for

Philippines eligibility is stated on the official site. Still verify the live opening.

  • PHRN or USRN licensure for the clinical desks
  • Medical coding certification for the coding desks
  • Chart review and clinical judgment inside a defined scope
  • US healthcare process experience
  • Shift work aligned to US clients

Roles and day-one work

Titles come from public service and careers copy, not from a live scrape. The matching RemoteNurse field is Utilization Review, hired as Utilization review nurse.

Patient access and care coordinator

Own the referral, the reminder, and the records the next visit needs.

You do not triage symptoms or change the plan of care.

Hiring signals
Referral trackingFollow-up callsRecords requestClosed-loop work

Prior authorization specialist

Decide if the service is gated, gather the record, submit, and work the clock.

You never convert a thin chart into an approval or a denial.

Hiring signals
Authorization packetsEligibilityPayer portalsClock management

Virtual administrative assistant

Verify insurance, move referrals, and keep the back office current.

You do not decide coverage. You complete the file and route what is blocked.

Hiring signals
Insurance verificationInbox and follow-upHIPAA trainingSOP adherence

Hiring map

A concept map from this agency to the practice tracks we already teach. Generated from the catalog, not drawn by a model.

Agency

Shearwater Health

Roles they staff

  • Patient access and care coordinatorOwn the referral, the reminder, and the records the next visit needs.
  • Prior authorization specialistDecide if the service is gated, gather the record, submit, and work the clock.
  • Virtual administrative assistantVerify insurance, move referrals, and keep the back office current.

What the work needs

  • Authorization packetDecide if the service is gated, gather the record, submit, and work the clock. You never convert a thin chart into an approval.
  • Eligibility and benefitsConfirm coverage and benefits before the visit, and document the conflict when screens disagree.
  • Care coordinationClose follow-up, reminders, and care-gap outreach without giving clinical advice.
  • EMR documentationFind, complete, and query a chart inside a practice's record without inventing clinical facts.
  • Privacy and minimum necessaryHandle patient information only as far as the task needs, and stop when the request is too broad.
  • Remote US deskReliable hours, English, and SOP follow-through on a US practice clock. The workstation is part of the job.

Practice tracks

  • Prior Authorization
  • Eligibility & Benefits
  • Case Management
  • Documentation Review
  • Healthcare VA / BPO

First lesson

Open Mermaid source

Open-source diagram text. Paste into any Mermaid renderer. The product does not load a diagram library.

flowchart LR
  agency["Shearwater Health"]
  role0["Patient access and care coordinator"]
  agency --> role0
  role1["Prior authorization specialist"]
  agency --> role1
  role2["Virtual administrative assistant"]
  agency --> role2
  comp0["Authorization packet"]
  role1 --> comp0
  track0["Prior Authorization"]
  comp0 --> track0
  comp1["Eligibility and benefits"]
  role1 --> comp1
  track1["Eligibility & Benefits"]
  comp1 --> track1
  comp2["Care coordination"]
  role0 --> comp2
  track2["Case Management"]
  comp2 --> track2
  comp3["EMR documentation"]
  role0 --> comp3
  track3["Documentation Review"]
  comp3 --> track3
  comp4["Privacy and minimum necessary"]
  role0 --> comp4
  track4["Healthcare VA / BPO"]
  comp4 --> track4
  comp5["Remote US desk"]
  role2 --> comp5

Hospital operations simulation

This is the study plan we curate for Shearwater Health. Orient, learn, prove, then simulate. Follow it, then apply to the jobs you want. The Case Judge still grades.

  1. OrientRead what this agency sells and the competency map it implies.5 min
  2. LearnIntake: one named gap, a dated note, and the applicable clock7 min
  3. ProveWork a scored case on the same workflow. The Case Judge grades.15 min
  4. SimulateWork the matching scored case. If that case has a released call, run it. You still never issue a denial.12 min

Lessons that match this desk

Papers agencies mention, and do not require

  • HIPAAHIPAA training certificateAgencies ask for a training certificate, not a government credential. This is step zero on every path here. RemoteNurse does not issue it.
  • CCMCertified Case ManagerA later-career target, not an entry credential for a PH-based VA. Experience gates it. RemoteNurse is not affiliated with CCMC.

Sources

Read from the official site in this review.