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Staffing that holds its start date

You do not have a sourcing problem. You have a coverage problem with a clinical cost attached to every day it stays open. Here is exactly how we work it.

The problem we actually solve

Three things break a healthcare req

The submittal is fiction

Resumes from a database, candidates never spoken to, half already placed. Your manager loses a week screening people who were never available.

Credentialing surfaces late

The offer goes out, then the license, the exclusion check or the immunization record fails. The start date slides two weeks and the unit is still short.

Credentialing surfaces late

The offer goes out, then a license or an exclusion check fails. The start date slides two weeks and the unit is still short.

Coverage models

Match the engagement to the gap

Not every hole in the schedule needs a permanent hire, and not every permanent hire should start as a contract. We will tell you which one you actually need.

Travel & local contract

8–26 week assignments for leave coverage, seasonal respiratory surge, scanner uptime and service-line expansion.

  • Weekly bill rate, no conversion fee after term
  • Housing and travel handled on the clinician side
  • Extension managed before the assignment ends

Locum tenens

Physician and advanced practice coverage by the day, week or rotation — with state licensing managed as part of the engagement.

  • Call, rounding and rotation coverage
  • State licensing and privileging managed
  • Malpractice coverage arranged

Permanent placement

Direct hire for core staff, charge and leadership roles — contingent by default, retained where the search warrants it.

  • No fee until your hire starts
  • Replacement guarantee on every placement
  • Compensation benchmarking included at intake

Contract-to-hire

Work with the clinician on assignment first and convert at term with no additional fee — the lowest-risk way to fill a hard core role.

  • Evaluate on your units, not in an interview
  • Convert at any point after the agreed term
  • Common for leadership and specialty roles
Common questions

Before you send the req

How do your fees work?

Permanent placement is contingent — a percentage of first-year base salary, invoiced when your hire starts, with a replacement guarantee. Contract and per diem are billed at an hourly or weekly bill rate that includes wages, burden, insurance and our margin. Rates are quoted per role at intake, in writing, before we begin.

What if the placement does not work out?

Permanent placements carry a replacement guarantee: if the clinician leaves or is terminated within the guarantee period, we refill the role at no additional fee. On contract assignments, we replace the clinician and you are not billed for time not worked.

What if the candidate is not licensed in our state yet?

We tell you up front whether the clinician already holds the license or has an application in progress with a realistic date. Where a temporary permit exists in your state we pursue it. What we will not do is submit someone and let you discover it after the offer.

Do you work through our MSP or VMS?

Yes. We participate in MSP and VMS programs and can also contract directly with the facility or system where that is preferred. We will work whichever channel your organization already uses.

How fast can you actually cover a shift?

It depends on specialty, state and licensure. Per diem coverage in a compact state with a credentialed clinician already in network can be same or next day. A non-compact state license or a niche specialty can take several weeks. We give you a realistic window at intake rather than an optimistic one.

Our divisions

What we staff

Respiratory Therapist Staffing

RRT, CRT, ACCS, NPS and ECMO. Bill rates $85–$115/hr.

Imaging & Radiology Staffing

CT, MRI, ultrasound, nuclear medicine, radiation therapy.

Locum Tenens & Physicians

Physicians, NPs, PAs and CRNAs. Licensure and privileging managed.

Nurse Staffing

RN, LPN and nursing leadership, every acuity level.

Hiring guides

Before you send the req

Straight answers on what these roles cost, how long they take, and what to specify at intake. No gate, no form.

What healthcare staffing actually costs

Bill rates by discipline, what sits inside the number, agency markup, and the five things that move a quote. Real figures, published.

Read the breakdown →

How to hire a respiratory therapist

Credentials to require, why 49-state licensure with no compact changes your timeline, and what the role costs on contract.

Read the guide →

How to hire an MRI technologist

Why imaging vacancy hit record highs, which ARRT credentials to specify, and how to weigh cost against scanner downtime.

Read the guide →

How to hire a locum hospitalist

What locums costs, why the medical compact does not do what people think, and why privileging is the real constraint.

Read the guide →

Travel vs per diem vs permanent

When to use each model, how each bills, and the eighteen-month mistake that costs facilities most.

Read the comparison →

Agency vs internal float pool

Where float pools win, where they break down, and the single number that tells you which mix to run.

Read the comparison →

Send us the req.

Or just tell us what is breaking. We will give you an honest read on fill time and current market rate before you commit to anything.