The right clinician, credentialed before you meet them.

For contract and per diem work you pay one hourly bill rate for hours worked. That rate covers the clinician's pay, payroll taxes, insurance, workers' compensation, credentialing and our fee. There is nothing else to pay: no setup charge, no recruiting fee, no invoice when the shift is not worked.

The ranges are published on this page. A medical surgical travel RN sits between $85 and $120 an hour, a per diem RN between $65 and $85, a front desk coordinator between $25 and $36, and a virtual assistant between $12 and $18. Your exact rate depends on state, speciality and urgency, and we put it in writing before we submit anyone.

Because a salary is not the cost of an employee. Across United States employers, benefits run at about thirty per cent of total compensation, which is roughly forty-six per cent on top of wages before you count recruiting, equipment or paid time off. A front desk coordinator on a $43,000 base costs $61,000 to $71,300 a year fully loaded, or about $29 to $34 an hour, plus $3,450 to $8,150 every time you have to hire for the seat.

Against that, an agency rate that only runs when the work does, with no benefits load and no recruiting cost, usually comes out level or lower. For a permanent hire we say so and place them permanently instead.

No. There is nothing to pay to open an account, brief a role or receive candidates, and no charge for the credentialing we carry out. On contract and per diem work you are invoiced for hours worked at the agreed rate. On permanent placement there is a single fee on the start date, and nothing at all if you do not hire.

Per diem shifts from an established local pool can be covered within a day where the roster allows it. Contract roles usually take a few days to submit and a week or two to clear onboarding, because licensure, background and health screening cannot be rushed without cutting corners. Permanent and physician searches run considerably longer: physician roles in the United States take a median of around four months to fill.

We give you a realistic date on the first call rather than a promise we cannot keep.

On contract and per diem work we replace the placement at no additional fee and cover the gap while we do it. On permanent placements a guarantee period applies, agreed in writing before you hire: if the candidate leaves inside it, we replace them.

Every placement is HIPAA trained before they start, and we sign a Business Associate Agreement with you as standard. Remote staff work inside your systems, under your access controls, with the same accounts and audit trail as any other member of your team. We do not take copies of patient data into our own systems.

Virtual staff work in administrative and documentation roles: scheduling, intake, prior authorisation, eligibility, billing and scribing. They do not practise clinically and are not a substitute for a licensed clinician at the bedside. That is why the rate is what it is. Anything requiring a United States licence is filled by a licensed, verified clinician, onshore.

Yes. We recruit nationally and place against the licensure the role requires, including compact licence states. Rates differ meaningfully between states, and a few states cap what an agency may charge a nursing facility, so we quote against your state rather than a national average.

Per diem is booked shift by shift. Contract assignments run for the term agreed, typically thirteen weeks. Virtual placements run month to month with a twenty hour weekly minimum and thirty days' notice. Permanent placement carries no commitment at all until you decide to hire.