Case Study

Hospital Staffing

How a Large New York Health System Reduced Overtime Costs with a Per Diem Float Pool

A multi-department hospital system partnered with DirectShifts to expand coverage, cut overtime spend, and gain real-time staffing control without increasing budget.

$274,896

Overtime savings in one year

1,032 shifts

Covered via per diem clinicians

$46/hr

Average hourly savings vs overtime rates

The Challenge

Facing Pressure on Multiple Fronts

Expanding coverage under strict budget constraints

Cost Leakage

Escalating overtime costs driven by staffing shortages

Capacity Constraints

Inability to increase full-time headcount due to budget limitations

Operational Variability

Need to support multiple inpatient and outpatient departments with fluctuating demand

Our Solution

A tailored per diem float pool designed for cost efficiency

DirectShifts partnered with the health system to design a customized per diem float pool that provided flexible coverage while reducing reliance on overtime and avoiding the costs of permanent hiring.

Our Comprehensive Approach

DirectShifts implemented a multi-faceted strategy combining high-touch recruitment, quality assurance, and data-driven optimization to deliver consistent results.

Custom Float Pool

Per diem float pool built to hospital-specific credentialing and clinical requirements

Real-Time Scheduling

Real-time scheduling platform for shift management and visibility

Integrated Timesheets

Integrated timesheet approvals to streamline finance workflows

$46

per hour

Replacing overtime with per diem clinicians generated an average savings of $46 per hour

Coverage Without Commitment

Flexible per diem clinicians enabled coverage without increasing permanent staff

Instant Staffing Agility

Scheduling platform allowed leadership to adjust staffing in real time based on census

Error-Free Billing Workflow

Timesheet approvals occurred within the platform, ensuring finance validation before invoicing

Impact & Results

Results & Outcomes

The DirectShifts per diem model delivered measurable cost savings while increasing workforce flexibility across departments.

Department expansion

Launched in one inpatient unit and expanded to four departments, including emergency and specialty care

Shifts covered

1,032 shifts staffed in 2024, with the majority filled in the final six months

Cost savings

$274,896 saved in overtime spend plus approximately $20,000 saved in permanent placement fees

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Let's talk about building your custom clinician pipeline.

About DirectShifts

The Virtual Care Staffing Platform Built for Scale

DirectShifts enables telehealth companies to expand nationwide coverage, onboard clinicians faster, and maintain compliance at scale — all through one integrated staffing and credentialing platform.

Beyond Traditional Staffing

We go beyond conventional staffing vendors to deliver a flexible, data-driven solution built for virtual care. Our platform connects you with pre-vetted, multi-state licensed clinicians and streamlines every step from sourcing to credentialing and scheduling.

Quality-First Approach

 Every clinician is pre-screened, licensed, and credentialed before presentation.

Data-Driven Results

 Real-time reporting and analytics optimize provider availability and performance.

End-to-End Partnership

We handle sourcing, credentialing, and onboarding — so you can focus on care delivery.

Compliance First

 Full CAQH/NPI verification and Medicaid/Medicare compliance support

Speed & Scale

Deploy clinicians across all 50 states with consistent quality

Expert Support

Recruiting teams experienced in telehealth operations and remote-care workflows

Nationwide Network

Access to thousands of licensed clinicians ready for virtual assignments

Trusted by Healthcare Leaders Nationwide

500+

Healthcare Partners

50K+

Clinicians Placed

98%

Client Satisfaction

About DirectShifts

The Healthcare Staffing Platform Built for Scale

DirectShifts helps hospitals, health systems, and care centers strengthen their clinical workforce — improving coverage, reducing staffing gaps, and simplifying credentialing through a tech-enabled, partnership-driven model.

Beyond Traditional Staffing

We’re not a traditional agency — we combine technology and service to help healthcare organizations fill permanent and contract roles quickly and efficiently. Our platform is designed to meet the staffing, compliance, and credentialing needs of complex care environments.

Quality-First Approach

All clinicians are fully screened, licensed, and credentialed before placement.

Data-Driven Results

Actionable analytics on sourcing, time-to-fill, and workforce utilization.

End-to-End Partnership

From recruiting to onboarding, DirectShifts manages the full staffing lifecycle.

Compliance First

Robust verification and documentation for all payer and state requirements

Speed & Scale

Rapid placement of qualified clinicians to reduce coverage gaps

Expert Support

Dedicated recruiters with deep hospital and ambulatory staffing expertise

Nationwide Network

A broad pipeline of RNs, advanced practitioners, and physicians across specialties

Trusted by Healthcare Leaders Nationwide

500+

Healthcare Partners

50K+

Clinicians Placed

98%

Client Satisfaction

Schedule Your Demo

See How Quickly You Can Expand Your Clinician Network

Get a personalized demo showing exactly how DirectShifts can solve your specific hiring challenges and scale your clinician workforce faster.

$274,896

Overtime savings in one year

Pre-Vetted Talent

Access quality, licensed clinicians

Nationwide Reach

Scale across all 50 states

Compliance Assured

CAQH/NPI verified candidates

Limited Time Offer

Schedule your demo this month and receive a complimentary workforce analysis showing potential hiring improvements for your organization.