CASE STUDY

Mental Health / Telehealth

How BetterHelp Scaled Licensed Therapist Hiring to 262+ Placements with DirectShifts

The world's largest online therapy platform needed to keep pace with surging user demand. DirectShifts delivered a consistent, high-volume direct placement pipeline, averaging 15 to 16 licensed therapist hires every month.

262+

Therapists placed across 2025 and Q1 2026

15-16

Average hires per month in 2025

71

Hires in Q1 2026 alone

The Challenge

Keeping up with an exploding demand for mental health care

BetterHelp serves over 400,000 paying users and operates at over $1 billion in annual revenue. With demand for online therapy continuing to climb, the platform faced one persistent bottleneck: hiring enough licensed, credentialed therapists fast enough to match it.

The licensed mental health workforce is scarce. Only about 15% of therapists who apply to BetterHelp are accepted. Finding the right candidates at volume, vetting them, and converting them quickly required a partner who understood that funnel deeply.

Chronic talent shortage

Licensed mental health professionals (LPC, LCSW, LMFT) are in high demand nationwide with limited supply.

Strict credential requirements

BetterHelp accepts under 15% of applicants. Candidates must hold valid state licensure and meet platform compliance standards.

Competitive landscape

Nationwide hiring across all 50 states required centralized coordination and tracking

Sustained hiring velocity

Demand was not a one-time spike. BetterHelp needed consistent monthly throughput, not one-off agency placements.

Our Solution

A direct placement model built for ongoing volume

DirectShifts deployed a dedicated direct placement recruitment program, structured around a per-hire fee model that aligned incentives with BetterHelp's actual hiring outcomes. No retainers. No bloated agency overhead. Just qualified, licensed therapists delivered into the client's pipeline consistently.

Our Comprehensive Approach

Weekly pipeline review meetings kept both teams aligned on funnel health, offer conversion, and candidate quality, with real-time adjustments based on what the data showed.

Sourcing

High-volume outreach at scale

Screening

Pre-vetted candidate delivery

Operations

Weekly client syncs

262+

Therapists

Placed across 2025 and Q1 2026

Sourcing
High-volume outreach at scale

Proactive outreach to licensed therapists across multiple states, targeting LPC, LCSW, and LMFT credentials matching BetterHelp's acceptance criteria.

Screening
Pre-vetted candidate delivery

Only candidates meeting licensure, state, and telehealth-readiness requirements presented to the client. BetterHelp's recruiters focused on hiring, not filtering.

Operations
Weekly client syncs

Regular pipeline reviews tracked applications, presentations, interviews, and hires. Bottlenecks caught and resolved fast.

Model
Direct placement, fee per hire

No retainer risk. BetterHelp paid on results. DirectShifts assumed the sourcing cost and delivered against a clear hiring target.

Impact & Results

Consistent performance across two years of hiring

191-200

Total therapist hires in 2025

71

Hires in Q1 2026 (Jan - Mar)

15-16

Monthly hire average in 2025

Top 3

Ranked agency for BetterHelp

Hiring Funnel

1

Outreach and sourcing

Calls, messages, job ads to targeted licensed therapists

2

Applications received

Filtered by licensure, state, and telehealth criteria

3

Candidate presentations

Pre-vetted profiles submitted to BetterHelp's hiring team

4

Interviews scheduled

Calendar-integrated scheduling to minimize drop-off

4

Hires completed

262+ placed, tracked weekly against pipeline targets

Client ROI

What 262 therapist hires means in real revenue

Each licensed therapist placed on the BetterHelp platform is capable of carrying a full caseload of clients. At BetterHelp's average subscription revenue and therapist utilization rates, the downstream revenue impact of this hiring program is substantial.

Estimated revenue enabled by DirectShifts hires

Total therapists placed (2025 + Q1 2026)

262+

Avg. active clients per therapist (BetterHelp)

~20-30 clients

Avg. monthly subscription revenue per clien

~$240-$360 / mo

Estimated monthly revenue per hired therapist

~$5,000-$9,000

Estimated annual revenue unlocked by DirectShifts cohort

$15M - $28M+

Revenue estimates are based on BetterHelp's reported $1B+ annual revenue base, published therapist utilization data, and industry-standard telehealth subscription pricing. Actual figures will vary.

Ready to Scale Your Hiring?

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.

262+

Therapists placed across 2025 and Q1 2026

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.