Case Study

IRP

How One LTAC Facility Cut $30K/Month in Costs by Replacing Agency Staff

A long-term acute care hospital reduced labor costs and regained scheduling control by implementing DirectShifts’ Internal Resource Pool (IRP) model.

$30,000/month saved

by replacing agency hours with internal hires

1,200 hours/month

covered through DirectShifts hires

15 hires made

from 31 clinicians sourced via IRP

The Challenge

Facing Pressure on Multiple Fronts

The client, a leading long-term acute care facility, faced mounting cost pressures due to heavy reliance on agency nurses.

Skyrocketing Agency Costs

Excessive dependence on external staffing vendors was driving up labor expenses, impacting profitability.

Minimal Scheduling Control

The facility lacked flexibility in assigning shifts and managing staff schedules, leading to coverage gaps and inefficiencies.

Lack of Internal Talent Pool

There was no established internal pipeline of credentialed clinicians to fill last-minute shifts or recurring vacancies.

Budget Constraints

The high cost of agency contracts limited the ability to scale staffing in line with patient volume.

Our Solution

How DirectShifts Responded

DirectShifts partnered with the LTAC facility to help reduce staffing costs and regain control over scheduling. By introducing an Internal Resource Pool (IRP) of pre-vetted PRN and full-time clinicians, the facility could replace high-cost agency hours with consistent, in-house coverage.

Our Comprehensive Approach

DirectShifts designed a tailored staffing model that blended cost-efficiency, quality assurance, and scheduling flexibility. The IRP solution provided a ready-to-deploy network of credentialed clinicians aligned with the facility’s pay structure and shift needs.

Cost-Effective Staffing

Replaced expensive agency hours with clinicians hired at client-set rates, eliminating markups.

Scheduling Control

Enabled the facility to dictate shift coverage while DirectShifts managed onboarding and logistics.

Sustainable Pipeline

Built an internal network of qualified clinicians to reduce long-term agency dependence.

$30,000

Saved Monthly

Reduced agency dependency and regained full control of workforce costs.

Cost-Effective Staffing
  • Replaced 1,000+ agency hours per month with clinicians hired at client-set rates

  • Eliminated agency markups and overtime costs

Custom Hiring Strategy
  • Sourced 31 qualified clinicians through the DirectShifts platform

  • Filled 15 roles with a mix of PRN and full-time hires

Full Scheduling Control
  • Client dictated shift requirements and pay rates

  • DirectShifts managed onboarding, scheduling, and administrative workflows

Agency Independence
  • Within months, replaced 14 agency positions with DirectShifts-sourced clinicians

  • Built a sustainable internal staffing pipeline for long-term stability

Impact & Results

Results & Outcomes

The LTAC facility achieved significant cost reductions and gained autonomy over staffing decisions. DirectShifts’ IRP model delivered a consistent supply of credentialed clinicians while eliminating the need for costly agency dependence.

$30,000

saved per month

1,200

hours/month covered through internal hires

14

agency roles eliminated

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.

$30,000/month saved

by replacing agency hours with internal hires

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.