Workforce solutions
Staffing for the facilities that struggle most to find it.
A dedicated program for critical access and rural facilities: recruiters who specialise in hard-to-fill geography, contracts that run 26 weeks and longer, and housing arranged before the clinician says yes.
A critical access hospital forty miles from the nearest city does not have the same problem as a metro medical center. The candidate pool is smaller, the drive is longer, housing is scarce and every vacancy is a larger share of the roster. Most agencies treat those requisitions as an afterthought. We built a program around them.
We already work this way: our live ExcelHire job feed supplies the current open-job count across the site. This program takes what we have learned there and makes it a commitment rather than a habit.
Built for hard-to-fill markets
- Recruiters who know rural
- Longer contracts by design
- Housing built in
- Cross-trained clinicians
What is included
A rural staffing plan built around retention.
Recruiters who know rural
A dedicated desk for critical access, rural health clinic and frontier facilities. They know which clinicians actually want a small town and which will leave after a month.
Longer contracts by design
We recruit for 26-week and longer assignments first, with extension built into the conversation from the start. Fewer handoffs, fewer orientation cycles.
Housing built in
Housing is the reason rural contracts fall through. We arrange it, or fund a stipend that reflects local reality, before the clinician accepts — not after.
Cross-trained clinicians
Rural nursing means ED, med-surg and swing bed in the same shift. We screen for breadth and confirm it on reference, rather than sending a specialist who has only worked one unit.
Rural-to-permanent pathway
Every contract is a trial for a permanent hire if you want it to be. Conversion terms are agreed up front so a good fit can stay without a negotiation.
Pay transparency for your market
Rates published on every posting, benchmarked to comparable rural facilities rather than the nearest city, so you are not paying metro rates to compete with a hospital you are not competing with.
How it works
From facility profile to a settled clinician.
Facility profile
We build a profile of the facility, the community and the assignment realities — what the town has, what the commute is, what a Friday night in the ED looks like.
Targeted recruiting
Clinicians are recruited to that profile, with housing and length agreed before submittal. You see candidates who already know what they are signing up for.
Start and settle
A named recruiter stays with the clinician through credentialing, travel and the first two weeks — the period when rural contracts are most likely to fail.
Extend or convert
At the halfway point we ask both sides the same question: extend, convert to permanent, or plan the handover. No surprises at week 25.
Best fit
For facilities where ordinary recruiting is not enough.
- Critical access hospitals and rural PPS hospitals
- Rural health clinics and federally qualified health centers
- Skilled nursing and swing-bed units outside metro areas
- Any facility that has had a requisition open for more than sixty days
open jobs on this site today
contract length we recruit to first
arranged before the clinician accepts
on every posting
Questions clients ask
Rural & Critical Access FAQs
Are rural rates higher?
Usually somewhat, because housing and travel are real costs. We benchmark against comparable rural facilities, not the nearest metro, and publish the rate on every posting so both sides can see it.
What if the clinician leaves early?
Our fee structure is tied to completed weeks, so an early departure costs us too. The housing-first and two-week settle-in process exists precisely to prevent it.
Can we convert a contractor to a permanent hire?
Yes, and the terms are agreed before the contract starts. Many of our longest rural relationships began as a 13-week assignment.