Registered Nurses (RN)
Acute care, med-surg, and specialty unit coverage, credential-verified before placement.
Healthcare
Payroll and staffing built around patient-care schedules.
Payroll and staffing for clinics, practices, and care facilities.
The reality
What hiring actually looks like in healthcare.
Healthcare staffing runs on credentials, not just availability. A nurse or tech who's perfect on paper is unplaceable if a license lapsed or a certification wasn't verified before the shift started.
Turnover is concentrated in a few high-burnout roles, and it rarely announces itself in advance. Facilities that staff reactively end up paying overtime and agency premiums to cover gaps that were visible weeks earlier.
Patient-care schedules don't pause for a hiring process. Rotating shifts, 24/7 coverage requirements, and last-minute call-outs mean the staffing partner has to move as fast as the schedule does.
Roles we staff
The role families this industry runs on.
Certified Nursing Assistants (CNA)
Direct patient care support across shifts, including overnight and weekend coverage.
Medical & Administrative Support
Front-office, scheduling, billing, and records staff for clinics and practices.
Allied Health Technicians
Lab, radiology, and respiratory therapy techs, licensure verified per role.
Facility & Environmental Services
Housekeeping and support staff credentialed for clinical-environment requirements.
How we staff
Our process.
01
Define the role and shift pattern
We start with the actual schedule — rotating shifts, call coverage, unit-specific needs — not a generic job description.
02
Credential and license verification
Every candidate's license, certification, and background check is verified before they're presented, not after.
03
Candidate match and placement
Candidates are matched against your specific unit and patient population, not just the job title.
04
Ongoing coverage support
Call-outs, shift swaps, and scaling for census changes are handled without restarting the search.
Certifications & requirements
The concrete requirements.
| Requirement | Detail |
|---|---|
| Licensing verification | RN, LPN, and CNA licenses verified against state boards before placement. |
| Certifications tracked | BLS, ACLS, and role-specific certifications confirmed current, not just on file. |
| Shift patterns supported | 12-hour rotating shifts, night differentials, and 24/7 on-call coverage. |
| Background & health screening | Background checks and required health screenings (e.g., TB, immunizations) completed pre-placement. |
| HIPAA-aware onboarding | Placed staff onboarded with facility-specific HIPAA and safety protocols. |
20+
States served
72
Hours to fill a typical clinical shift
94%
Credential verification pass rate
88%
90-day retention rate for placed staff
Where this connects
The Onyx services built for this industry.
Payroll Services
Full-service payroll processing — tax filing, direct deposit, W-2/1099s, and multi-state compliance, run by a dedicated team instead of a support queue.
HR Outsourcing & PEO
Benefits administration, workers' comp, and day-to-day HR admin, run as a true partnership rather than a self-service portal.