
On-demand healthcare staffing marketplace connecting verified clinicians with facilities for per diem shifts
Nursa is an on-demand healthcare staffing platform connecting verified clinicians with facilities needing shift coverage. The marketplace enables nurses and healthcare professionals (RN, LPN, CNA, LVN, caregivers, respiratory therapists) to browse and pick up per diem shifts that fit their schedules, while facilities can fill shifts in as little as 15 minutes. Operating across 31 states with 2,500+ facilities and 400K+ verified local clinicians. Features include license verification, credential management, specialty-specific roles (ICU, ER, med-surg, telemetry), and geographic search. Facilities who use Nursa fill 3x as many open per diem shifts compared to self-staffing. Only pay for completed shifts with no hire-away fees.
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Top ranked solutions in Nursing

Brookfield Health and Rehabilitation of Cascadia
A skilled nursing facility in Battle Ground, Washington with approximately 80 full-time staff members faced persistent staffing shortages. They struggled to cover weekend shifts and last-minute call-outs. These gaps made it difficult to keep staffing aligned with fluctuating census levels. The facility transitioned away from traditional agency staffing. They implemented a PRN platform to streamline shift scheduling and improve operational efficiency. The team used mobile and web access and worked with dedicated local representative support. The facility stayed fully staffed to match fluctuating census levels. They also delivered a significant decrease in unfulfilled shifts. This approach improved coverage for weekends and last-minute call-outs while supporting consistent care delivery.
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Forest Grove Rehabilitation and Care Center
A 120-clinician skilled nursing facility in Forest Grove, Oregon struggled with understaffing during weekends and last-minute call-outs. The facility’s administrator spent hours manually coordinating schedules across multiple staff members. These gaps created ongoing pressure to keep shifts covered. The facility implemented a staffing platform to streamline shift posting and coverage. Shift posting was simplified so schedules no longer required hours of manual coordination across staff. The new workflow supported faster responses when last-minute call-outs occurred. The facility achieved a 100% fill rate for posted shifts. Shift posting was reduced from hours of manual coordination to 30 seconds. Last-minute call-outs were filled within 2 minutes, helping prevent weekend staffing gaps and reducing scheduling burden.
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Hillsboro Health and Rehabilitation Center
Hillsboro Health and Rehabilitation Center, a 64-clinician skilled nursing facility in Hillsboro, Oregon, faced staffing challenges that were exacerbated by COVID-19 burnout and high turnover. The facility struggled to cover last-minute call outs. Traditional staffing agencies required lengthy email chains. These processes made it difficult to fill urgent gaps quickly. The team deployed a PRN staffing platform to streamline how shifts were posted and covered. Staff posted open shifts directly through the platform instead of relying on extended back-and-forth with agencies. The facility also worked with a dedicated local account manager rather than a generic support model. Over time, the platform supported building ongoing relationships with clinicians who fit the facility’s needs. After implementation, shifts rarely went unfilled after posting. The facility spent significantly less time resolving staffing issues due to the dedicated local account manager. It also maintained consistent full staffing for weekends and holidays. The team developed ongoing relationships with quality clinicians.
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Brookfield Health and Rehabilitation of Cascadia
Brookfield Health and Rehabilitation of Cascadia, a skilled nursing facility in Battle Ground, Washington with approximately 80 full-time staff members, faced persistent staffing shortages. The team struggled to cover weekend shifts and last-minute call-outs. These gaps made it difficult to maintain reliable coverage as needs changed. The facility transitioned from traditional agency staffing to a PRN staffing platform. This change streamlined how shifts were scheduled and helped improve operational efficiency. The platform enabled access via mobile and web tools and included support from a dedicated local representative. As a result, the facility stayed fully staffed to match fluctuating census levels. They also saw a significant decrease in unfulfilled shifts. This helped the team maintain consistent coverage while reducing costs.
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PAM Health Hospital of Westminster
PAM Health Hospital in Westminster, Colorado faced persistent staffing gaps amid nationwide nursing shortages. The facility also struggled with unreliable clinicians sourced through competing PRN platforms. No-shows and last-minute cancellations created ongoing coverage uncertainty. The hospital partnered with a PRN staffing platform to address these staffing challenges. The implementation focused on improving clinician reliability and reducing disruption from cancellations. The approach also aimed to raise the overall quality and professionalism of clinicians supporting shifts. The facility eliminated no-shows and last-minute cancellations. When clinicians needed to cancel, they provided 2–3 days advance notice. Clinician quality improved compared to prior platforms, with stronger knowledge, professionalism, and skills.
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Hillsboro Health and Rehabilitation Center
Hillsboro Health and Rehabilitation Center, a 64-clinician skilled nursing facility in Hillsboro, Oregon, faced staffing challenges worsened by COVID-19 burnout and high turnover. The team struggled to cover last-minute call outs using traditional staffing agencies. Lengthy email chains slowed down coordination and made it difficult to fill gaps quickly. The facility adopted a PRN staffing platform to streamline how shifts were posted and covered. The implementation replaced the back-and-forth agency email process with a simpler way to request coverage. A dedicated local account manager supported the facility, rather than a generic support model. After implementation, shifts rarely went unfilled once posted. The team spent significantly less time resolving staffing issues because the local account manager helped address problems quickly. The facility also developed ongoing relationships with quality clinicians and maintained consistent coverage for weekends and holidays.
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PAM Health Hospital of Westminster
PAM Health Hospital of Westminster in Colorado struggled with nationwide nursing shortages and unreliable clinicians from competing PRN platforms. Staffing gaps persisted and created coverage uncertainty for the facility. No-shows and last-minute cancellations made it difficult to maintain predictable operations. The hospital partnered with an on-demand staffing platform to address persistent staffing challenges and improve clinician reliability. The approach focused on providing more dependable access to clinicians when shifts needed coverage. It also set clearer expectations around cancellation behavior and reliability. The facility eliminated no-shows and last-minute cancellations. Clinicians provided 2–3 days of advance notice when canceling. The hospital also reported shift coverage within minutes and improved clinician quality, noting more knowledge, professionalism, and skills compared to prior platforms.
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Forest Grove Rehabilitation and Care Center
Forest Grove Rehabilitation and Care Center, a 120-clinician skilled nursing facility in Forest Grove, Oregon, struggled with understaffing during weekends and last-minute call-outs. The facility’s administrator spent hours manually coordinating schedules across multiple staff members. These gaps made it difficult to ensure consistent coverage when needs changed unexpectedly. The facility implemented a staffing platform to streamline shift posting and coverage. The new approach replaced hours of manual coordination with a faster, centralized way to post shifts and find coverage. This process helped the team respond quickly when call-outs happened at the last minute. Shift posting was reduced from hours of manual coordination to 30 seconds. The facility achieved a 100% fill rate for posted shifts. Last-minute call-outs were filled within 2 minutes, reducing weekend staffing gaps and allowing schedulers to spend more time supporting patient care.
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