Healthcare Staffing That Actually Shows Up

Hospitals don’t need another vendor promising the moon. They need a partner who answers the phone, sends the right person, and does it again next week. That’s the job we showed up to do.

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We started Nexacare because staffing a hospital shouldn’t feel like ordering off a vendor catalog. It should feel like calling a colleague who already knows your floor, your shifts, your people. We run four service lines, but it’s the same team behind every one of them.

48-Hr Fill

Typical turnaround on open shift requests

92% Retention

Nurses who stay through their full assignment

Nursing Staffing

Nurses Who Already Know How a Floor Runs

R4 Healthcare handles nurse staffing solutions the way a strong charge nurse handles a shift: steady, prepared, and already thinking a step ahead. As a nursing agency serving hospitals, we help cover registered nurse staffing needs as well as licensed practical nurse and certified nursing assistant roles. Every clinician is license-verified before ever stepping onto your floor.

Fast Vetting

Every license and background check cleared before day one.

Floor-Ready

Matched to your unit type, not just your job title.

Real Backup

A dedicated contact who picks up when shifts change.

How fast can R4 Healthcare staff an open nursing shift?

Most per-shift nursing requests are filled within 48 hours, often faster for common license types like RN and LPN in major metro areas. For ongoing or specialty roles, timelines depend on credentialing requirements specific to your state and facility.

Do you staff for specialty units like the ICU or the ER?

60+ Specialties

Therapy and technical disciplines covered

89% Fill Rate

Allied health requests matched on the first submission

Allied Health Staffing

The Staff Behind the Staff You Already Have

Nursing gaps get noticed fast. Allied health gaps quietly back up everything else: discharge, diagnostics, therapy schedules. Our allied health staffing solutions cover therapy staffing across PT, OT, and speech, plus healthcare technical staffing for lab, imaging, and surgical tech roles, so the rest of the hospital keeps moving.

Wide Coverage

Therapy and technical roles, not just one discipline.

Unit-Matched

Placed where your specific department actually needs help.

Same Rigor

Credentialed to the same standard as every nursing hire.

What allied health roles does the R4 Healthcare staff provide?

We support a broad mix of allied health hiring needs, from physical, occupational, and speech therapists to lab techs, radiology techs, and surgical techs. If the position plays a hands-on role in patient care outside of nursing, it’s very likely something we can help you fill.

Can allied health staff start on short notice?

24-Hr Response

Average time to first candidate options

94% Renewal Rate

Travel contracts extended at facility request

Travel & Per Diem Staffing

Coverage for Right Now, and for the Next Few Months

Some gaps need to be solved by the next morning. Others need solving for the next thirteen weeks. Travel nurse staffing connects you with clinicians ready for extended assignments, while per diem nurse staffing fills single shifts fast. Unlike travel nurse staffing companies that vanish after placement, we stay on through the assignment.

Both Speeds

Long-term contracts and single-shift coverage, same network.

Stay Involved

We manage the assignment, not just the placement.

One Contact

The same point person from request through renewal.

What's the difference between travel and per diem nurse staffing?

Travel nurse staffing is the right fit when you need coverage for a longer stretch, often eight to thirteen weeks. Per diem staffing is more about immediate flexibility, whether that means covering a single shift, plugging a last-minute hole, or bringing in local nurses who can jump in fast.

How is R4 Healthcare different from other travel nurse staffing companies?

85% 1-Yr Retention

Permanent placements still in role after twelve months

30-Day Avg Fill

Average time from search start to signed offer

Permanent Placement Services

For When You're Done Backfilling the Same Role

At some point, covering a gap stops being the answer, and closing it becomes the goal. Permanent healthcare staffing at R4 Healthcare goes beyond credentials to retention fit. Our permanent medical staffing recruiters evaluate culture and growth trajectory, and our permanent healthcare recruitment process is built to reduce time-to-fill without cutting corners.

Retention Fit

Evaluated for culture and longevity, not just credentials.

Full Process

Sourcing through offer negotiation, handled end-to-end.

Fewer Repeats

Less time spent refilling the same role next year.

How is permanent placement different from your contingent staffing?

Contingent staffing is meant to solve the problem. For example, a schedule gap, a leave, a census spike, or an urgent need for coverage. Permanent placement takes a different approach. The goal there isn’t just to fill the opening quickly, but to find someone who makes sense for the role, the team, and the long haul.

What's included in your permanent healthcare recruitment process?

Why R4 Healthcare Solutions

One Partner, Several Ways to Help

Every service line above runs on the same three commitments.

One Team

Nursing, allied health, travel, and permanent placement all run through the same team and the same point of contact, so nothing falls through the cracks.

Real Speed

Most shift requests get a real response within a few hours, not days, because staffing gaps don't wait for business hours, and neither do we.

No Surprises

Every clinician we send is license-verified and background-checked before placement starts. What you're told you're getting on paper is exactly who shows up to work.

Tell Us What Coverage You Need

From a single open shift to department-wide support, every conversation starts in the same place: you tell us what’s missing, and we’ll tell you how quickly we can get to work.