Same day Urgent coverage requests answered, every day

Census does not wait for your requisition.

Blue Water Staffing helps hospitals, health systems, post-acute providers, and home health agencies find clinicians for travel, PRN, permanent, and international staffing. We learn the role, location, and timeline before proposing a staffing plan and discussing rates. If we cannot meet a request, we’ll tell you directly.

A nurse in navy scrubs walking down a hospital corridor at shift change, holding a clipboard
Built around your needsSpecialty, shift, location, and start date
Clinician-focused matchingQualifications reviewed for the role
Clear termsDiscuss rates and requirements before moving forward
Multiple staffing optionsTravel, PRN, permanent, and international
What we solve

The four problems that actually cost you money

Not "we're passionate about healthcare". These are the failures we hear about on the first call, and what changes when the program is run properly.

The problem

Requisitions that sit open for months

Submittals arrive slowly, arrive incomplete, or arrive from a supplier who never had the candidate to begin with. Meanwhile the unit runs short and your core staff absorb it.

What changes: credential-complete submittals on a timeline agreed at intake, with a documented escalation path above your account team.
The problem

Rates that drift quarter over quarter

The same ICU RN is billed at three different rates by three suppliers in the same building, exceptions get approved verbally, and nobody can reconstruct why the budget moved.

What changes: a published rate card held for the program term, written approval required for every exception, and variance against the card reported back to you.
The problem

No single view of contingent spend

Fourteen suppliers, fourteen invoices, credential expiries tracked in a spreadsheet, and a reconciliation cycle that runs three weeks behind the work.

What changes: one consolidated invoice coded to your cost centers, automated credential expiry tracking, and order-to-invoice visibility in one system of record.
The problem

The supplier who won on price and then could not cover

The lowest bid takes the contract, the rate looks excellent on paper, and then the requisitions sit. By the time you unwind it you have lost a quarter, your managers have stopped trusting agency submittals, and the coverage gap is worse than before you signed.

What changes: we quote a rate we can actually staff at, and we tell you before you sign when we cannot cover a market or a specialty. A smaller commitment we keep is worth more to you than a larger one we miss.
Nine service lines, one partner

Every channel you need, under one contract

Most agencies do one thing and refer the rest. Blue Water runs all nine under one credentialing standard and one invoice — so coverage does not fracture at the boundary between contingent and permanent labor.

Travel Staffing

Cover a known 8 to 26 week gap — leave coverage, census surge, EMR go-live, or a new unit opening — without committing to a permanent hire.

Explore travel staffing

PRN & Per Diem

Shift-level coverage for daily census variance, call-outs, and weekends — integrated behind your internal float pool rather than competing with it.

Explore PRN coverage

Permanent Placement

Direct-hire search for staff, advanced practice, allied, and nursing leadership — contingent, retained, or full RPO, each with a written guarantee period.

Explore permanent search

International Recruitment

For chronic multi-year shortages domestic supply cannot close: EB-3 and TN pipelines with three-year commitments and retention rates contingent labor cannot approach.

Explore international

MSP Programs

Vendor-neutral, master-supplier, or hybrid program management covering order management, supplier scorecards, rate governance, and consolidated invoicing.

Explore MSP programs

VMS Technology

Our proprietary platform — order-to-invoice visibility, automated credential expiry tracking, time capture, and spend analytics — inside a program or licensed standalone.

Explore VMS technology

Locums & Advanced Practice

Locum tenens physicians, NPs, PAs, and CRNAs on the same agreement as your nursing — malpractice carried, licensure funded, privileging driven in parallel.

Explore provider coverage

Float Pool Management

We design, staff, and run your internal resource pool — priced as a fixed fee, not a share of agency spend, because a working pool should reduce what you spend with us.

Explore float pool

Interim Leadership

Interim CNOs, DONs, directors, and nurse managers who stabilize the department while the permanent search runs properly instead of desperately.

Explore interim leadership
How we work

Four steps, and you hold us to each one

Any agency can fill an easy requisition. What separates programs is what happens on day nine of an unfilled OR night shift. Ours is written down.

1

Send the requisition

Four-step form or a call to your client executive. We scope the right channel first — including cheaper ones we do not profit from.

2

Credential-complete submittals

Primary source verification on licensure, certifications, immunizations, and competencies happens before the profile reaches your manager.

3

Placement and escalation

A named account team and a documented escalation ladder — not a support queue that returns calls on Monday.

4

Quarterly business review

Fill rate, time-to-fill, bill rate variance, and extension rate reported against your own baseline. Misses reported alongside wins.

The network behind your fill rate

Supply, not promises

Fill rate is a function of how many credentialed clinicians we can actually reach in your market. These figures come from the roles live on this site right now — not a brochure.

Where demand is heaviest

Network-wide open roles by state.

For multi-supplier programs

Or let us run the suppliers you already have

If your problem is not one open requisition but fourteen agencies, inconsistent rates, and no single view of spend, the answer is a managed service program — not another supplier.

  • Vendor-neutral, master-supplier, or hybrid — chosen from your fill-rate history and spend profile, not our margin.
  • Supplier-funded in most programs, so the administrative fee comes out of supplier margin rather than your budget.
  • Incumbents kept, not replaced — onboarded to the program rate card and scorecard so clinicians on assignment are not disrupted.
  • Phased implementation by facility, with daily standups through the first three weeks.
What your program reports on
Open requisitionsBy facility, unit, and specialty
Fill rate against your baselineMeasured from your figures at program start, not ours
Time to first submittalAgainst the service level written into the agreement
Credential expiryTracked ahead of the date and notified to clinician and supplier
Bill rate variance against the cardEvery exception requires written approval
Contingent spend against budgetOne consolidated invoice, coded to your cost centers

Reporting is agreed at implementation and reviewed with you quarterly. Figures come from your program — we do not publish other clients' numbers.

Built to hospital compliance standards

The part nobody markets and everybody is surveyed on

Joint Commission HCSSOperations aligned to Health Care Staffing Services standards, documented for audit.
Primary source verificationLicensure, certifications, immunizations, and competencies verified before report time.
Ethical international recruitmentNo fees to clinicians, wage parity, and WHO global code principles — in writing.
Classification in writingEvery engagement is classified before placement and agreed with you — locum providers are typically 1099, nursing placements W2 unless we agree otherwise. Certificates of insurance issue to your risk office either way.

Certificates of insurance, credentialing policy documentation, and audit files are issued at onboarding, not on request. See full compliance standards

In their words

What partners say

Send us the requisition you cannot fill

Not the easy one. Send the OR night shift that has been open since March, and let us show you what the escalation path actually looks like.

Call us Request staff