Workforce · Scheduling

Forecast the day. Build the roster.
Fill every shift.

Three connected systems, not one. A forecast that learns from every signal that shapes demand. A roster that solves for acuity, fairness, and continuity at the same time. A fill engine that sources internally first and reaches the market on contract terms you set.

Forecast Roster Fill
Forecast

Every signal that shapes demand, in. Care-hours by competency, out. Sharper every cycle.

Population, weather, network, your own history — fused into care-hours by skill mix, by unit, by shift. Confidence bands. Named drivers. Every recommendation cites the signals that produced it. Every cycle teaches the next one.

What it does
  • Care-hours forecast by skill mix — RN, LPN, CNA, specialist — by unit, by shift, with confidence band
  • Named drivers — every recommendation cites the signals that produced it: regional flu trajectory, weather event, pending discharges
  • Acuity-weighted demand, not headcount — the patient mix shapes the staffing call
  • Multi-horizon — 24-hour tactical, 7-day operational, 30-day workforce, 90-day strategic
  • Pre-fill window flagged before agency premium kicks in
  • Counter-factual inspection — see how the forecast moves when a signal changes
The Signal Cone
Every input feeding the forecast
Internal · Your record
Census + acuity + LOSAdmission + discharge patternsReferral pipelineScheduled proceduresPayer-mix driftPTO + sick patternsCertification expirations
Local · Population + place
Census tract demographicsChronic disease prevalenceMedicare Advantage penetrationSchool calendarLocal employer eventsConstruction + commute disruption
External · Environment
CDC FluView + wastewater surveillanceStorm + heat advisoriesAQI + pollen indexHolidays + mass gatheringsPublic health alerts
Network · Regional flow
Regional ED censusHospital LOS trajectorySister-facility bed-boardTransfer-pattern history
New signal sources added as connectors land. The cone widens; the forecast sharpens.
Roster

Acuity, fairness, continuity — held together. With the math shown.

Multi-objective optimization across acuity, fairness, continuity, preference, regulation, cost, and fatigue — solved together. You see the trade frontier and pick the trade. Every choice cited.

Acuity
Fairness
Continuity
Preference
Regulation
Cost
Fatigue
How the roster solves
  • Acuity-weighted assignment — care-hours match competency, not headcount
  • Continuity of care preserved — the patient sees the clinicians who already know them
  • Fairness ledger — weekend, night, holiday, on-call, and overtime distribution tracked across the team
  • Bias detection — equitable distribution across protected classes, surfaced and reviewable
  • Patient affinity scored — relationship history with specific patients and families weighted into the match
  • Personal preference honored — preferred shifts, hard days off, max-consecutive limits, childcare windows
  • Regulatory floor enforced — minimum-staffing rules, CMS star-rating ratios, payer-contract minimums
  • Fatigue + safety guards — consecutive-shift, rest-hour, weekly-cap rules
  • Counter-factual inspection — “if I move this clinician to days, what changes?” answered with scored math
  • Development-aware pairing — junior with senior on hard cases; certification gaps closed over time
Fill

Sourced internally first. Reached externally on your terms.

An open shift cascades through eight tiers — internal bench through capacity reshape. Contracts enforced as code. Concurrent marketplace postings dedupe atomically. Every tier scored on cost, time-to-fill, retention, and outcome — feeding the next cycle.

Internal Bench

FTE, PRN, per-diem. Best-match offer first — skill, affinity, fairness, preference. Premium personalized to who actually responds.

Network Sharing

Float pool, sister units, sister facilities. Intra-org sharing across buildings, scored on travel, credentialing, and continuity.

Preferred Agency

Posted under your MSA. Bill-rate ceiling, no-poach, conversion fees, decline-rate thresholds — enforced as code, not audited after.

Open Marketplaces

Concurrent posting across vetted nurse-staffing marketplaces. First-fill wins; the rest cancel atomically.

Direct Sourcing

Independent contractors and prior-relationship clinicians, on direct terms. Higher margin, deeper trust, repeat retention scored.

Programmatic Reach

Major job boards and clinician-search platforms. Budget-capped, geo-targeted, A/B-optimized headlines. The job board becomes a fill channel.

Telehealth Backstop

Shift-lead oversight, MD coverage, pharmacy review on standby. Closes the safety gap when bodies on the floor cannot.

Capacity Reshape

Temporary unit consolidation, swing-bed conversion, accept-or-divert math with the financial and clinical trade shown. Last resort, surfaced early.

Why the cascade is different
Contracts enforced as code

Every posting respects your MSA. Bill-rate ceilings, no-poach, conversion fees — blocked before they violate, not audited after.

Concurrent + atomic

Post to four marketplaces at once. The first valid response wins. The rest cancel automatically. No double-booking. No accidental dual liability.

Tier scoring sharpens the next cycle

Cost, time-to-fill, retention, patient outcome — tracked by tier, by source, by shift type. The next cycle spends where it actually pays.

Outcomes feed the forecast

Every cycle teaches the next.

Every actual outcome flows back: shift filled or unfilled, FTE or agency, staff retained or churned, minimum-staffing rule held or missed, denial rate by staffing mix. The system doesn’t just plan — it learns what your facility actually rewards. Tomorrow’s forecast is sharper because yesterday’s call was answered.

Forecast Roster Fill Outcome sharpens the next forecast

Most products do one of these three. Remedi runs all three, and learns from every cycle.

Begin

Let's build the right thing.

We’re building Remedi with healthcare leaders who want their hours back — and want intelligent operations where the dollars, the surveys, and the clinician hours actually live.