Health System CFOs face an unprecedented convergence of pressures: flat or declining reimbursements, labor costs consuming 50-60% of operating budgets, and workforce instability driving unplanned and costly variations. Traditional staffing approaches lock you into a zero-sum choice between fill rates and labor costs - to drive fill rates up, cost must follow. Until Now.
Works OnDemand deploys autonomous staffing intelligence on top of your core scheduling and payroll system - UKG, ShiftWizard, Symplr, or Infor - optimizing every open shift in real-time across your entire workforce ecosystem. Works doesn't just fill shifts - it operates as an always-on network of financial analysts, filling shifts at the right cost with the right resource, prioritizing productivity.
Autonomous Open Shift Recruitment: Works OnDemand automatically matches open shifts to optimal resources - sequencing across internal staff, part-time resources, float staff, and gig-model employees by cost impact.
“Always-On” Arbiter of Premium Spend: Only spend it where and when you need it. Works OnDemand re-allocates incentives across the health system in real-time as census and staffing needs change. As units approach target fill rate, incentives reduce - ultimately suspending once the target fill rate is achieved. True financial alignment achieved.
Health System
Key Results
Financial Impact
Built and deployed a 3000+ member “gig” workforce for emergent needs
$100M+ in labor cost savings
Overall fill rate: 85% → 93%
~2x core staff engagement in open shift claiming
RN turnover cut in half to 9%
14% reduction in premium spend
Average shift claim lead time increased from 4 days to 22 days
$500K+ annual incentive savings across 300 bed system
Labor Productivity Optimization: Fairness, delivered. Dynamic incentive management automatically adjusts shift premiums based on real-time supply and demand, eliminating unnecessary spend while ensuring fill rates at a scale not previously achievable.
Relieve Administrative Burden without Additional Hiring: Autonomous shift matching returns 30% of unit managers' time without increasing Central Staffing personnel.
Finally Cure the “Wait and Negotiate” Problem: Works combines incentive assignment and sequenced shift distribution to rapidly change shift claiming behavior. Within 3 pay periods of go live, Works clients experience a reversal of staff behavior - with most shifts claimed at least 2 weeks in advance of shift start.
Enterprise-Wide Fill Rate and Spend Visibility: Real-time visibility into incentive and fill rates by unit over time helps identify opportunities to right-size the workload planner and staffing strategies and prevent chronic spending. Glorious.
