Credential-complete submittals
Primary source verification on licensure, certifications, immunizations, and competencies before the profile reaches your manager.
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We tell you what we can cover before you sign
Hospitals, health systems, surgery centers, post-acute providers, and home health agencies use Blue Water for travel, per diem, permanent, and international clinicians, or to run the suppliers they already have. We learn the unit, shift, and start date first, then propose a plan and a rate we can actually staff at. If we cannot cover it, you hear that from us up front.
AgreedSubmittal timeline set at intake
QuarterlyFill rate reviewed with you
Any stateLicensed for your contract
Same dayUrgent requests answered
Start here
Request staff
Four short steps. Urgent requests are answered the same day, every day. Anything after midnight is picked up from 8am Pacific.
Prefer to talk it through? Call (877) 720-9940 or email clientservices@bluwtr.com.
Choosing a channel
The wrong channel costs more than the wrong rate
Most staffing failures are a channel mismatch — a permanent search opened for a six-week vacancy, or a travel contract used to cover a structural shortage. Here is how we scope it.
| Service line | Best for | Timeline | Commitment | Cost shape |
|---|---|---|---|---|
| Travel contract | Known 8–26 week gap: leave coverage, census surge, EMR go-live, unit opening | Submittal timeline agreed at intake | 8–26 weeks | Hourly bill rate, all-in |
| PRN / per diem | Daily variance, call-outs, weekend and holiday coverage, IRP overflow | Same day, or planned ahead | Shift by shift | Hourly, no minimum |
| Permanent placement | Structural vacancy you intend to keep filled — staff, leadership, or advanced practice | Search plan agreed at intake | Direct hire | One-time fee, guarantee period |
| International (EB-3 / TN) | Chronic multi-year shortage where domestic supply cannot close the gap | Multi-year pipeline, written milestone plan | 3-year contract | Program fee + salary |
| MSP program | Multiple suppliers, inconsistent rates, no single view of contingent spend | Phased implementation | Multi-year program | Supplier-funded or client-funded |
| VMS only | You manage suppliers yourself but need order-to-invoice visibility and compliance tracking | Phased configuration | Subscription | Per-transaction or licensed |
Not sure? Select "Not sure — advise me" in the request form. We will tell you plainly if a cheaper channel solves it, including one we do not profit from.
What you actually get
The parts that matter after the contract is signed
Rate card discipline
Published rates by specialty and market, held for the program term. Exceptions require written approval, so bill rate variance stops drifting quarter over quarter.
A named account team
A client executive, a program coordinator, and a credentialing specialist assigned to your account by name — with a documented escalation ladder above them.
Quarterly business reviews
Fill rate, time-to-fill, extension rate, bill rate variance, and clinician satisfaction reported against your own baseline — not an industry average. Misses are reported alongside wins.
Hold us to these
What we will not do on your account
Most of what goes wrong with a staffing supplier is something they did quietly. These are the things we commit not to do, in writing, so you can check us against them.
Request staff- Quote a rate we cannot staff at. If a market or specialty is beyond us, we say so before you sign.
- Send a profile before the credentials are verified. Primary source verification comes first, not after your manager says yes.
- Submit a clinician without their agreement. Every clinician knows what we are sending you before we send it.
- Treat a verbal rate exception as approved. Every exception needs written approval, and variance against the rate card is reported back to you.
- Sell you a channel you do not need. If per diem or an internal pool solves it, we tell you, even when we earn less.
- Sit on a requisition we cannot fill. You hear that it is not working, and what we would change, before you have to ask.
Where we staff
Licensed where your contract is
Select a state for its compact licensure status and Board of Nursing. Compact states let a clinician start on the license they already hold; everywhere else we fund and expedite the application.
Compact state
Single-state license
Care settings
Six settings, six different rulebooks
Acuity, ratios, documentation, and regulatory exposure differ enormously between a trauma center and a home health agency. Our credentialing and onboarding standards are built per setting rather than applied generically.
Request staffAcute care hospitals
Level I–IV trauma, academic medical centers, community hospitals, critical access.
Ambulatory surgery
Multi-specialty ASCs, ophthalmology, GI, and orthopedic surgery centers.
Post-acute & SNF
Skilled nursing, inpatient rehab, long-term acute care, assisted living.
Behavioral health
Inpatient psych, crisis stabilization, substance use treatment, adolescent units.
Clinics & physician groups
Primary care, specialty clinics, FQHCs, urgent care networks.
Home health & dialysis
Home health, hospice, private duty, and chronic outpatient dialysis networks.
Client FAQ
Before you send a requisition
Compliance, coverage, and timelines, answered directly.
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.