Case Study
Reducing Nurse Vacancies and Labor Costs for a NC Health System

9 Hospital System
Hiring Across All Acute Care Units

North Carolina
Recruiting Statewide

Roles Filled

Services Engaged

The Challenge
A 9-hospital system in North Carolina faced a persistent nurse staffing shortage driven by geographic constraints and a high cost of living. This led to increased use of contingent labor, including travelers and temp staff, which strained budgets and disrupted care continuity. The system needed a long-term healthcare recruitment solution to hire full-time RNs, reduce its dependency on contract labor, and improve workforce stability. Delivering cost-effective, flexible staffing results in a competitive market required a highly targeted nurse recruitment strategy from a specialized healthcare RPO partner.
Our Approach
To reduce nurse vacancies and contingent labor dependency, we delivered a high-impact, RPO-powered nurse recruitment strategy, leveraging sourcing specialists, employer branding, and streamlined screening tools to scale results across the system.
Geographic Targeting + Outreach
Our team focused on sourcing nurses from surrounding states and regions with lower costs of living. We used strategic messaging to attract relocation-ready RNs and leveraged our healthcare recruiter network to extend reach beyond standard job boards.
Optimized Sourcing at Scale
Three dedicated nurse sourcers averaged over 2,000 outreach contacts weekly, engaging qualified candidates through multi-channel sourcing—LinkedIn, job boards, and targeted CRM campaigns. Our healthcare recruitment team focused on long-term fit and retention potential.
Fast Screening & Hiring Support
We accelerated time-to-fill using screening automation and interview coordination tools. This enabled the internal TA team to focus on closing hires while we managed the front end, cutting time-to-hire and boosting candidate quality across all 9 hospitals.
Systemwide RN Hiring Wins
In just 10 months, eHospitalHire’s nurse recruitment team filled 60 RN roles across 9 hospitals, cutting nurse vacancy rates by 10% and reducing dependency on high-cost contract labor. Our flexible staffing strategy delivered over $4.3M in savings by focusing on long-term hires and minimizing the need for temporary or travel nurses. With only three dedicated sourcers, we accelerated recruitment outcomes, improved continuity of care, and delivered scalable hiring results tailored to the health system’s workforce goals.

Inpatient RN Roles Filled in 10 Months
Vacancy Drop Achieved in Under 8 Months
Saved in Contingent Labor Reduction
Sourcers Powered the Direct Hire Efforts

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