High-volume clinical recruiting program for a regional health system
High-volume clinical recruiting program that filled 500+ nursing roles in 8 months while reducing cost-per-hire by 28%.
The Challenge
MediCare, a regional health system with 12 hospitals and 200+ clinics, was in a permanent recruiting crisis. They had 500+ open nursing positions at any given time, agency spend was consuming 18% of their HR budget, and the average time-to-fill for a registered nurse was 94 days. Their internal recruiting team of 15 recruiters was overwhelmed — processing 800 applications per week but converting less than 2% into hires. Their ATS was a black hole where candidates applied and never heard back, and reliance on staffing agencies had created a revolving door of expensive short-term fills.
Our Approach
We came in as recruiting partners. The first phase was rapid stabilization — taking over agency management, renegotiating rates with 12 agency partners for 25% immediate cost reduction, and implementing a 24-hour response SLA on all candidate applications. Then we rebuilt the recruiting engine by restructuring MediCare's internal team into specialized pods aligned with service lines: surgical services, emergency medicine, oncology, critical care, and allied health. Each pod developed deep expertise in their clinical domain and built relationships with specialty talent communities.
Candidate Experience Overhaul
The application experience was completely redesigned with a mobile-first flow that took 3 minutes instead of 20, automated status updates at every stage, a talent pool database for proactive matching, and an interview scheduling tool that eliminated email back-and-forth. We addressed nurse ghosting head-on with communication cadences keeping candidates warm through 60+ day processes, trained hiring managers on transparent salary discussions, and created a feedback loop improving how MediCare positioned roles.
Sourcing Engine
We diversified sourcing beyond job boards with direct LinkedIn outreach campaigns targeting passive nurses, nursing school partnership programs at 30 regional schools generating 28% of all hires within six months, and a return-to-work program for retired nurses interested in per-diem or part-time roles — an entirely untapped talent pool.
What we achieved:
- 500+ nursing roles filled in 8 months
- Average time-to-fill reduced from 94 to 42 days
- Cost-per-hire reduced by 28%
- Agency dependency reduced from 70% to 35% of hires
- Candidate response rate improved from 18% to 72%
- Employee referral rate reached 28% of total hires
- Internal recruiting team productivity increased 3x
Turning Hard-to-Fill Roles into High-Impact Hires
From niche technical positions to C-suite leadership, explore the proven sourcing strategies we used to connect companies with the exact talent they needed to grow.
End-to-end recruiting transformation for a hyper-growth tech company
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High-volume clinical recruiting program for a regional health system
High-volume clinical recruiting program that filled 500+ nursing roles in 8 months while reducing cost-per-hire by 28%.
Executive leadership hiring program for a private equity portfolio
Executive hiring program that placed 40+ C-suite and VP-level candidates in 6 months for a PE-backed growth equity firm.
Trusted by High-Growth Organizations
"Silana cut our hiring time in half. They understood our culture instantly and delivered three perfect engineering leads in under a week."
"Professional, discreet, and incredibly efficient. Silana placed two senior analysts who’ve already moved our product launch forward."
"Finding specialized biotech talent in our region felt impossible until Silana stepped in. Their network pulled in qualified, passive candidates we never knew existed."
"Silana cut our hiring time in half. They understood our culture instantly and delivered three perfect engineering leads in under a week."
"Professional, discreet, and incredibly efficient. Silana placed two senior analysts who’ve already moved our product launch forward."
"Finding specialized biotech talent in our region felt impossible until Silana stepped in. Their network pulled in qualified, passive candidates we never knew existed."
"Silana cut our hiring time in half. They understood our culture instantly and delivered three perfect engineering leads in under a week."
"Professional, discreet, and incredibly efficient. Silana placed two senior analysts who’ve already moved our product launch forward."
"Finding specialized biotech talent in our region felt impossible until Silana stepped in. Their network pulled in qualified, passive candidates we never knew existed."
"Most recruiters send generic resumes. Silana sent me a curated shortlist that actually matched our creative vision. Absolute game-changer."
"We scaled from 15 to 60 employees in six months thanks to Silana’s process. They handled the heavy lifting while keeping us updated every step of the way."
"Silana’s strategic approach to executive search is unmatched. They placed our new VP of Operations within a month, and the transition was seamless."
"Most recruiters send generic resumes. Silana sent me a curated shortlist that actually matched our creative vision. Absolute game-changer."
"We scaled from 15 to 60 employees in six months thanks to Silana’s process. They handled the heavy lifting while keeping us updated every step of the way."
"Silana’s strategic approach to executive search is unmatched. They placed our new VP of Operations within a month, and the transition was seamless."
"Most recruiters send generic resumes. Silana sent me a curated shortlist that actually matched our creative vision. Absolute game-changer."
"We scaled from 15 to 60 employees in six months thanks to Silana’s process. They handled the heavy lifting while keeping us updated every step of the way."
"Silana’s strategic approach to executive search is unmatched. They placed our new VP of Operations within a month, and the transition was seamless."
Questions We Get Asked Most Frequently
From sourcing timelines and fees to our placement guarantee and interview coordination—here’s everything you need to know about partnering with Silana.
We start with a discovery call to align on your role, culture, and growth goals. From there, we build a custom sourcing strategy, deliver a shortlist within 48 hours, and coordinate interviews until you make your hire.
Most roles are filled within 2–4 weeks. Our targeted sourcing and passive candidate network consistently cut traditional time-to-hire by half.
We focus on Technology & SaaS, Healthcare & Life Sciences, Financial Services & FinTech, and Professional Services & Creative. Our recruiters have deep domain expertise in these sectors.
Yes. Every hire is backed by a 90-day replacement guarantee. If a placed candidate doesn’t work out under our agreed terms, we’ll source a replacement at no extra cost.
We leverage targeted LinkedIn sourcing, proprietary talent databases, industry partnerships, and direct outreach to professionals who aren’t actively job hunting but perfectly match your requirements.
We offer retained, exclusive, and contingency structures based on role complexity and market demand. We provide a transparent, custom quote after initial discovery.
Every candidate undergoes behavioral interviews, role-specific assessments, reference checks, and a dedicated cultural alignment review before they ever reach your team.
We manage the transition by coordinating onboarding checklists, supporting offer negotiations, and conducting 30/60/90-day follow-ups to ensure smooth integration and long-term retention.
We start with a discovery call to align on your role, culture, and growth goals. From there, we build a custom sourcing strategy, deliver a shortlist within 48 hours, and coordinate interviews until you make your hire.
Most roles are filled within 2–4 weeks. Our targeted sourcing and passive candidate network consistently cut traditional time-to-hire by half.
We focus on Technology & SaaS, Healthcare & Life Sciences, Financial Services & FinTech, and Professional Services & Creative. Our recruiters have deep domain expertise in these sectors.
Yes. Every hire is backed by a 90-day replacement guarantee. If a placed candidate doesn’t work out under our agreed terms, we’ll source a replacement at no extra cost.
We leverage targeted LinkedIn sourcing, proprietary talent databases, industry partnerships, and direct outreach to professionals who aren’t actively job hunting but perfectly match your requirements.
We offer retained, exclusive, and contingency structures based on role complexity and market demand. We provide a transparent, custom quote after initial discovery.
Every candidate undergoes behavioral interviews, role-specific assessments, reference checks, and a dedicated cultural alignment review before they ever reach your team.
We manage the transition by coordinating onboarding checklists, supporting offer negotiations, and conducting 30/60/90-day follow-ups to ensure smooth integration and long-term retention.
We start with a discovery call to align on your role, culture, and growth goals. From there, we build a custom sourcing strategy, deliver a shortlist within 48 hours, and coordinate interviews until you make your hire.
Most roles are filled within 2–4 weeks. Our targeted sourcing and passive candidate network consistently cut traditional time-to-hire by half.
We focus on Technology & SaaS, Healthcare & Life Sciences, Financial Services & FinTech, and Professional Services & Creative. Our recruiters have deep domain expertise in these sectors.
Yes. Every hire is backed by a 90-day replacement guarantee. If a placed candidate doesn’t work out under our agreed terms, we’ll source a replacement at no extra cost.
We leverage targeted LinkedIn sourcing, proprietary talent databases, industry partnerships, and direct outreach to professionals who aren’t actively job hunting but perfectly match your requirements.
We offer retained, exclusive, and contingency structures based on role complexity and market demand. We provide a transparent, custom quote after initial discovery.
Every candidate undergoes behavioral interviews, role-specific assessments, reference checks, and a dedicated cultural alignment review before they ever reach your team.
We manage the transition by coordinating onboarding checklists, supporting offer negotiations, and conducting 30/60/90-day follow-ups to ensure smooth integration and long-term retention.
