September 24, 2026
CASE STUDY
Reducing Vacancy & Contract Labor Through an International Direct Hire Strategy
A regional nonprofit health system was working toward three clear workforce goals: improve clinician retention, reduce contract labor spend, and lower vacancy.
Rather than continuing to respond to workforce gaps as they arose, the organization took a longer view. Together with WorldWide HealthStaff Solutions, using H-1B and EB-3 visa pathways as part of a broader international direct hire strategy designed to build workforce stability over time.
The results were measurable: contract labor spend decreased 54.8%, RN vacancy fell from 6.49% to 2.15%, and clinician retention reached 95%.
In This Case Study:
- How workforce projections informed a consistent international hiring cadence
- The role international direct hire played in reducing reliance on contract labor
- How WWHS supported immigration, compliance, interviewing, onboarding, and clinical transition
- Where the strategy extended beyond RNs to other difficult-to-fill clinical roles
- What changed across vacancy, contract labor spend, and clinician retention











