New Placement Request

Tell us who you need.

01 Client Information Required

Practice / Company Name *

Primary Contact Name *

Title / Role

Email *

Phone

Practice Specialty

EHR / Practice Management System

Practice Location (City, State)

02 Position Details Who you need

Role Type *

Number of Positions *

Position Title (as you'd like it labeled)

Job Scope / Description *

03 Requirements What they need to bring

Experience Level

Required Certifications

Native English Required

Yes Preferred Not required

HIPAA-Trained Required

Yes Willing to train No

Other Required Skills or Software

04 Compensation What you'll pay the worker

Expected Pay Range (worker rate, not all-in) *

—

Pass-through rate to the worker. Staff X admin fee is added on top.

Pay Type *

Hours per Week

Required Time Zone Coverage

Shift / Schedule Notes

05 Timing When you need them

Preferred Start Date

Urgency *

06 Additional Notes Optional

Anything else we should know?

We'll respond within one business day with a placement proposal.

✦

Request Received

Thank you. Your placement request has been logged and routed to our talent team.

You'll hear from us within one business day with a proposed placement and engagement letter.