Matching capacity to demand across 13 regions without firefighting coverage

• ~75%

  Reduction in manual labor

  Ops time on coverage cut (~300 hrs/week to ~75% less)

• Patient access

  Coverage holds through surges and seasonality [confirm number]

Results at a glance

• Call-outs, coverage gaps, and float handled in real time
• Surges and scale-downs managed across 13 regions
• Capacity matched to forecast — ready for flu season
• The right licensed, skilled Care Team moved between regions without a fire drill

About Dialogue

Dialogue runs primary care, mental health, nutrition, and care coordination across 13 regions, staffed by a blended Care Team of RNs, MDs, therapists, psychiatrists, psychologists, and nutritionists.

The pain

Gaps were caught late. Call-outs and coverage holes meant clinical leaders firefighting instead of leading.

Demand moves between regions. A surge in one region and a lull in another needs people moved fast; by hand it's too slow, and patients wait.

A static schedule breaks under seasonality. Flu season and volume spikes overwhelm a grid built weeks earlier.

One region floods while another goes quiet — and moving nurses between them happens in a spreadsheet, after patients are already waiting.

The challenge

Dialogue had to hold coverage tight across 13 regions and a blended workforce as demand shifted by region and season, without overstaffing away its margin.

The solution

Untether keeps capacity matched to forecast across regions and service lines and handles the day-to-day automatically — call-outs, coverage gaps, and moving the right licensed, skilled people between regions. When volume surges or a region needs to scale down, coverage adjusts without a scramble.

The impact

Clinical leaders stop firefighting, coverage holds through surges and flu season, and capacity tracks demand instead of sitting idle — protecting both patient access and margin. Manual coverage work fell roughly 75%.