Filling open shifts internally to cut premium labor — and pay Care Team more

• +26%

  Care Team satisfaction

  Higher Care Team satisfaction (illustrative, pending sign-off)

• 90%

  Reduction in manual labor

  Teams managing shifts self-serve (illustrative, pending sign-off)

Results at a glance

• Open shifts surfaced internally before any external staffing
• Care Team picks up shifts — and earns more — from their phone
• On-call coverage managed in one place
• Premium agency, locum, and overtime spend reduced by filling internally first

About Dialogue

Dialogue is Canada's leading virtual care platform, running primary care, mental health, and EAP across a blended Care Team of full-time, part-time, contractor, and on-demand clinicians.

The pain

Open shifts went straight to expensive labor. Without an internal way to fill gaps, coverage defaulted to agency, locum, or overtime — the priciest option every time.

The Care Team wanted hours they couldn't find. People happy to pick up shifts had no easy way to see and grab them.

On-call was run by hand. Coordinating who was covering took constant manual work.

An open shift defaults to agency or overtime while a Care Team member who would gladly take it never even sees it.

The challenge

Dialogue needed to fill coverage at the lowest cost while giving its Care Team a way to earn more.

The solution

Untether offers open shifts to the internal team first, from their phone — see a shift, pick it up, manage availability and on-call in one place. External staffing becomes the last resort, not the default.

The impact

More gaps get filled internally, cutting premium agency and overtime spend, while Care Team members earn more picking up shifts they actually want. Margin and morale move the same direction — Care Team satisfaction rose 26%*.

*Illustrative figure pending final customer sign-off.