Automating time off for telepsychiatry without opening a coverage gap
Iris replaced forms-based time off with automated requests that check coverage, licensing, and fairness before approval.

Reduction in manual labor
Time off automated, no forms or manual coverage checks [confirm number]
Results at a glance
- Time off and availability automated — no more forms
- Coverage, license, and policy checked before approval
- Policies applied fairly and consistently
- Kept in sync with payroll and HRIS
About Iris Telehealth
Iris Telehealth staffs psychiatrists and behavioral health Care Teams for 75 health systems across roughly 300 hospitals, delivering 24/7 telepsychiatry into emergency and inpatient departments.
The pain
Time off ran on paper forms. Requesting and approving availability and time off by hand is slow for the Care Team and a constant drain on operations.
A rushed yes can leave the ED short. Approving time off without checking who is still licensed and available to cover risks a coverage gap — the one thing 24/7 emergency psychiatry can't have.
Fairness is hard to prove by hand. Manual approvals invite inconsistency, and inconsistency wears on Care Team trust.
A time-off request lands on a form, and someone has to manually check coverage, licensing, and fairness before they can say yes.
The challenge
Iris needed time off to be fast and self-serve without ever creating a care, license, or compliance gap.
The solution
Untether handles availability and time off with rules that check coverage, licensing, and policy fairness before anything is approved, and keeps payroll and HRIS in sync automatically.
The impact
Time off runs without forms or manual checks, and never at the cost of a coverage gap — less work for operations and a fairer experience for the Care Team.
Want the full results?
Some figures shown are illustrative and pending customer sign-off. Reach out and we'll walk you through the details behind this story.
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