Scheduling scarce psychiatrists in compliance across every state and health system

• Margin / utilization

  Scarce psychiatry hours used only where licensed and enrolled [confirm number]

• Patient access

  Compliant coverage protected across ~300 hospitals [confirm number]

Results at a glance

• Every shift scheduled against an active state license, credential, and hospital enrollment
• Credentialing data pulled from HealthStream and Medallion; hires and departures from ADP
• Compliant coverage across multi-state, multi-license, multi-enrollment psychiatry
• Scarce psychiatrist capacity put in front of patients, not paperwork

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

Scarce clinicians, burned on paperwork. There are fewer than 50,000 psychiatrists in the country, and each can only see patients where they hold an active state license and are credentialed and enrolled with that specific hospital. Tracking all of that by hand wastes the very capacity that's hardest to hire.

One missed credential is a compliance event, not a typo. Across many states, multiple EMRs, and hundreds of hospitals, confirming who is cleared to see whom by hand is slow and risky.

Every hour spent matching licenses is access and margin you don't get back. Scarce psychiatrist time sits idle while operations works out who's allowed to take the next patient.

For every placement: confirm the state license, confirm the credential, confirm enrollment with that exact health system — then schedule. Across multiple states and EMRs, by hand.

The challenge

Iris grows by getting a scarce, heavily regulated workforce in front of more patients without a single non-compliant shift. When licensing and enrollment live in spreadsheets, compliance risk and idle clinician time both climb with every health system Iris adds.

The solution

Untether keeps every psychiatrist's licenses, credentials, and hospital enrollments current — pulled straight from HealthStream and Medallion and reconciled against hires and departures in ADP — and only ever schedules a clinician where they are cleared to work. Contracts, availability, and preferences sit in the same place, so a compliant schedule comes out automatically.

The impact

Compliance is built into the schedule instead of audited after the fact, and scarce psychiatry hours go straight to the patients who need them — protecting both access and margin as Iris adds health systems.