Credential Every Nurse. Pay Every State Correctly. Never Charge for a Recruiter Seat.
FreshStaff tracks license and certification expirations automatically, runs multi-state travel-nurse payroll natively, and only bills you $6/month per nurse actually on assignment. $149/month base, unlimited coordinator and recruiter seats, always free.
In short
FreshStaff for healthcare staffing tracks license and credential expirations per worker per state with automated alerts and scheduling blocks on expired credentials, runs native multi-state payroll that follows a travel nurse's active assignment location, and only counts a PRN nurse as a billable Active Placement in months she actually works a shift or gets paid. Base fee is $149/month with unlimited free Internal Team Seats; usage is $6/month per Active Placement.
Where Generic Staffing Software Breaks Down
Three problems that generic ATS software and legacy per-seat platforms consistently get wrong for a credentialed, mobile healthcare workforce.
License & Credential Expiration Tracking
The Problem
Coordinators track RN licenses, compact-state eligibility, BLS/ACLS, and specialty certs in spreadsheets. A missed renewal means a nurse works a shift on an expired credential, a compliance and liability exposure discovered only during a client audit.
The FreshStaff Fix
Every license and cert has an expiration date tracked per worker per state. Automated alerts fire at 60/30/14 days out, and a worker with an expired credential is automatically blocked from being scheduled, not just flagged after the fact.
Multi-State Travel Nurse Payroll
The Problem
A nurse on a 13-week assignment in a different state than last quarter means re-doing tax setup by hand: state withholding, reciprocity rules, and separating taxable wages from non-taxable travel stipends. Most legacy ATS platforms don't run payroll at all, it gets bolted on through a third-party vendor that doesn't share data with the ATS.
The FreshStaff Fix
Native gross-to-net payroll switches state withholding automatically based on the worker's active assignment location, and keeps stipend/per-diem amounts separated from taxable wages on every pay stub, no separate payroll system to reconcile against the ATS.
PRN / Per-Diem Shift Management
The Problem
PRN nurses self-schedule across multiple facilities on their own timeline. Coordinators can't tell who's genuinely available today, and "is this nurse still active with us" becomes a judgment call someone has to remember to update.
The FreshStaff Fix
The worker portal shows real shift claims and availability in real time. Billing follows the same logic automatically, a PRN nurse only counts as an Active Placement in a month she actually logs a shift or gets paid. No manual "activate/deactivate" step, ever.
Credentials
Credentialed & ready
Every Nurse Cleared to Work, Automatically
License and certification expirations are tracked per worker per state. FreshStaff blocks scheduling on an expired credential before it becomes a client-audit problem, so your coordinators stop policing spreadsheets and start filling shifts.
Built for How You Actually Staff
Credential Status
BLS Certification expires in 21 days
Automated Credential Expiration Engine
Stop finding out about an expired license the way your client does. Every credential on file has a tracked expiration date, escalating alerts, and an automatic scheduling block, compliance that runs itself instead of living on a coordinator's calendar reminder.
Pay Stub
Multi-State Payroll Tax Engine
A travel nurse's assignment moves states; her withholding follows automatically. No manual tax re-setup, no separate payroll vendor to keep in sync with the ATS, one pay stub that correctly splits taxable wages from stipends, every cycle.
Open Shifts
PRN Shift Marketplace (Worker Portal)
Nurses claim open shifts from their phone; you see real availability instead of guessing. A shift claimed and worked is the only thing that ever hits your bill.
The Features Healthcare Desks Lean On
All included in the base price. No add-on modules, no per-seat unlocks.
Training & Credential Tracking
A built-in candidate LMS and credential repository, tracked to expiration.
Learn more →
Compliance
I-9, W-4, and E-Verify tracking that stays audit-ready.
Learn more →
Native Payroll & Compliance Engine
Federal/state withholding, FICA, SUTA/FUTA, ACA offer and safe-harbor codes, and 1095-C generation, built in.
Learn more →
Worker Availability
See which workers are actually free today before you ever open a job order.
Learn more →Real-World Cost Comparison
Based on an agency with 8 internal recruiters/coordinators and 35 active travel/PRN nurses on placement.
| FreshStaff | Bullhorn (est.) | Avionté (est.) | |
|---|---|---|---|
| Internal team seats (8) | $0 (unlimited & free) | ~$1,040/mo (8 × ~$130/seat) | Custom, high per-seat |
| Multi-state payroll / compliance module | Included | Add-on / 3rd-party integration | Modular / legacy back-office |
| 35 Active Placements | 35 × $6 = $210/mo | Often bundled into per-seat + module cost, not itemized | Same |
| Total (est.) | $149 + $210 = $359/mo | ~$1,400 – $1,900/mo | ~$1,200 – $1,700/mo |
8 internal team seats included at $0 on FreshStaff.
Your Estimated Annual Savings
$10,000 – $18,500/year
Disclaimer: Bullhorn and Avionté are trademarks of their respective owners. Comparison figures are estimates for informational purposes only and do not imply any official endorsement, sponsorship, or affiliation with either party.
Credential Every Nurse. Pay Every State Correctly. Never Charge for a Recruiter Seat. Questions
What is the best staffing software for a healthcare or travel nurse agency?
For a healthcare or travel-nurse agency, FreshStaff pairs automated license and credential expiration tracking with native multi-state travel-nurse payroll and unlimited free recruiter seats, at $149/month base plus $6/month per Active Placement. It is a transparent, all-in-one alternative to per-seat platforms like Bullhorn and Avionté, with payroll, tax, and ACA built in rather than bolted on.
How does FreshStaff handle multi-state tax withholding for travel nurses?
Payroll automatically applies the correct state withholding based on where the nurse's active assignment is, and keeps non-taxable travel stipends and per-diem amounts separated from taxable wages on every pay stub. When an assignment moves states, the next pay cycle follows automatically, no manual tax re-setup.
Do I pay for credentialing coordinators or back-office staff?
No. Internal Team Seats, recruiters, credentialing coordinators, payroll admins, are unlimited and free on every FreshStaff account. Only Active Placements (nurses actually on assignment and getting paid) are billed.
What happens if a PRN nurse doesn't pick up any shifts this month?
You don't pay for her that month. Active Placement status is evaluated fresh each billing cycle based on pay stubs, logged shifts, or an active job order, a quiet month for a PRN nurse means $0 for her automatically, with no status to manually change.
TeamBridge or Bullhorn for healthcare staffing, or something else?
TeamBridge is a scheduling-first tool for per diem and shift-based healthcare staffing; it's not a full ATS and is often paired with a separate system like Bullhorn for recruiting and applicant tracking, meaning two subscriptions and two logins. FreshStaff isn't a shift-scheduling specialist, but it does put job orders, applicant tracking, credential tracking, and multi-state travel-nurse payroll on one platform, so a healthcare agency isn't stitching together a scheduling tool and an ATS to run the desk.
More questions? Visit the full FAQ page.
Run the Numbers for Your Healthcare Desk
Staffing Payroll Tax Guide
FICA, FUTA, SUTA, and the acronyms that quietly eat your margin.
Open →
Onboarding & I-9 Checklist
Every new-hire step, so an I-9 audit is boring instead of terrifying.
Open →
Blended-Rate Overtime Calculator
Two rates, one week, over 40 hours: the math the DOL actually wants.
Open →Keep Exploring
Same platform, same price, tuned for a different corner of staffing.
Light Industrial
General labor at volume: kiosk check-in, weekly payroll, and a talent pool you never pay extra to grow.
Explore →
Warehousing & Logistics
Peak-season surges and multi-DC dispatch without a seat tax on every coordinator.
Explore →
Manufacturing
Plant-floor safety inspections, equipment tracking, and compliance before anyone is dispatched.
Explore →