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Healthcare VMS: How a VMS helps you Manage a Contingent Workforce

Written by Wayne Burgess | Jan 12, 2026 5:15:00 AM

Healthcare organizations are facing unprecedented workforce pressure. Nursing shortages, physician burnout, fluctuating patient volumes, and increasing regulatory complexity have made contingent labor a strategic necessity - not a temporary fix. This article examines the challenges of contingent staffing and how a vendor management system (VMS) can help.

Travel nurses, per diem clinicians, allied health professionals, and contract specialists now make up a significant portion of hospital and health system staffing models. But managing a healthcare contingent workforce without the right technology often creates more complexity than clarity.

This is where a Healthcare Vendor Management System (VMS) becomes critical.

Why Contingent Workers are Critical for Healthcare

Contingent labor provides healthcare organizations with agility in an unpredictable environment. From seasonal surges to public health emergencies, staffing flexibility is directly tied to patient care continuity.

Healthcare organizations rely on contingent workers to:

1. Maintain Staffing Flexibility

Hospitals must scale quickly during census spikes, flu seasons, and unexpected absences. Contingent workers allow facilities to adjust workforce levels without long-term fixed labor costs.

2. Improve Fill Rates for Critical Shifts

Shift-based environments require real-time coordination. Per diem nurses, float pools, and contract staff help prevent unit closures and patient diversion caused by staffing gaps.

3. Access Specialized Skills

Contingent clinicians often bring experience from multiple health systems, introducing best practices and specialized clinical expertise that enhance care delivery.

4. Reduce Burnout Among Core Staff

Strategic use of contingent labor reduces overtime burden, protects morale, and supports long-term retention of permanent employees.

However, as contingent labor grows, so do the administrative and compliance challenges associated with managing it.

The Challenges of Managing a Healthcare Contingent Workforce

Without a structured contingent workforce program, healthcare organizations often struggle with:

  • Upholding the quality of care as new staff members join the team

  • Seamlessly integrating temporary staff with permanent teams

  • Identifying qualified and proficient contingent healthcare workers

  • Ensuring that contingent workers adhere to regulatory requirements

  • Fostering a sense of value and engagement among contingent workers within your organization

  • Fragmented staffing agency relationships

  • Limited visibility into bill rates and markups

  • Credential and license tracking risks

  • Manual shift scheduling and reconciliation

  • Compliance gaps tied to certifications and onboarding

  • Inconsistent onboarding across departments

  • Lack of real-time workforce analytics

  • Budget overruns and maverick spend

In many mid-market healthcare systems, contingent labor is managed through spreadsheets, email, and disconnected systems. This creates operational risk, financial leakage, and compliance exposure.

A healthcare-specific Vendor Management System addresses these challenges directly.

The most difficult challenge, however, is managing the administrative aspects of contingent workforce deployment, and implementing a contingent workforce program that gives your organization the visibility and control it needs to ensure workforce success. 

How a VMS for Healthcare Helps Organizations Manage Contingent Labor

A modern healthcare VMS centralizes, standardizes, and automates contingent workforce management across facilities and departments.

Here’s how:

1. Shift-Based and Per Diem Workforce Management

Healthcare staffing is shift-driven - unlike many other industries.

A healthcare-focused VMS allows organizations to:

  • Post open shifts in real time
  • Manage per diem and float pools
  • Route shift requests to approved staffing vendors
  • Track fill rates and response times
  • Reduce scheduling gaps
  • Standardize shift approval workflows

This improves speed-to-fill while maintaining governance and cost control.

For mid-market hospitals, this visibility alone can significantly improve operational efficiency.

2. Credential and Compliance Management

Healthcare is one of the most regulated industries in North America. Every contingent clinician must meet strict licensing, certification, immunization, and training requirements.

A healthcare VMS helps organizations:

  • Track licenses and expiration dates
  • Verify certifications before assignment
  • Store onboarding documentation centrally
  • Prevent non-compliant workers from starting shifts
  • Maintain audit-ready records

Automated credential tracking reduces compliance risk and protects patient safety - while minimizing administrative burden.

3. Cost Control and Rate Transparency

Healthcare organizations often struggle with limited visibility into contingent labor spend.

A VMS provides:

  • Standardized rate cards
  • Vendor markup transparency
  • Real-time spend dashboards
  • Department-level budget tracking
  • Invoice automation and reconciliation

This enables healthcare leaders to understand total contingent workforce spend, control labor costs, and prevent overbilling.

For CFOs and procurement leaders, this level of transparency is transformative.

4. Vendor Performance Management

Healthcare organizations typically work with multiple staffing agencies. Without structured oversight, performance varies significantly.

A VMS enables:

  • Vendor scorecards
  • Fill-rate tracking
  • Response-time measurement
  • Quality feedback loops
  • Data-driven vendor consolidation decisions

This creates accountability and drives stronger agency partnerships.

5. Workforce Analytics and Strategic Planning

One of the greatest advantages of a modern VMS is actionable workforce intelligence.

Healthcare leaders gain visibility into:

  • Fill rates by department
  • Average time-to-fill
  • Overtime trends
  • Cost-per-shift
  • Utilization patterns
  • High-demand roles

These insights allow workforce planning teams to forecast demand, identify systemic shortages, and optimize labor mix strategies.

Why Healthcare Organizations Choose a Modern VMS

Many legacy vendor management systems were not designed for the unique needs of healthcare - especially shift-based, per diem-driven environments.

Modern healthcare VMS platforms are built with:

  • Open APIs for seamless integration with HRIS, ATS, ERP, and payroll systems
  • Automated workflows tailored to clinical environments
  • Real-time dashboards for leadership visibility
  • Secure, cloud-based architecture
  • Configurable approval processes by department or facility

The Strategic Impact of a VMS 

Implementing a Vendor Management System is not just an operational improvement - it's a strategic workforce decision.

A VMS designed for Healthcare's unique needs helps organizations:

  • Reduce administrative workload
  • Improve compliance posture
  • Increase fill rates
  • Lower contingent labor costs
  • Strengthen vendor relationships
  • Improve workforce visibility
  • Support patient care continuity

As contingent labor becomes a permanent component of healthcare workforce strategy, technology is no longer optional.

Final Thoughts: Building a Resilient Healthcare Workforce

Contingent workers are not a temporary solution to healthcare staffing challenges — they are a structural part of modern workforce models.

However, without the right systems in place, contingent labor can introduce cost volatility, compliance risk, and operational inefficiencies.

A healthcare-focused Vendor Management System provides the structure, visibility, and control needed to transform contingent staffing from reactive crisis management into a strategic workforce advantage.

For healthcare leaders navigating staffing shortages, regulatory complexity, and financial pressure, investing in the right VMS is an investment in workforce resilience -  and ultimately, in patient care.

Additional Reading on VMS Software for Healthcare

Additional Reading on VMS for Healthcare

Frequently Asked Questions About Healthcare VMS

What is a healthcare Vendor Management System (VMS)?

A healthcare VMS is software that helps hospitals and health systems manage contingent labor such as travel nurses, per diem staff, and contract clinicians.

How does a VMS improve hospital staffing?

It centralizes shift management, credential tracking, vendor oversight, and labor cost visibility in one system.

Is a VMS necessary for mid-market hospitals?

Yes. As contingent labor grows, manual processes increase compliance risk and financial leakage. A VMS provides visibility and control without adding administrative burden.

Can a VMS integrate with existing hospital systems?

Modern VMS platforms with open APIs integrate with HRIS, payroll, ERP, and timekeeping systems.

Conexis VMS: Built for the Healthcare Industry

Not all VMS platforms are designed for clinical environments. Many were built for IT or professional services procurement and later adapted for healthcare.

Conexis VMS was built with shift-based, contingent-heavy industries in mind. The Healthcare sector demands specialized tools to effectively manage its contingent workforce.

We stand out with our tailored VMS functionality designed to meet the unique needs of the healthcare industry. From resource pooling to job assignments, managing work shifts, and handling per diem billing. Conexis makes the process of sourcing, managing, and compensating both clinical and non-clinical staff members easier; making it a valuable asset for healthcare organizations. Read more at Conexis VMS for Healthcare

1 - Purpose-Built for Shift-Based and Per Diem Workforce Management

Conexis VMS supports:

  • Open shift management
  • Department-level shift visibility
  • Per diem billing workflows
  • Floating staff across units
  • Structured internal-first release rules

This is critical for hospitals, long-term care facilities, and regional health systems managing fluctuating patient volumes.

2 - Internal Resource Pooling to Reduce Agency Spend

Our resource pooling functionality allows you to:

  • Build and manage internal float pools
  • Automatically prioritize internal staff
  • Track cost savings from internal utilization
  • Maintain agility without overspending on agencies

For mid-market healthcare systems, controlling agency spend can deliver immediate financial impact.

3 - Healthcare-Focused Compliance Controls

Conexis VMS enables:

  • Automated credential tracking
  • Expiration alerts
  • Real-time compliance flags
  • Audit-ready documentation storage
  • Configurable do-not-rehire tools

This protects your organization during accreditation reviews and regulatory audits.

4 - Open API and Modern Tech Stack

Unlike legacy VMS platforms, Conexis VMS is built on a modern architecture with open APIs, allowing integration with:

  • HRIS systems
  • Payroll platforms
  • Scheduling tools
  • ERP systems
  • Time and attendance systems

Additional Resources - Free Guide

Download our free Buyers Guide to learn more about a VMS

About Conexis VMS

Conexis is an award-winning vendor management system built for organizations that want the power of enterprise software without the complexity or cost.

Leveraging the latest technology, Conexis delivers the expertise, reliability and security of enterprise systems, while offering the flexibility, user friendliness and tailored, personal service you require. Learn more about our Company and why organizations Choose Conexis VMS.

Why Leading Companies Choose Conexis VMS

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