Care providers
Your overnight covered, your records survey-ready, your people paid.
Two desks for care providers, run by our own team inside the systems you already use. The call is answered, the coverage is arranged, the visit record is written, and it is waiting in your morning handoff. Back office only, nothing clinical.
Two desks
Home care, home health and community-based providers running extended or around-the-clock schedules.
The moment
A caregiver calls off a 6am shift at four in the morning, and somebody senior is awake finding coverage.
Why it happens
The night has no schedule.
The day is organized. There are coordinators, there is a schedule, and there is somebody whose actual job is to answer the phone. None of that is true at four in the morning, and the work does not stop arriving because the office is shut.
So the on-call phone becomes a second job, handed to somebody who already has a first one. They answer it from bed, they find coverage from memory, and they write it up later if the day allows. Nobody is doing anything wrong. The arrangement simply has no capacity in it.
The same thing happens to the workforce queues. Screening, orientation records and payroll are continuous work that is almost never anybody's actual role, so an expiration is discovered on the day it removes somebody from a shift.
This is why turnover is the number that actually governs an American home care business. It is not a morale problem, it is a throughput problem. Every departure restarts recruiting, screening and orientation, and while those queues are full the cases you are offered are cases you cannot staff.
- Median caregiver turnover in home care
- 75%Median caregiver turnover in home careActivated Insights Benchmarking Report 2025, formerly Home Care Pulse
- Providers that turned down cases for want of staff
- 63%Providers that turned down cases for want of staffActivated Insights Benchmarking Report, 2023 data
One overnight event, traced
A sequence, not a response time
The Operations Desk
In the morning A handoff, with the event and what was done about it
An on-call phone
In the morning A memory, and somebody who has already worked a night
Both arrangements answer the phone and both find somebody to work the shift. They differ in the two stages that are still there when the day starts, which are also the only two an auditor can ever read.
Read this as a table
| Stage | The Operations Desk | An on-call phone |
|---|---|---|
| Answered | Completes | Completes |
| Identified | Completes | Completes |
| Covered | Completes | Completes |
| Recorded | Completes | Not done |
| Handed off | Completes | Not done |
- The stage completes
- Not done, reasonably
Five stages in the order they happen, not five minutes and not a record of anything. No timings appear in this diagram because this site makes no claim about response times. The on-call row is not a failure: it is somebody solving the urgent part correctly at four in the morning and then, reasonably, not writing it up.
The two desks
Two desks. Take one, or take both.
They are sold separately and you are welcome to start with one. Solving either problem tends to move the constraint onto the other, which is why the two rarely stay separate for long.
- The after-hours line answered by a coordinator, not an answering service, in your own name.
- Coverage arranged from your own approved caregivers and entered straight into your own scheduling system.
- Intake and service-change administration handled inside the systems you already run.
- Anything needing authority or clinical judgment escalated to your on-call nurse or administrator, under a matrix agreed in writing before we take a single call.
- Every event logged with timestamps as it happens, so the visit record is written the same night and waiting in your morning handoff.
- Recruiting: role definition, posting, screening and the first contact with applicants, at the speed this labor market actually moves.
- Onboarding owned end to end, so somebody who accepts on the third is working a shift in days rather than weeks.
- Orientation, competency and in-service training, evidenced with dates and completion records.
- Background checks, license and exclusion screening maintained, with expirations tracked ninety days ahead.
- Payroll processed on your own cycle, with your agency remaining the employer of record throughout.
What we do not do
The boundaries are the product.
Not the fine print. These are contractual rather than cultural, and they do not move.
No triage, no assessment of urgency, no advice of any kind. Anything clinical stops with us and goes to your team, under a protocol agreed in writing before we take a single call. All clinical and professional judgment stays with your own licensed people.
We work alongside your team, not in place of it. What we remove is the second job that was handed to somebody hired for the first one.
You employ your own people and choose every hire. We recruit on your behalf, administer the employment lifecycle and process payroll. We are not an employer of record, we do not supply labor, and we never place our own people into your roles.
We maintain the records and the calendar. The regulatory obligation stays with you. We make it straightforward to meet, and we do not assume it.
The desk is back office by design. We do not deliver services, we do not enter a home, and we do not perform any part of the work your caregivers perform.
Coverage is arranged from your own approved caregivers, against your own rules. We do not decide which caregiver suits which client, because that judgment belongs to you.
We answer in your name and hand back in the morning. We do not hold the relationship with your clients, their families or their case managers.
An emergency goes to 911 first, every time. Anything reportable is escalated immediately under the matrix we agree in writing, and the obligation to report it remains yours.
Where a visit is Medicaid funded and subject to electronic visit verification, the entry is made in your own system and the record is yours. We do not hold it, and we do not stand between you and your payer.
Proof of operations
This is the desk Novada already runs. Calls answered overnight, every night of the year, inside providers' own systems and to their own escalation protocols, with the night's events waiting in the morning handoff.
How it starts
Inquiring gets you a conversation.
- 01The review
A structured conversation about how your operation actually runs. The output is an honest assessment of whether this fits. A meaningful proportion conclude that it does not yet, and we say so.
- 02The proposal
Scope, the protocols that will govern the work, what is explicitly excluded, and the measurement baseline. In writing, with nothing improvised on the call.
- 03The agreement
A services agreement signed before anything is accessed, with a Business Associate Agreement alongside it wherever protected health information is involved.
- 04Live
Access provisioning, protocol sign-off, baseline measurement, and your named coordinators introduced to your team. The first month is reviewed in detail with you.
Book
Book a 30-minute review.
Thirty minutes on how your operation actually runs. You leave with a written assessment of whether this fits, including if it does not, and a picture of your own numbers before anything changes.
Nothing is signed on the call.