Direct Hire, Done Right.

At HealthStar, we partner with mission-driven healthcare organizations to deliver ethical, high-quality international talent—without the complexity. From recruitment to relocation, our boutique, high-touch model reduces lift on your team and ensures every hire is credentialed, community-ready, and built to last.

What is Direct Hire?

Direct hire—also called permanent placement—means international professionals join your team, not ours, as full-time employees from day one. You choose who to hire, and we handle the rest: recruitment, immigration, and onboarding support.

Unlike staffing agency or contract hires, direct hires receive the same pay, benefits, and schedules as your other team members. There are no third-party markups or rotating assignments—just lasting hires, made directly by you.

Why Direct Hire Works—For Everyone

Retention You Can Build On.

When cultural fit comes first, results follow. 97% of HealthStar hires stay after one year—and 85% after three. With us, you’re not just filling roles, you’re building a workforce that lasts.

Talent You Choose.

We deliver credentialed, high-quality candidates—then you make the hiring decision. From there, we manage everything: immigration, relocation, and onboarding, all with responsive, high-touch support.

Pricing You Trust.

We do what’s right for the nurse—no placement fees, no hidden costs. Our milestone-based billing reflects actual expenses, giving you clarity, fairness, and a model built on trust.

  • “International recruiting isn’t a short-term solution to a staffing crisis. It’s a long-term, strategic decision—and you have to be committed, because it can take a couple of years for a nurse to arrive. But for organizations with ongoing nursing needs, it’s a game changer.”

    — Missy Watson, Human Resources Business Partner at Texas hospital system

  • “What stands out about the international nurses we’ve hired is their humility and gratitude. They work hard, ask questions, and want to do a good job. HealthStar bring us nurses who not only have the skills, but also the right mindset. I’ve seen them handle emergencies calmly, stay focused, and not bring any drama. That kind of attitude is invaluable in a hospital setting.”

    — Terri Morris, Talent Pipeline Manager at Texas hospital system

How HealthStar Direct Hiring Works

From first conversation to final arrival—we take care of the process so you can focus on care.

1. Define Your Workplace Needs

We start by understanding your team’s staffing gaps—roles, timelines, and cultural fit. Together, we identify the right positions for international hiring and develop a strategy to find the best candidates abroad.

2. Source Global Talent

Through our trusted international partnerships—including vetted, ethical agencies in local markets—we recruit top-tier talent who are credentialed, committed, and ready. Every candidate is vetted for skill, cultural alignment, and motivation before being presented to you.

3. Interview—Your Way

Choose in-person or virtual recruitment. We manage all logistics—from travel and scheduling to tech support—ensuring a smooth, respectful experience for both you and the candidates, wherever you are.

4. Manage the Process from Start to Finish

Once you select your candidates, we take it from there. From job offers and immigration paperwork to licensing, and relocation—your HealthStar project manager keeps everything moving and keeps you informed.

5. Prepare for a Warm Welcome

When your new hire is ready to arrive, we handle the final details—from booking travel to supporting housing, banking, and daily essentials. Need more help? We can also assist with on-site arrival, and integration into your community.

Frequently Asked Questions

  • U.S. hospitals face growing staffing shortages—and international recruitment is a long-term solution. With the right partner, it’s a sustainable way to fill gaps, reduce turnover, and build a loyal, high-quality workforce.

  • We only offer direct-hire recruitment—no contracts, no markups. Your team selects the candidate, and we manage the rest. The result? Permanent hires, not short-term fixes.

  • Most HealthStar hires come through the EB-3 visa for permanent residency. We also support H-1B and other visa pathways, guiding each case through every legal and licensing step.

  • From sourcing and screening to immigration, licensure, and arrival logistics—we handle it all. Your dedicated project manager keeps you informed at every milestone.

  • For EB-3 visas, candidates typically arrive within 12–24 months, depending on their country of origin, visa availability and case complexity. We'll provide a realistic, transparent timeline for every hire.

  • Retention is built into our process—from cultural fit screening to hands-on support during onboarding. Our 3-year retention rate is 85%—far exceeding industry norms.

  • We partner with reputable local agencies in select countries to ensure every candidate is recruited ethically, informed fully, and treated with care. This global collaboration supports compliance, transparency, and better long-term outcomes—for both the nurse and your hospital.