For Employers
Direct Hire vs. Temp-to-Perm in Healthcare
How to choose between a permanent hire and a temporary-to-permanent arrangement.
The choice comes down to one question: do you know exactly what the person will own when they start?
Choose direct hire for a defined permanent job
Use it when the scope is stable and the role needs long-term ownership, such as a clinical leader, billing manager, or practice operator.
Use temp-to-perm when the situation is still changing
It can be useful when you need coverage now while you confirm the workload, team structure, or long-term scope.
Decide what happens at the evaluation point
Before an assignment begins, set the review date, name the decision-maker, and agree on what would make the conversion a yes.
Do not hide a permanent opening inside a temporary role
Candidates need an honest description of the schedule, length of assignment, and chance of conversion.
Have a role to fill?
Tell OPA People what the hire needs to accomplish.
Discuss the role