WorkAxle is a workforce management platform built for healthcare operations: demand-driven clinical scheduling, license and credential tracking, collective-agreement enforcement, fatigue and rest-rule compliance, and clean payroll across shifts, units, and sites in one system. Patient demand drives staffing, licenses and union rules are enforced before a shift is published, and hours flow clean into payroll.
Every shift covered. Every credential current.
Care never stops. Coverage has to hold around the clock, every clinician on the floor has to hold current licenses and certifications, union and fatigue rules can't be broken, and the schedule changes by the hour. Your workforce system should run on all of it. WorkAxle does.
We know what staffing a 24/7 care operation actually looks like.
Coverage, credentials, and union rules never stay separate for long.
Two call-outs on days, one on the next shift. You need qualified coverage now. The float you grab has to hold the right license and an active competency for the unit, or you've created a different problem. The staffing sheet lives in one place, credentials in another. You reconcile by phone.
The credentialing report lands. A batch of licenses and certifications expires this month. Some of those clinicians are already on next week's schedule. If a credential lapses and a clinician works the floor anyway, that's a compliance exposure. The spreadsheet tells you. The schedule doesn't.
A union question on overtime: was it offered by seniority? You believe so. Proving it means digging through texts and call logs. The agreement requires documented offers. Your scheduling tool never tracked the attempts.
A manager pulls a replacement for nights. The clinician is bumping against rest-hour limits and a fatigue rule. The system showed availability. It said nothing about the rest violation.
End of cycle. Payroll prep. Multiple sites, night and weekend differentials, union overtime rules. Someone spends hours reconciling premiums by hand, hoping the export matches what people actually worked.
When coverage, credentials, and union rules are one system.
The call-outs? The system proposed qualified clinicians who were available, credentialed for the unit, and under their rest and overtime limits. You filled the gap before the shift opened.
The expiring credentials? The rule engine flagged them ahead of expiry. When a license lapses, the system surfaces it at scheduling time and logs every override, so a lapsed license is caught before the shift, not after.
The union question? Overtime was offered by seniority, and every attempt is logged automatically, timestamped and exportable. The system holds the documentation. Your memory doesn't have to.
The rest violation? It surfaces at scheduling time, on the minimum-rest rule. Fatigue and rest rules are codified and enforced as the schedule is built, and every override is logged, so a breach is caught before it reaches the floor.
Payroll prep? Differentials and overtime rules are codified per agreement and applied upstream. The export is already correct. There's nothing to reconcile.
You can't run a 24/7 care operation on a tool that treats coverage, credentials, and labor rules as three separate problems. They're one problem. WorkAxle runs them as one system.
Your staffing problems. Solved at the system level.
| Your problem | How WorkAxle handles it |
|---|---|
| 24/7 coverage & call-outs | When a shift opens, the system proposes qualified, available staff who are under their hour and rest limits, and surfaces coverage gaps while there's still time to fill them safely. |
| License & credential tracking | Licenses, certifications, and unit competencies are tracked with effective dates. Expiry triggers automatic reclassification and flags the assignment through the rule engine. Renewal alerts fire ahead of the expiry date, so you act while the clinician is still cleared to work. |
| Self-scheduling & shift bidding | Clinicians self-serve, pick up open shifts, bid, and swap. Every request is validated against credentials, rest rules, and union terms before it's confirmed. |
| Union / collective agreement enforcement | Agreement rules, seniority-based overtime offers, premiums, rotations, and rest periods are codified and enforced at scheduling time. Overtime offer attempts are logged automatically for grievance defense. |
| Fatigue & rest-rule compliance | Minimum-rest and maximum-consecutive-hours rules are codified once and enforced everywhere. Breaches surface at scheduling time, and every override is logged. |
| Shift differentials & overtime | Night, weekend, and on-call premiums and overtime thresholds are codified per agreement and applied automatically, so the numbers are right before they ever reach payroll. |
| Multi-site coordination | Staff shared across sites accumulate hours centrally. Overtime, credential, and rest rules are enforced across every assignment a clinician works, so cross-site coverage never breaks a rule. |
| Audit & grievance readiness | Every assignment, credential status, premium applied, and overtime attempt is logged and exportable. Audit and grievance documentation takes minutes, because the record was built as the work happened. |
Four modules. One coordinated floor.
Coverage starts with the people you can legally staff. Scheduling fills every unit with credentialed clinicians, compliance enforces licenses and fatigue rules, time capture classifies differentials automatically, and leave keeps availability honest. The roster, the rules, and the record live in one system.
Scheduling & Rostering
24/7 units, floats, self-scheduling, and shift bids. The engine fills every shift with a credentialed clinician, enforces union and rest rules, and logs overtime offers by seniority, all verified before it publishes.
Learn more →Compliance & Rule Engine
Codify licenses, certifications, fatigue rules, and collective agreements once. The engine enforces them everywhere. Expired credentials are flagged before assignment. Premiums and overtime apply automatically. Every decision is logged and audit-ready.
Learn more →Time & Attendance
Clock-ins captured and validated, with shift differentials and premiums classified automatically. Hours arrive at payroll already correct, per clinician, per site, per agreement. No manual premium math. No reconciliation.
Learn more →Leave & Absence
Time off, sick leave, and availability in a single source of truth, so coverage planning works against reality. Entitlements and statutory-holiday rules follow policy and agreement automatically, per clinician.
Learn more →Healthcare operations, after WorkAxle.
Frequently asked questions about workforce management for healthcare
What is the best workforce management software for healthcare?
WorkAxle is built for 24/7 care operations, credential-aware clinical scheduling, license and certification tracking, union-agreement enforcement, fatigue and rest-rule compliance, and clean payroll across shifts and sites in one platform. Patient demand drives staffing, credentials and labor rules are enforced before a shift publishes, and hours export to payroll already correct.
How does WorkAxle track clinical licenses and certifications?
Licenses, certifications, and unit competencies are tracked with effective dates. When one nears expiry, the rule engine fires a renewal alert. Once it lapses, the engine flags it for the scheduler on any assignment that requires it, and every override is logged, so a lapsed credential is caught before the shift, not after.
Can clinicians self-schedule and pick up shifts?
Yes. Staff can self-serve, pick up open shifts, bid, and swap, and every request is validated against credentials, rest rules, and union terms before it's confirmed. Open coverage gets filled without a manager working the phones.
How does WorkAxle handle union agreements and fatigue rules in healthcare?
You codify each agreement's rules, seniority-based overtime offers, premiums, rotations, along with minimum-rest and maximum-consecutive-hours rules, and the rule engine enforces them at scheduling time. Overtime offer attempts are logged automatically, and rest-rule breaches surface at scheduling time, with every override logged.
See WorkAxle configured for care operations.
See how the compliance engine works.
Understand how license tracking, fatigue rules, and audit readiness connect inside a single rule engine.
Explore the full platform.
Scheduling, compliance, time & attendance, and leave, see how every module connects for 24/7 care.
Bring your hardest staffing scenario.
We'll show you the platform with your units, your credential requirements, and your collective agreements in mind. Bring the scenario your current system can't handle.