Staffing & scheduling, built for SNF and LTC therapy teams
Horizon Care Ops handles scheduling, PRN shift coverage, and compliant documentation for SNF and LTC organizations - so your staff spend less time on paperwork and more time with patients.
Reduction in Agency Spend
Internal PRN escalation fills shifts before expensive external agency rates kick in.
Shift Fill Rate
Omnichannel magic-link SMS outreach reaches PRNs instantly with zero app barriers.
Medicare Part B Violations
Real-time compliance engine automatically flags and schedules supervisory visits.
Offline Note Retention
Field staff document offline in facility dead zones; auto-sync handles the rest.
More than just a marketplace.
Other platforms stop at matching bodies to open shifts. Horizon Care Ops is an end-to-end clinical and operations platform. When a shift is filled, session notes are automatically provisioned and Medicare supervisory visit tracking stays in sync with the schedule.
How Horizon Care Ops Operates
Schedule & Identify Gaps
Create recurring clinician shifts across facilities with clinician continuity rules.
Automated PRN Waterfall
Open shifts trigger instant SMS/email magic-links to internal staff, then trusted PRNs.
Point-of-Care Documentation
Clinicians complete session notes using voice dictation on the native offline-first mobile app.
Real-Time Compliance & Sync
Supervisory visit timers update automatically and session notes sync securely with billing.
Intelligent PRN Waterfall
Don't just post open shifts to the void. Our tiered escalation system automatically offers shifts to internal staff first, then trusted PRNs, and finally external agencies - reaching every PRN through omnichannel outreach via SMS text and email, with a one-tap magic link to claim the shift. No app login required.
- ✔️ Automated shift escalation rules
- ✔️ Omnichannel SMS & email outreach with magic-link claim
- ✔️ Cost savings tracking — weekly staffing cost and hours saved by grouping
The Horizon Mobile App
A native iOS and Android app built specifically for the field. Therapists can quickly dictate or type secure session notes directly tied to their scheduled shift. Complete offline-first capabilities ensure they never lose their progress, even in facility dead zones.
- ✔️ Native iOS & Android app
- ✔️ Seamless background sync upon connectivity
- ✔️ Voice dictation support
- ✔️ Tied directly to the shift schedule
Automated Medicare Part B Compliance
Built-in tracking for Medicare Part B supervisory visits with configurable per-discipline intervals. The schedule optimizer flags supervisory visit warnings on the board, and coverage alerts notify DORs when staffing gaps need attention.
- ✔️ Supervisor visit warnings on schedule board
- ✔️ Configurable PT/OT/SLP supervisory intervals
- ✔️ Coverage and labor deficit alerts
Built For SNF & LTC Operations Leaders
Directors of Rehab: Configure Medicare Part B supervisory visit intervals, review optimizer warnings on the schedule board, and track coverage alerts — all from one dashboard.
Executive & Regional Leaders: Multi-facility financial roll-ups with FT utilization, DOR productivity, Part A cost, and private pay revenue per building — real-time, no spreadsheets.
Frequently Asked Questions
How does the PRN Waterfall reduce external agency spending?
Instead of immediately broadcasting open shifts to costly external agencies, Horizon Care Ops executes a configurable multi-tiered escalation. It first offers open shifts to your internal full-time staff, then to your trusted per-diem pool via SMS magic-links, and only escalates to external staffing agencies if shifts remain unfilled after specified timeouts.
Do PRN clinicians need to download an app or create a password to claim shifts?
No. Horizon Care Ops uses secure, single-use magic links sent via SMS text and email. PRNs can review shift details, pay rates, and location details and claim the shift in one tap without needing to remember a password or download an app.
How does the mobile app function in facilities with poor or no cellular connectivity?
The Horizon mobile app is built with an offline-first SQLite engine. Clinicians can view schedules, review patient records, and record or dictate clinical notes without an internet connection. Once the device re-establishes connectivity, a background sync worker securely flushes queued data to the server.
How is our organization's PHI protected from other customers?
Unlike legacy multi-tenant platforms that store all customer records in a shared database table, Horizon Care Ops deploys a dedicated, isolated database and application instance in its own Kubernetes namespace for every customer. Your data is physically and logically separated.
How does the billing rate engine handle multiple payer types?
Horizon supports six payer categories — Medicare Part A (per-diem), Part B (per-unit by discipline and CPT code), Managed Care (flat, percent-of-Medicare, or fee-schedule), Private Pay, and Private Insurance. Part B rates are MAC-region-specific, and assistant rates are automatically derived from the tenant's configured reduction percentage.
Can we integrate Horizon with our existing HR and payroll systems?
Yes. Horizon has native integration connectors for Workday, ADP, BambooHR, and NetHealth, plus a custom provider option for any other system. Syncs are idempotent (re-running never creates duplicates), secrets are encrypted at rest, and unmapped records are flagged for review — never silently dropped.
How does the AI clinical notes pipeline work — does PHI leave our systems?
No. Voice recordings from the mobile app are transcribed by a self-hosted Whisper instance and converted to structured clinical notes (SOAP/progress notes) by a self-hosted LLM — both running in containers on your infrastructure. No PHI is ever sent to third-party AI services.
Does Horizon support SSO (Single Sign-On)?
Yes. Each tenant's dedicated auth-service supports SAML 2.0 and Microsoft Entra ID (Azure AD) SSO, in addition to local email/password authentication with TOTP-based multi-factor authentication. SSO is configured per-tenant so each customer can connect their own identity provider.
Features That Competitors Charge Extra For — Included
Most SNF and LTC platforms require add-on subscriptions for analytics, integrations, and billing tools. Horizon includes them in the core platform.
Executive Financial Analytics
Multi-facility dashboards showing real-time labor cost, FT utilization, DOR productivity, Part A cost, and private pay revenue — per building. Competitors like MegaData charge separately.
Multi-Payer Billing Engine
Full rate management for Medicare Part A (per-diem), Part B (per-unit with MPPR), Managed Care (3 rate types), Private Pay, and Private Insurance — with automated payer classification.
HR & Payroll Integrations
Native connectors to Workday, ADP, BambooHR, and NetHealth — with idempotent roster sync, time entry ingestion, facility cross-mapping, and encrypted credential storage.
Self-Hosted AI Notes Pipeline
Voice recordings are transcribed by a self-hosted Whisper instance and converted to clinical notes by a self-hosted LLM. No PHI leaves your infrastructure — no third-party AI SaaS fees.