How Vera Actually Works
Travel nursing without the middleman.
The Problem With Agencies
When you get placed through a traditional staffing agency, the hospital sets a bill rate — say $100/hr. That's what they pay for YOUR work. But you never see that number. The agency takes 25%+ off the top.
Half your bill rate disappears into a system that adds less value every year.
Offshore agencies on Vivian offer slightly better rates by cutting their margin — but they also cut the service. No support, no housing help, no one picking up the phone when your paycheck is wrong.
Where Your Money Goes
Vera Eliminates the Middleman
Vera is a licensed staffing platform that places you directly. No recruiter taking a cut. Here's exactly how your money flows:
$100/hr Bill Rate · 36 hrs/week
With Vera
~$2,772/wk gross
Traditional Agency (25% margin)
~$2,592/wk gross
Vera puts more money in your pocket every week — and optimizes your stipend to maximize tax-free income.
What Vera Handles For You
No recruiter doesn't mean no support. Vera handles everything — just without the markup.
Credentialing & Compliance
AI-powered document management, license verification, automated compact state checks
Payroll & Benefits
W-2 employment, direct deposit, tax-free stipend optimization, benefits access
Housing
Curated furnished housing near your facility, roommate matching to save thousands
VMS Submissions
Vera submits you directly to the hospital's vendor management system
Ongoing Support
Dedicated account managers and 24/7 AI-powered support for any issues
Extension Management
Vera advocates for your extension directly with the facility
Your Reliability Score = Your Fee
As your score increases, Vera reduces its fee. You start at 8% — already far less than any agency. Our best nurses pay just 5%. The net bill rate is what's left after the MSP takes their 4% fee. A traditional agency takes a 25% gross margin from that. Vera charges a flat fee after costs.
Rebuilding
< 2.0
12%
Vera fee
New
2.0–2.9
10%
Vera fee
Established
3.0–3.9
8%
Vera fee
Proven
4.0–4.5
7%
Vera fee
Elite
4.5–4.8
6%
Vera fee
Top Tier
4.9–5.0
5%
Vera fee
Your Vera Journey
Contract 1–2 · Established
Already earning more than any agency
Contract 3–5 · Proven
Your track record is paying off
Contract 6–8 · Elite
Top-tier nurses, top-tier pay
Contract 9+ · Top Tier
The best economics in travel nursing
You start at 8% — already lower than any traditional agency.
Top Tier nurses keep 95% of net bill revenue. Traditional agencies give you 75%.
Complete Contracts. Earn More. It's That Simple.
Your Vera Reliability Score starts at 3.0. Every contract you complete raises it. The higher your score, the less Vera takes.
What Earns Points
What Hurts Your Score
Vera doesn't penalize you for not extending. Completing your contract is success. Extending is a bonus.
Nurses who walk off hurt everyone — they cost thousands, damage the hospital's trust in travelers, and make it harder for the next nurse. Vera is the platform for nurses who show up and do the work. If that's you, you'll earn more here than anywhere else.
Why Nurses Choose Vera
Agencies pay you $72/hr on a $100 bill rate. Vera pays you $77+/hr.
You see the actual bill rate for every contract.
Your reliability score earns you more money over time.
Housing is handled before you accept.
You know exactly what the unit is like before Day 1.
Real support when you need it — not a voicemail.
The Vera Guarantee
Complete your contract, your score goes up and your next contract pays even more. Walk off without cause, and your score drops. It's simple: show up, do great work, and earn more than you would anywhere else in travel nursing.
Stop giving away half your bill rate.
Join Vera and keep more of every dollar you earn.