Home Health Payroll Software | Netchex
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Built for Home Health

Your caregivers are never in one place. Your platform keeps them together.

Netchex is built for the realities of home health β€” distributed teams, high turnover, complex pay, and credential compliance β€” so you can focus on delivering care instead of chasing paperwork.

Netchex App On the clock
Visit β€” Eleanor R.
1240 Magnolia Ln · 9:00–11:30 AM
Clock-in verified on-site · 9:02 AM
CNA CertificationActive · 47d
CPR / BLSRenew · 22d
Flex Pay available$284.00
The reality on the ground

The pain points holding home health agencies back.

Running HR for a home health agency is nothing like running HR for an office. Your workforce is scattered across dozens of zip codes, clocking in at patient homes, often with no manager nearby.

Time fraud is a real risk

When caregivers clock in from wherever they happen to be, you can’t verify they’re actually at the patient’s home. Manual time sheets are slow, inaccurate, and nearly impossible to audit β€” errors compound every pay period.

Turnover never stops

Home health reports some of the highest turnover in healthcare. Every open caregiver seat is a coverage gap. Replacing one means recruiting, onboarding, credential verification, and weeks of lost productivity.

Credentials expire without warning

Your CNAs, HHAs, and licensed staff carry certifications that expire. When a surveyor shows up, you need documentation immediately. Without automated tracking, a missed alert becomes a compliance liability.

Financial stress drives exits

Caregivers living paycheck to paycheck are more likely to take a shift elsewhere. Bi-weekly pay cycles create cash-flow gaps that raises alone can’t fix β€” but the right financial tools can close that gap.

One person is running everything

Most agencies don’t have a full HR department. The person handling payroll is also handling scheduling, compliance, and caregiver questions. Every spreadsheet and paper form is time they don’t have.

There’s a better way to run it

Netchex brings time, onboarding, credentials, pay, and recruiting into one connected system built for how home health actually operates. Here’s how.

Where the industry is headed

How home health is changing in 2026.

100K+worker shortfall by 2028

Aging population is accelerating demand

Demand for in-home care is outpacing the supply of qualified caregivers. Agencies that recruit, onboard, and retain faster than competitors will capture more of that market.

Regulatory pressure is increasing

State licensing requirements continue to evolve, and CMS is sharpening its focus on documentation accuracy and credential compliance. Agencies without automated tracking carry growing risk.

Caregivers expect digital-first tools

Today’s caregivers expect to manage their schedule, check pay, and get HR answers from their phone β€” not by calling the office. Agencies that can’t meet that expectation lose candidates to those that can.

19%lower turnover with EWA

Financial wellness is a retention tool

Earned wage access has moved from ‘nice to have’ to a real differentiator for attracting and keeping caregivers. Agencies offering it report measurable reductions in turnover.

7,500+ organizations trust Netchex

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How Netchex helps

Every tool your caregivers and back office need.

Netchex brings payroll, time tracking, onboarding, scheduling, compliance, and recruiting into one connected system built for how home health actually operates.

Location-Verified Time Tracking

Caregivers clock in and out via the Netchex app with geofence verification tied to the patient visit address. Accurate records, the correct location β€” no paper time sheets and no fraud risk.

Fast, Mobile Onboarding

New caregivers complete all paperwork β€” W-4s, direct deposit, I-9, policy acknowledgments, credential docs β€” from their phone before day one. Onboarding drops from 3 weeks to 1 day.

License & Certification Tracking

A dedicated dashboard tracks expiration dates for every credential β€” CNA, HHA, CPR/BLS, nursing licenses, state-required training. Automated alerts at 30, 60, and 90 days.

Flex Pay β€” Earned Wage Access

Let caregivers access wages they’ve already earned between pay cycles, right from the app. No cost to you, no change to payroll β€” the benefit that keeps people from leaving before payday.

Recruit Built for High-Volume Hiring

Text-to-Apply lets candidates apply in under 4 minutes from a QR code. NextMatch AI screens on availability and proximity automatically. Indeed Platinum Partner status gives roles priority placement.

Credential-Aware Scheduling

Open shifts surface only to caregivers with the required certifications and availability. Coverage gaps appear before they become patient-care problems. Shift swap happens in the app.

AskHR β€” 24/7 Self-Service

Caregivers get instant answers to HR, payroll, and benefits questions from the app, any time of day, in their language. Ends the constant stream of one-off calls to your back office.

One connected platform

Every tool above shares one employee record and one login β€” so data flows from hire to time to pay without re-entry, and your one-person back office finally gets time back.

What you’ll achieve

The impact you’ll see with Netchex.

Home health agencies using Netchex report measurable results across every part of their operation.

1 day

From offer to onboarded β€” down from 3 weeks

67%

Reduction in interview no-shows with Netchex Recruit

19%

Lower turnover for employers offering earned wage access

46%

Reduction in payroll errors

More likely to hire via Text-to-Apply vs. other channels

2 days

Average time from application to offer accepted

4/5

New hires stay through their first month

16+ hrs

Saved per week on HR administrative tasks

Replacing one caregiver costs thousands in recruiting, training, and agency backfill. The agencies that retain people β€” with fast pay, clear communication, and tools that work on a phone β€” are the ones growing their census.

Service that sets us apart

Support that knows home health.

When you call Netchex, you reach a service professional who understands distributed caregiver workforces, credential compliance, and the operational realities of home health β€” not a generic support queue.

#1

Ranked #1 for service on G2

97–98%

Customer satisfaction score

<1 min

Most calls answered under a minute

Real

A dedicated team that knows your account

FAQs

Common questions, answered.

How does Netchex handle time tracking for caregivers working at patient homes?
Caregivers clock in and out via the Netchex mobile app with GPS-based geofence verification tied to the patient visit location. This creates accurate, auditable time records without any manual entry from managers.
Can caregivers complete onboarding on a mobile device?
Yes. New hires complete all paperwork β€” W-4s, direct deposit, I-9, and policy acknowledgments β€” from their phone before their first shift. Netchex holds new hire data in review until an admin approves it, so nothing enters payroll until it’s confirmed.
Does Netchex track certification expirations for a distributed caregiver workforce?
Yes. The License and Certifications Dashboard tracks expiration dates across your entire workforce β€” CNAs, HHAs, CPR/BLS, nursing licenses, and more β€” with automated alerts at 30, 60, and 90 days before each expiration.
What is Flex Pay and is there a cost for the agency?
Flex Pay is earned wage access built into the Netchex app. Caregivers can request wages they’ve already earned before their next pay date. There is no cost to the employer and no change to the payroll process.
Can Netchex help fill caregiver seats faster?
Yes. Netchex Recruit includes Text-to-Apply (candidates apply in under 4 minutes), NextMatch AI for automated screening, and Indeed Platinum Partner status for priority job placement. Average time from application to offer: 2 days.
More industries

Built for the way your industry actually works.

Spend less time chasing paperwork. More time delivering care.

See how Netchex brings time tracking, credentials, payroll, and recruiting into one system built for home health.