Strengthening the Nursing Workforce

SullivanCotter helps health care organizations strengthen nurse recruitment and retention, align compensation and career frameworks, and design workforce models that support high‑quality care.

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Today’s Nursing Challenges

Registered nurses remain central to care delivery, yet many organizations continue to face staff shortages, burnout, turnover, and increasing competition for experienced clinical talent. At the same time, rising patient demand and evolving care models are
forcing leaders to rethink how nursing teams are structured, supported, and rewarded.

Key Challenges Include:

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Inefficient Staffing Models

Mountains with a flag and path

Unclear Career Pathways

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Lack of Defined Skills

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Market-Lagging Compensation Structures

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Leadership Span-of-Control Challenges

Partnering with SullivanCotter

Designing Nursing Workforce Strategies That Support Performance

SullivanCotter partners with hospitals and health systems to design nursing workforce strategies aligned with today’s clinical and operational realities and future needs in mind.

SullivanCotter helps organizations assess workforce models, including workforce planning, career structures, skills development, and compensation programs, so nursing teams are deployed effectively, supported appropriately, and positioned to deliver high‑quality care.

By combining industry-leading data, workforce analytics, and deep clinical workforce expertise, we help organizations optimize nursing teams, strengthen leadership structures, and ensure nurses are practicing at the top of their license within well-designed care delivery models.

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stethoscope

Essential Survey

Registered Nursing 
Compensation Survey

Access market-driven compensation insights to attract and retain registered nursing talent in a competitive environment.

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How We Help

SullivanCotter works with health care organizations to design workforce models, career and skills frameworks, and compensation programs that support a sustainable nursing workforce.

Nursing Workforce Strategy & Clinical Workforce Optimization

We help organizations design nursing workforce models that align staffing structures, team composition, and scope of practice with care delivery needs—ensuring nurses and other clinicians are working at the top of their license.

Our advisory work includes:

Nursing workforce planning and staffing model design

Clinical workforce optimization and role deployment

Nursing leadership structure and span-of-control analysis

Care team configuration and skill mix strategy

Workforce analytics and staffing metrics

Career Architecture & Workforce Structure

Clear career pathways and role structures are essential for retaining experienced nurses and supporting professional development. We help organizations create structured nursing career frameworks that support both workforce stability and clinical advancement.

Our services include:

Nursing job architecture and titling structures

Clinical ladder design and career progression models

Nursing leadership structure and span-of-control analysis

Experience crediting and role segmentation

Workforce structure analysis and span-of-control benchmarking

Skills-Based Architecture & Capability Design

Development of nursing skills taxonomies (clinical, technical, and behavioral competencies by role and level)

Mapping skills to roles, career levels, and clinical ladders to enable transparent progression

Identification of critical and scarce skill sets (e.g., specialty certifications, advanced procedures) to inform workforce strategy

Skills-based career pathways (progression driven by capability attainment vs. tenure alone)

Alignment of skills with learning, credentialing, and certification frameworks

Integration of skills into HRIS and talent systems (skills tagging, profiles, and reporting)

Development of skills-based workforce planning insights (supply/demand, gaps, and redeployment opportunities)

Compensation Strategy & Total Rewards

Competitive and well-designed compensation programs are essential to attracting and retaining nursing talent in today’s labor market. We help organizations design compensation programs that reflect market dynamics while supporting workforce engagement and financial sustainability.

Our services include:

Market benchmarking and pay structure design

Shift differentials, on-call, and premium pay design

Per diem and alternative work arrangement strategies

Nursing pay philosophy and policy development

Total rewards program design for nursing populations

Partner with SullivanCotter 
Through Co-Sourcing

SullivanCotter’s co-sourcing model provides embedded support within your HR and compensation function—delivering ongoing benchmarking, administration, and advisory expertise. 

We work alongside your team to maintain operational continuity, strengthen governance, and ensure consistent, data-driven execution. Our approach helps organizations manage complexity while building long-term internal capability.

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Insight Spotlight

How Nursing Team Structure Impacts Patient Outcomes

Care team design plays a critical role in both workforce sustainability and patient outcomes. Research shows that the way nursing teams are structured—including staffing levels, skill mix, and collaboration across care roles—can directly influence quality measures such as hospital readmissions.

SullivanCotter examines how nursing team configuration affects performance and what leaders should consider when designing care delivery models that support both patient outcomes and workforce stability.

Read the Article

“Health systems that thoughtfully design nursing workforce structures, career pathways, skills development, and compensation strategies are better positioned to stabilize their workforce and support high-quality care.”

Kristina Hudson, Principal, SullivanCotter

Registered Nursing Surveys

SullivanCotter’s Registered Nursing Compensation Survey provides one of the most comprehensive sources of benchmarking data on nursing compensation, pay practices, and workforce trends across health care organizations. The survey includes data from more than a thousand participating organizations and hundreds of thousands of nursing incumbents. Explore this and other related surveys below.

Registered Nursing Compensation Survey

Focusing on the broad population of
registered nurses navigating the complex and fast-changing landscape of health care organizations, this survey provides insights on nursing salary trends and pay practices.

Health Care Staff Compensation Survey

This national survey provides cash
compensation market data for health care staff.

Health Care Staff and Nursing Bundle

Includes two survey reports: Health Care Staff Compensation and Registered Nursing Compensation.

Pulse on the Industry


Stay current with SullivanCotter research and thought leadership on nursing workforce trends, compensation practices, care team design, and strategies to recruit and retain clinical talent in an evolving health care environment.

Let’s Architect Your Solution

Ready to strengthen your nursing workforce strategy? Contact SullivanCotter to get started.

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