pitch.gigs.care2026

gigs.care

Your RN license earns on your terms.

Get paid to review and sign off nursing work — from your phone, on your schedule. The chart is prepared; you bring the licensed judgment. Early access; this deck says exactly what exists today.

gigs.carethe one membership that turns an RN license into income on the nurse’s own schedule — minutes of nursing judgment at a time, from anywhere, matched to license and state, covered by design, paid flat — instead of another floor shift, a per-diem agency roster, or a second job4 posted · 6 pending

The only overtime an RN license offers is more floor time

You hold a live RN license — bedside, home-health, or case management — and every existing way to earn more from it is the same answer wearing different scrubs: pick up another shift, join a per-diem agency roster, take a second job. All of them buy your presence. None of them buys the thing the license actually reserves: your nursing judgment.

Posted

Multistate practice is real, filed machinery, not a promise: the Nurse Licensure Compact gives nurses who live in a compact state a multistate license recognized across the compact’s member jurisdictions. Here the state lattice is designed to be computed per review — designed so a review never surfaces from a state you cannot sign in.

nursecompact.com

What keeps that judgment idle between shifts is not demand — home health, utilization review, and care management run on exactly the acts your license stands behind. It is the overhead stack:

  • No compliant unit of sale. There is no clean way to sell twenty minutes of nursing judgment. Any side arrangement demands the full apparatus: your own professional-liability coverage, your own scope check per state, your own invoicing — and your employer’s policy does not follow you out the door.
  • The outlets that exist buy presence, not judgment. A per-diem roster is shift work with the roster’s politics attached. Overtime is more floor time on somebody else’s calendar. Neither pays for the sign-off itself.
  • The uncovered improvisation. The correct fear: outside work without coverage is the license itself, at risk for the smallest line on the side.

An RN license should earn on your terms, not only your unit’s.

Three steps, none of them a shift

  1. Apply. Your RN license — state or compact — and your states, captured in a short application; a CCM or ACM if you hold one. At onboarding your credential will be verified against the official state-board roster, before any first review. No essays, no interviews, no roster to join.
  2. Claim. A matched review reaches your phone: act type, state, and the flat Review Fee, already fixed. Claim it and the AI-prepared chart unlocks — the intake, the history, the draft, the flagged questions. Skip it, and that costs nothing and is invisible to your record.
  3. Sign off — or don’t. The reserved acts are the ones your license already stands behind, nothing invented: care-plan review and sign-off, home-health OASIS review, utilization / medical-necessity review, case-management review for CCM/ACM holders. Sign off, send back with a nursing note, or decline. Every outcome is completed professional work; every outcome pays the same flat fee.

How the money works

  • Fee-certainty: the Review Fee is flat and fixed at post time — never a percentage of anything clinical, never a tier computed after the review closes, never adjusted retroactively.
  • Fee-visibility: the number on the card is the number you’re paid, disclosed before you claim, paid the same day.
  • Decision-independence: sign off, send back, or decline — the fee is identical. Your judgment is never priced, and nothing upstream can make an approval worth more than a refusal.
  • Refusal is sovereign: a send-back with a nursing note is paid professional work; a declination is paid and final against every process, meter, and operator — and invisible to what you are offered next. There is no economic pressure anywhere in the structure to sign.
Pending
working Review Fee band and turnaround

What a review pays is your first question, and it deserves a number, not adjectives. The live door posts a $35120 illustrative target per review at 1030 minutes of actual work — labeled there, in its own words, “illustrative estimates, not a live-marketplace guarantee.” The working Review Fee band posts here the moment real reviews price it — review fee band–·–posts when first live fee data resolves — and until then that band and the minutes target stay exactly what they are: design targets, not measured facts.

gate: first live fee data from routed reviews

Two registers, and this door is the expert one

The gigs.* family runs on two registers that never mix. The expert register — this door — pays for a signature: async queue, per-act fee, deliverable is an approval. The work register pays for presence: shifts dispatched, per-shift rate, deliverable is a completed task. gigs.care recruits sign-off value; its ratified contrast pair, gigs.hospital, is the staged work-register twin that staffs hospital shifts — staged, not live, and never this brand. The same nurse can hold accounts in both registers when the twin ships, but track records never cross the register line: a shift history never inflates a sign-off record, and vice versa.

Inside the healthcare pack, the tribes keep their own doors, drawn by credential: physicians walk through gigs.doctor, the pack lead; APRNs and pharmacists — prescriptive and sign-off authority beyond the RN — through gigs.health; registered nurses through this one. One ICP per door, by rule — this door completes the pack’s expert side.

A nurse-practice act names a person — so the motion is B2H2A

B2Abusiness serves an agent — the machine is the customer
B2Dthe developer reads the catalog like API docs — key funnel on the rail
A2Aagent to agent — pure machine commerce
B2A2Ba business system calls the rail on its own behalf
B2A2Dour agent serves the deputized developer
B2A2Cour agent serves the consumer
B2H2Aa statute names a human — the licensed supplier in the pathprimary
A2H2Athe human is a required supplier: the regulated-cell shape

Every gigs.* supply door is B2H2A — business to licensed human to agent — and only B2H2A, because a statute names a person. A care plan needs a nurse’s sign-off; an OASIS assessment is nursing work by rule; a medical-necessity review runs on licensed clinical judgment. The H is not a user persona — it is the licensed human whose signature makes the work lawful. On the cell’s designed fulfilment path — A2H2A, agent to licensed human to agent — you are the required supplier, which is exactly why the reserved acts stay with you and never with the platform.

Pending

The demand rail is staged, not live: apis.healthcare is a staged Tier-2 domain in the family map, and no calling system buys acts through it today. Supply is recruited first, candidly — this door exists to have the licensed pool ready when the rail opens, and it says so rather than implying flow that doesn’t exist.

gate: apis.healthcare demand rail designed, built, and live

The economics, candidly

Human~95% of function cost
Agenticorchestration-priced
Generativeinference-priced
Codenear-zero marginal

Functions migrate Human → Agentic → Generative → Code until they hit their vertical’s floor, and nursing sign-off sits on a statutory floor: everything around the signature — intake, history assembly, the chart’s first pass, scheduling, invoicing — migrates, and AI keeps getting better at exactly that work. The sign-off itself does not migrate: the nurse-practice act reserves nursing judgment to the license, and a signature that carries professional accountability is priced as judgment, not as hours. That is why this membership exists and why it appreciates as the software improves: the software makes your minutes more productive; it cannot replace the license.

The fee line is a design commitment: the Review Fee is flat and never a share of anything clinical, and the cell’s own economics are designed to sit on the demand side of that line — posted per-act rates to the systems that buy the acts, never a cut of the nurse’s fee.

Where it stands, stated plainly

Posted

The door is live: gigs.care runs the early-access application for founding nurses (“tell us your RN license and states”), labels its target ranges “illustrative estimates, not a live-marketplace guarantee,” states the coverage promise in the future tense it belongs in (“we plan to carry the professional liability coverage”), and says plainly it is early access, not a live marketplace yet. The namespace position is occupied.

gigs.care
Posted

gigs.doctor is live — the healthcare pack lead, the physician tribe’s own door, with its own full record in this estate.

gigs.doctor
Posted

gigs.health is live — the companion expert door for NPs and pharmacists, with its own full record in this estate.

gigs.health

The sibling doors are built to one substrate by design — one worker, one Gig envelope, one Register system serving every door. Serving is a liveness fact, not an architecture claim: the URLs above evidence that the doors answer, not the topology behind them.

Hard gates, not preferences

Pending

“We plan to carry the professional liability coverage” is the load-bearing promise on the live door, and it is stated as a plan, not a fact. The claim posts when the program is bound and the insured is named. Nothing is signable before then — that is a hard gate, not a preference.

gate: professional-liability program bound at the entity, member named as insured
Pending

The live door commits to verifying every credential against the official roster before any work reaches a member — an ordering commitment, stated before any work routes. The claim posts when the roster check runs in production; until then a captured credential is exactly what it is: unverified.

gate: state-board roster verification running at onboarding, before first review
Pending

The operating entity is not yet designed — the same stricter candour gigs.health carries, and it holds for this door too. Nursing sign-off sits under fifty state nurse-practice acts, and utilization-review work adds state licensure and accreditation regimes of its own in some jurisdictions; those rules shape what the entity must be, and no membership goes live before that design is done, the entity exists, and its posture is opinion-backed for the first state.

gate: healthcare cell entity designed, formed, and cleared for its first state
Pending

There is no live match queue yet, and this deck does not imply one. Early access means exactly that: founding nurses are being onboarded ahead of routing, verification is real before the word “verified” is, and the first routed review flips this claim to posted with the evidence attached — not before.

gate: first routed review signed off and paid end-to-end

If nothing changes: the license keeps earning only when a unit schedules it — more floor time as the only overtime — or the uncovered improvisation, which is the risk this platform exists to replace.

If it works: minutes of actual nursing judgment between other things, paid the same day, coverage designed to name you, license and state respected by construction — a credential gone from cost center to productive asset.

The door is gigs.care — it serves today.

Apply for early access at gigs.care. Founding nurses verified before marketplace-live hold first-review priority in their licensed states when routing begins, and the fee schedule is set with the founding cohort, not announced to it. Or read the door first — who carries the coverage, why you can always say no — written to be forwarded to a colleague on the unit before you give a name.