How is the Secure Placement Model different from a direct-hire model?

Direct-hire places a nurse with one specific employer, giving upfront clarity but exposing the nurse if that employer fails. The Secure Placement Model preserves upfront clarity on facility and pay but anchors the contract to Grandison plus a network of vetted facilities, so if the original placement is disrupted, Grandison can reassign the nurse within the network.

Is the Secure Placement Model the same as travel nursing?

No. Grandison nurses under the Secure Placement Model are placed as full-time facility employees, not per-diem or travel nurses. Reassignment within the network is a contingency protection, not a rotation pattern.

How many nurses has Grandison placed under the Secure Placement Model?

Grandison has placed over 300 Filipino nurses under the Secure Placement Model across 16 years of operation, with more than 50 nurses who have completed their full USRN contracts under the model.

Grandison's Secure Placement Program for Healthcare Professionals

Q: How does the Secure Placement Model protect Filipino nurses from abandonment?

By anchoring the employment relationship to Grandison plus a network of vetted U.S. partner facilities — not to a single employer. If a partner facility cannot honor the original placement, Grandison reassigns the nurse to another client facility in the network, preserving the contract and the visa pathway.

Q: Why do U.S. healthcare facilities choose the Secure Placement Model?

Facilities choose it because it delivers full-time, contract-committed, pre-trained Filipino nurses at the price point of a direct-hire with the operational stability of a managed staffing relationship — resulting in lower turnover and continuity of care for residents.

This page explains how the Secure Placement Program works, why it exists, how it compares to traditional recruitment models, and what it means for the Filipino nurses and U.S. healthcare facility partners who depend on it.

The Secure Placement Program

Grandison's Hybrid Recruitment Framework That Protects Filipino Healthcare Professionals From Abandonment

The Secure Placement Program is Grandison’s proprietary recruitment framework — a hybrid between traditional direct-hire and staffing-model placement that gives Filipino nurses the safety net of a sustainable client network that protects them from the single most damaging outcome in international healthcare recruitment: abandonment.

It is the structural protection behind every contract Grandison issues under the Grandison Gold Standard, and the reason why Filipinos choose Grandison as one of the best agencies for nurses to the USA.

At a glance:

A hybrid model — direct-hire upfront clarity + staffing-model abandonment protection
Built on a network of strong U.S. client facilities, primarily skilled nursing facilities and long-term care
Continuity of care for U.S. facility partners
300+ Filipino nurses placed under this model, with 50+ completed contracts
The operational core of the Grandison Gold Standard

Secure Placement Program vs. Direct-Hire vs. Staffing Model — Side by Side

The Secure Placement Program is the only one of the three that solves for both upfront clarity and abandonment protection.

Feature	Direct-Hire	Staffing Agency	Grandison Secure Placement Program
Know your facility before signing	✅ Yes	❌ Often not	✅ Yes
Know your pay rate before signing	✅ Yes	❌ Often not	✅ Yes
Protection if facility fails	❌ Often not	✅ Yes	✅ Yes
Single employer relationship	✅ Yes	❌ No	⚖️ Hybrid — anchored to Grandison + facility
Continuity of care for the facility	✅ Yes	❌ Per-diem / rotating	✅ Yes — full-time placement
Visa pathway preserved if disrupted	❌ At risk	✅ Preserved	✅ Preserved
Long-term retention focus	Mixed	Low	✅ High

How the Secure Placement Program Works

Step 1 — You Know Your Facility and Pay Rate Upfront

You know the facility, the location, the role, and the pay rate before you arrive in the United States. This is the direct-hire clarity half of the hybrid.

Step 2 — Your Contract Is With Grandison, Not With a Single Facility

Unlike a pure direct-hire contract, your employment relationship is anchored to Grandison — which sits inside a network of partner facilities. This is the structural difference that makes everything else possible.

Step 3 — If Your Placement Is Disrupted, We Reassign Within Our Network

If anything happens to disrupt your placement — your facility closes, restructures, loses capacity, or otherwise cannot honor the original placement — Grandison can reassign you to another partner client in our network.

Your contract remains intact. Your visa pathway continues. Your career does not stall.

This is the staffing-model safety net half of the hybrid.

Step 4 — Continuous Support Through the Entire Process

Throughout your contract, your assigned Grandison point of contact remains available for guidance, advocacy with your facility, and support with the transition to life in the U.S.

The model is not just legal scaffolding — it is wrapped in real, ongoing human support.

Read about the 300th Grandison nurse success story — from visa challenges to USRN success →

What the Secure Placement Program Means for Filipino Nurses

If you are a Filipino RN considering a USRN role, the Secure Placement Program gives you five things a traditional direct-hire contract simply cannot.

Protection from abandonment. If your assigned facility cannot follow through, you are not stranded — you are reassigned within Grandison’s network.
Preserved visa pathway. Disruption at the facility level does not jeopardize your immigration status or your path to U.S. permanent residency.
Continuous Grandison support. Your relationship is with Grandison across the full duration of your contract, not with a single employer that may or may not be there in year two.
Career stability through retrogression. During visa retrogression delays, Grandison continues to guide and support you — and the model itself means your placement is not at risk while you wait.
A real exit path if the original placement is wrong. In rare cases where the placement is not a fit for clinical, cultural, or personal reasons, the network gives Grandison the ability to support a reassignment that protects everyone involved.

What the Secure Placement Program Means for U.S. Healthcare Facility Partners

The Secure Placement Program is not just designed for the nurse. It is designed to work for the U.S. healthcare facility partners we serve.

For our partner facilities — primarily skilled nursing facilities (SNFs), rehabilitation centers, and long-term care providers — the model delivers:

Full-time, contract-committed placements — not per-diem or rotating travel nurses
Continuity of care for residents, because the same nurse stays through the contract
Lower turnover risk than the industry average, because nurses are anchored to Grandison and not seeking exit
A pre-trained workforce — every Grandison nurse arrives with completed geriatric clinical and cultural preparedness training

This combination of features is why our partner facilities choose Grandison over both pure direct-hire and traditional staffing alternatives.

Partner with Grandison: International nurse staffing agency and recruitment →

The Secure Placement Program and Ethical Recruitment Practice

Inside the industry, we are a proud member of the American Association of International Healthcare Recruitment (AAIHR), an industry body that promotes legal, ethical, socially responsible international healthcare recruitment.

How Grandison is leading the healthcare staffing industry →

Get to know how Grandison can help you with your American Dream.

Proof the Secure Placement Program Works

The strongest evidence of any recruitment model is whether the people inside it choose to stay.

We are happy to announce recent nurses who have completed their contract with Grandison! This shows our commitment to our employees and also our employees trust with the Grandison Nursing program.

Apply to Work Under the Grandison Secure Placement Program

If you are a Filipino RN, physical therapist, or occupational therapist considering a USRN journey, the Secure Placement Model is what awaits you on the other side of a Grandison contract.

Not a single-employer gamble. Not a placement-on-arrival staffing roulette. A hybrid framework built specifically to protect you.

We have spent 16 years refining it. 800+ Filipino healthcare professionals have already trusted it.

And we are always ready to walk you through what it looks like for your specific situation.

Frequently asked questions:

What is the Secure Placement Program?

The Secure Placement Model is Grandison's proprietary hybrid recruitment framework for placing Filipino nurses, physical therapists, and occupational therapists in U.S. healthcare facilities. It combines the upfront clarity of a direct-hire model — you know your facility and pay rate before signing — with the safety net of a vetted client network that protects you from abandonment if your placement is disrupted. It is the operational core of the Grandison Gold Standard.

How is the Secure Placement Program different from a direct-hire model?

A traditional direct-hire model places a Filipino nurse with a single, specific U.S. employer. The nurse has upfront clarity but is fully exposed if that one employer cannot follow through on the placement. The Secure Placement Model preserves the same upfront clarity on facility and pay rate but anchors the contract to Grandison plus a network of vetted client facilities — so if the original placement is disrupted, Grandison can reassign the nurse within the network instead of leaving her stranded.

How does the Secure Placement Model protect Filipino nurses from abandonment?

The Secure Placement Program protects nurses from abandonment by anchoring the employment relationship to Grandison plus a network of vetted U.S. partner facilities — not to a single employer. If a partner facility cannot honor the original placement for reasons outside the nurse's control, Grandison can reassign the nurse to another client facility in the network. The contract, the visa pathway, and the career trajectory all remain intact.

What happens if my U.S. healthcare facility closes or restructures?

Under the Secure Placement Model, if your U.S. facility closes, restructures, or otherwise cannot honor your placement, Grandison can reassign you to another vetted client facility in our network. This preserves your contract, your EB-3 visa pathway, and your path to U.S. permanent residency. You are not left to navigate the disruption alone.

Does the Secure Placement Program affect my visa or green card pathway?

No — the Secure Placement Model is specifically designed to protect your visa and green card pathway. Because reassignment happens within Grandison's existing employer network and Grandison sponsors the underlying EB-3 visa, disruption at the individual facility level does not interrupt your immigration timeline or your path to U.S. permanent residency.

Is the Secure Placement Program the same as travel nursing or per-diem staffing?

No. Grandison nurses placed under the Secure Placement Model are placed as full-time facility employees, not per-diem or travel nurses. The model provides continuity of care for the facility and stability for the nurse. Reassignment within the network is a contingency protection, not a rotation pattern.

Why do U.S. healthcare facilities choose to work with Grandison's Secure Placement Model?

U.S. facilities — primarily skilled nursing facilities, rehabilitation centers, and long-term care providers — choose the Secure Placement Model because it delivers full-time, contract-committed, pre-trained Filipino nurses at the price point of a direct-hire with the operational stability of a managed staffing relationship. The result is lower turnover, continuity of care for residents, and a more reliable workforce than either pure direct-hire or traditional staffing alternatives.

How many nurses has Grandison placed using the Secure Placement Model?

Grandison has placed over 300 Filipino nurses using the Secure Placement Model across 16 years of operation, with 50+ nurses who have completed their full USRN contracts under the model. Additional cohorts are currently in the EB-3 visa pipeline preparing for placement.

Is the Secure Placement Model recognized by industry bodies?

The Secure Placement Model is fully aligned with the AAIHR Code of Ethics, and Grandison is a member of the American Association of International Healthcare Recruitment. Independent industry coverage, including by International AutoSource, has recognized Grandison's record in ethical recruitment — and the Secure Placement Model is the structural reason that record exists.