Pushbuild

Software that helps a home care agency fill shifts and keep caregivers and clients informed.

We build the coordination side of a home care agency: open shifts offered to the right caregivers, referrals tracked from first call, caregiver onboarding that does not stall, and timesheets that reach payroll cleanly. Care plans, clinical notes and client health details stay in the systems your agency has set up for them. Our work uses names, schedules, locations and counts. The scope is written down and agreed before we start.

Tell us what you needSee example projects

Sound familiar?

What home care and home health agencies tell us before a project starts.

  • A caregiver calls out and the office spends the morning phoning around to cover the shift.
  • Families and referral sources call to ask who is coming and when.
  • New caregivers wait weeks because paperwork and checks are tracked by hand.
  • Timesheets are corrected and re-entered before payroll can run.
  • We pay for scheduling software and still keep a spreadsheet beside it.

What we build

Each one is a working piece you can open and check when it's done.

Open-shift fill

When a shift opens, a text goes to qualified, available caregivers and the first to accept is confirmed, with the office notified.

n8n, Make and Zapier automation API integrations and data sync

Visit confirmations for families

A message to the family or the care coordinator when a caregiver is on the way or the visit is changed, using names and times only.

n8n, Make and Zapier automation

Referral and inquiry tracking

Calls, forms and referral partners logged with an owner, a follow-up schedule and a count by source.

CRM setup and lead pipelines GoHighLevel setup

Caregiver onboarding tracker

Each applicant's stage, missing documents and reminders in one place, so nobody waits because a form was forgotten.

Notion and Airtable systems n8n, Make and Zapier automation

Timesheets to payroll

Hours from your scheduling or visit-verification system checked for gaps and sent to payroll in the format it needs.

QuickBooks, Xero and HubSpot integrations ETL and data pipelines

Agency overview

Hours delivered, unfilled shifts, caregiver turnover and referral volume on one page, as counts only.

Dashboards and reporting

Home health software we work with: AlayaCare, WellSky, HHAeXchange, ClearCare, Axxess, Homebase.

And the general tools around it: Gusto, QuickBooks, Google Sheets, Twilio, Zapier, Make.

Example projects

Illustrations of the shape of the work, not past clients. Yours gets its own written scope.

Example project

Covering a call-out

Example: an agency wants a shift that opens at short notice offered by text to caregivers who live nearby and are free, with the first yes confirmed and the others told it is filled.

Scheduling system, SMS

Example project

Onboarding without the chase

Example: an agency hiring ten caregivers a month wants one board that shows who is missing which document, with reminders sent to the applicant and a task for the office.

Airtable, email

Example project

Payroll cutoff check

Example: an agency wants hours exported on cutoff day, checked for missing clock-outs, and sent to the payroll tool with problems listed for the scheduler.

Hours export, Google Sheets, Gusto

Questions people ask first

Will client health information go into the tools you build?

No. Care plans, notes and health details stay in the systems your agency has set up for them. Our work uses names, schedules, locations and counts, or links back to those systems.

Can you work with our scheduling system?

As far as it offers an API, integrations or exports, yes. We check what it supports before planning the build.

Are you making compliance claims?

No. Your agency and its advisers decide what is acceptable, and we build to that.

How do we start?

Tell us your scheduling and payroll tools and the task that eats the most office time. We reply with questions or a written scope.

Tell us what you need built.

Email a few lines about what you want and which tools you use, or call. We reply with questions or a written scope.

hello@pushbuild.com

(617) 299-8887