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6 ON DUTYon the same engine as your office 

Meet your new staff. They work the night shift.

Five agents and a copilot — Receptionist, Coordinator, EVV Expert, Recruiter, Care Plan Generator and Nessa. Each has a job, a boundary, and a boss. You.

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How they work together

One call-out, four hand‑offs.

9:05 p.m. to 8:30 a.m., start to finish. Nobody in the office woke up.

The roster

Five agents and a copilot.

Each one hired for a job you are doing by hand tonight.

Receptionist

Answers the phone at 2 a.m. Calls and texts, day or night, in English and Spanish.

Works in Clients & intake
Where it stops
  • Never changes a shift itself. Call-outs go to the Coordinator.
  • Never gives clinical advice.
  • Escalates anything it cannot classify to a human on your chain.

Coordinator

On the call-out in minutes. Ranks the roster, texts in waves, takes the first yes.

Works in Scheduling
Where it stops
  • Manual mode is available: it proposes, you approve, then it acts.
  • Never moves a shift that has already started.
  • Never contacts a caregiver who declared unavailability.
  • Never sends client PHI to unassigned staff. Coverage messages don't name the client.

EVV Expert

Chases the missed clock-in. Chases the missing one before it becomes an exception.

Works in Caregiver app
Where it stops
  • Never clocks in for the caregiver. The clock-in is the caregiver's act. That's the whole point of EVV.
  • Never edits time. The office verifies every manual entry.

Recruiter

Screens applicants on a Saturday night. Answers on a Saturday, screens, books the interview.

Works in Forms & website leads
Where it stops
  • Never makes an offer. The hiring decision stays human.

Care Plan Generator

From authorization to a signed plan. Parsed to service codes, drafted, signed by the family.

Works in Care plans & e-signature
Where it stops
  • Generates from your service code and task library. A human reviews and signs every plan.
  • Never gives clinical advice; the plan is your document.

Nessa

Just ask. The copilot you talk to instead of clicking.

Works in Reports & Live Ops
Where it stops
  • Grounded in your data through typed, permissioned tools. Nessa never touches the database directly, and what it proposes is shown for your review before it runs.
  • In approve-first mode, anything that contacts a person or changes the schedule is shown before it happens. Write actions stay off until you turn them on.
  • Agency-local time everywhere. Write actions are enabled per agency.

Human in the loop

You decide how far it goes.

Per agent, per agency, changeable any day. Start each one at the bottom and turn it up on your own data.

  1. 01SuggestIt surfaces. You act.
  2. 02DraftIt writes. You send.
  3. 03ProposeIt prepares. You approve.
  4. 04Act, you reviewIt updates the record. You can roll a change back.
  5. 05AutonomousIt acts inside your rules.

In approve-first mode, anything that contacts a person or moves a shift is shown before it happens. Turn autonomy up and it acts inside the permissions you set. Either way it lands in the same audit log as your staff's.

Guardrails

What none of them will do.

Agents work through typed, permissioned tools with internal IDs, and a coverage message never names the client. How we handle data

Built into the engine, the same for people and agents

  • Never moves a started shift · Coordinator

  • Never clocks anyone in · EVV Expert

  • Never makes an offer · Recruiter

  • Never gives clinical advice · All of them

How much should AI do in a home care agency?

As much as the agency has approved, and no more. In Nestaid each agent runs at the rung the agency sets, from Suggest or Propose, where it prepares the action and a human approves, up to Autonomous within policy. In approve-first mode anything that contacts a person or changes the schedule is shown before it happens, and every action lands in the same audit log as your staff's.

Frequently asked questions

Are these agents features or separate products?

Neither. They are staff that ship with Nestaid and run on the same scheduling, EVV, billing and payroll engine your office uses. You turn each on per agency.

How much can an agent do on its own?

As much as you allow. You set each agent's rung on the autonomy ladder: Suggest, Draft, Propose, Act with review, Autonomous within policy. We recommend starting low and turning it up on your own data.

What do the agents never do?

The Receptionist never changes a shift. The Coordinator never moves a started shift or contacts an unavailable caregiver. The EVV Expert never clocks in for anyone. The Recruiter never makes an offer. None give clinical advice.

Do the agents see client PHI?

They work through typed, permissioned tools with internal IDs; coverage messages never name the client.

Can I try one agent first?

Yes. We suggest the Receptionist first, then the Coordinator in approve-first mode for a couple of weeks.

See the agents work a real call-out.

A 30-minute demo on your schedule. Bring your hardest shift.

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