Performance Marketing Agency for Healthcare Staffing — 2,500% ROAS & 292 Qualified Job Applications
Setsail partnered with NH Staffing—a healthcare recruitment leader in Vancouver—to solve a costly talent shortage. Competing against top healthcare staffing agencies, NH Staffing needed breakthrough results. Using advanced PPC, web design, and data-driven ad automation, we achieved a 2,500% ROAS and 292 job applications in 30 days. This case shows how Setsail’s measurable, ROI-focused approach delivers exceptional growth for healthcare staffing firms and other high-competition sectors.

How Our Digital Marketing Agency Drove Growth
How We Improved ROAS for Healthcare Staffing
NH Staffing was struggling to fill key roles quickly. We used segmentation and machine learning to deliver a 2,646% ROAS—nearly eight times higher than our target.
Lowering Cost Per Application (CPA) with Targeted PPC
With competition fierce, our campaigns generated 373 job applications at just $3.49 each—almost 90% lower than forecasted. This is what focused PPC can do for your bottom line.
Increasing High-Intent Clicks Through Smarter Paid Ads
We reduced CPC by 83%, achieving 2,664 high-intent clicks at $0.49 each. Efficient paid ads brought more quality candidates, faster.
Key Deliverables & Outcomes: How We Drove 292 Job Applications for NH Staffing
Context & Challenge
When NH Staffing first approached us, they were facing an all-too-familiar challenge in the healthcare staffing space: lots of open roles, but not enough qualified applicants—and every week without new hires was costing them revenue and reputation. The market was crowded with staffing agencies all vying for the same nurses and technicians. Paid advertising hadn’t delivered the scale or quality they needed, and their brand was getting lost in the noise.
We saw right away that the real problem wasn’t just “get more clicks”—it was building a system that attracted, qualified, and converted the right talent, without wasting ad spend. For our team at Setsail, this was the kind of challenge that plays right into our strengths: performance marketing, PPC, and data-driven lead generation for ambitious brands in competitive spaces.
Our Approach & Strategy
We knew a generic ad campaign wouldn’t cut it, so we went deep on audience and intent. We started by segmenting NH Staffing’s ideal candidate personas: travel nurses, per diem staff, medical technologists—each with unique motivations and search behaviours. Using Google’s Performance Max campaigns, we set up multiple audience groups and built custom ad creative tailored to each role.
We integrated conversion-focused web design by building landing pages for every major position, ensuring that messaging, imagery, and calls to action spoke directly to the candidate’s interests. Behind the scenes, we layered in Setsail’s marketing automation stack—so every qualified lead was nurtured from first click to completed application.
We aligned weekly with the NH Staffing team, reviewing performance dashboards and reworking creative and budget allocation in real time. This partnership model is core to how we operate as a digital marketing agency: we act as a true extension of the client’s team, not just a vendor running ads.

Creative Process
Creatively, our focus was clarity, credibility, and speed. We produced a library of ad variations—each with different value props, visual cues, and headlines. Some tested premium pay rates; others focused on flexibility, travel perks, or fast hiring.
Our design team used Setsail’s agile workflow: quick sprints to concept, test, and revise assets. We sourced real photos of staff (with permission), invested in clean, professional layouts, and kept the application process as frictionless as possible.
We also built landing pages designed for mobile first, knowing that most candidates would be applying from their phones. Every click was tracked, and every stage of the candidate funnel was measured.
(Image: Mockup of mobile-first application landing page
Alt: “Mobile-optimized landing page design for nurse job applications”)
Execution & Deliverables
- Advanced Performance Max Campaigns:
Multi-channel PPC, with ad sets for each healthcare role and region. - Custom Landing Pages:
Unique, SEO-friendly pages for each job type, optimised for conversion. - Marketing Automation:
Automated follow-ups for partially completed applications, plus data capture for future roles. - Ongoing Creative Refresh:
Weekly review and launch of new creative variations, informed by data. - Integrated Analytics:
Custom dashboards in Google Analytics and HighLevel, tracking every lead and spend dollar.
All deliverables were shared through Setsail’s client portal, with transparent reporting and real-time updates. We held weekly “what’s working, what’s not” meetings to keep strategy agile.
Tangible Outcomes
The numbers tell the story best:
- 2,646% ROAS (Return on Ad Spend) vs a forecasted 330%.
- 373 qualified job applications in 30 days—nearly 90% lower CPA than industry benchmarks ($3.49 vs $30.30).
- 2,664 high-intent clicks at an 83% lower CPC ($0.49 vs $3.00 projected).
- Custom landing pages outperformed previous generic pages with a 3.94% CTR.
- NH Staffing’s team reported faster time-to-fill for key roles and better candidate quality.
As a performance marketing agency, this is the kind of impact we’re built to deliver: more of the right candidates, lower acquisition costs, and full transparency at every step.
Lessons Learned & Next Steps
Every campaign teaches us something new. For NH Staffing, it reinforced the value of tight audience segmentation, constant creative testing, and weekly client-agency alignment. We also learned that integrating web design and marketing automation directly into the PPC process can make the difference between good results and great ones.
Looking ahead, we’re now expanding this framework for other staffing and recruitment clients, and continuing to refine our HighLevel and Google Performance Max playbook for healthcare and beyond.
If you’re facing similar recruitment or lead generation challenges, see how our performance marketing and Social Media services could move your business forward.
Project FAQs
1. How does performance marketing help healthcare staffing agencies attract more job applicants?
Performance marketing uses data-driven PPC, targeted ads, and audience segmentation to reach qualified healthcare professionals searching for jobs. By optimizing ad spend and creative, staffing agencies like NH Staffing can quickly scale job applications while keeping costs low and results measurable.
2. What’s the benefit of using Google Performance Max campaigns for recruitment?
Google Performance Max campaigns automatically place ads across Search, Display, YouTube, and Gmail, using machine learning to target high-intent candidates. This approach increases visibility, lowers cost per application, and delivers better quality leads for healthcare staffing companies.
3. How can digital marketing agencies lower cost per application for staffing firms?
Digital marketing agencies use audience segmentation, creative testing, and analytics to optimize every dollar spent on recruitment campaigns. This results in a lower cost per application, higher-quality leads, and more efficient hiring for staffing and recruitment businesses.
4. What results can healthcare staffing companies expect from a PPC agency?
A PPC agency focused on healthcare staffing can deliver a high return on ad spend, lower cost per click, and more qualified job applications. Campaigns are tracked in real time, so agencies can continuously improve and deliver tangible business growth.
5. How do I get started with Setsail Marketing for my staffing agency?
Getting started is simple. Contact Setsail Marketing to discuss your hiring goals, and our team will design a performance marketing and PPC strategy tailored to your staffing agency. We make it easy to launch and scale your recruitment campaigns.



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Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies
Proven process tested on 200+ successful companies