How Royal Ambulance Scaled Healthcare Hiring with Lever and UKG

Healthcare hiring is often fast-moving, highly regulated, and operationally complex. For Royal Ambulance — a healthcare organization with nearly 700 employees and a growing need to hire at scale — scaling hiring meant managing a steady flow of candidates while ensuring new hires moved smoothly from recruiting into onboarding.

Royal Ambulance was already using Lever and UKG, but the two systems weren't fully optimized to work together at scale. Prior to optimization, onboarding relied on Lever and Clickboarding, which created additional manual work for the People Operations team.

As hiring needs grew, the team faced a number of challenges:

• Documents not automatically transferring into employee records
• Manual downloading, organizing, and uploading of files
• Complex, role-specific onboarding requirements
• Fragmented workflows between recruiting and onboarding
• Increased administrative burden on People Operations

Together, these manual processes made it harder to maintain efficiency, consistency, and visibility across the candidate-to-employee journey.

Royal Ambulance partnered with UKG and Lever to better align its workflows and introduce more structure and automation across the hiring process.

Lever gave the team greater visibility into the recruiting pipeline, helping recruiters and stakeholders better understand candidate progress and manage hiring activity more efficiently. UKG streamlined onboarding by eliminating manual document handling and ensuring onboarding data flowed automatically into employee records.

Together, Lever and UKG helped Royal Ambulance:

• Reduce manual work for the People Operations team
• Improve data accuracy and consistency
• Create a more structured handoff from recruiting to onboarding
• Support role-specific onboarding requirements more efficiently
• Scale hiring with greater confidence

Instead of forcing the team to work around disconnected processes, the optimized workflow helped Royal Ambulance make its technology work better for the way its team actually hires.

With greater visibility and more structured workflows across Lever and UKG, Royal Ambulance began to see measurable improvements in hiring outcomes and process efficiency.

Year over year, from 2024 to 2025, Royal Ambulance achieved:

• 14% increase in hires
• 40% increase in completed interviews
• 67% increase in archived, searchable candidates
• 2% increase in offer acceptance rate

The 67% increase in archived, searchable candidates also created a more organized and reusable talent pipeline, giving Royal Ambulance better access to past candidates for future hiring needs.