Manual Chaos, Growing Pains, and Missed First Impressions
When Jen Ziesemer joined Midi Health as Employee Experience Manager, she was tasked with onboarding a rapidly growing and diverse workforce. Midi, a virtual care clinic supporting women navigating menopause and perimenopause, was hiring clinicians across the U.S. at a rapid pace — sometimes onboarding up to 15 new hires per week. That meant welcoming nurse practitioners, physicians, RNs, MAs, and HQ team members in roles like marketing, finance, and partnerships.
But the onboarding process was overwhelmingly manual. “When I started, we didn’t have an onboarding platform at all,” Jen said. “It was emails, spreadsheets, and a lot of time spent just trying to stay organized.” As hiring scaled, Midi experimented with platforms like Greenhouse Onboarding and later Checkr Onboarding, but neither tool could keep up with the complexity of clinician onboarding or the volume of new hires.
Manual emails, a lack of task visibility, and difficulty pushing updates to existing onboarding cohorts caused major inefficiencies and created a stressful experience for both the onboarding team and new hires. “We weren’t presenting ourselves the way we wanted to,” Jen explained. “It felt chaotic, disconnected, and unorganized.”
One Platform to Automate, Adapt, and Scale the Entire Experience
Everything changed when Midi adopted Tangelo. From the very first demo, Jen could see Tangelo was purpose-built for companies dealing with nuanced, high-volume onboarding.
With Tangelo, workflows now launch automatically the moment someone is marked as hired in Greenhouse, eliminating the need for manual setup. The platform sends automated emails, assigns tasks with deadlines, and nudges new hires at the right time — all without the onboarding team needing to intervene. “We used to track every reminder and follow-up ourselves. Now, Tangelo handles it all,” Jen said.
Tangelo’s ability to handle complex onboarding workflows was especially valuable for clinical hires. Each nurse practitioner’s onboarding involves credentialing, licensing, scheduling, marketing materials, and internal training — and much of that varies by state. With Tangelo’s surveys and smart data routing, Jen’s team could gather all necessary information and ensure it flowed automatically to the right internal teams, from credentialing to scheduling to IT.
One of the most impactful features was the ability to make updates to onboarding flows — and push those updates to new hires already in process. “That was a game changer,” said Jen. “With other tools, any change we made wouldn’t affect people already in the pipeline. We had to manually patch everything. Tangelo fixed that.”
The visual design and user experience of Tangelo also made an immediate impression. “First impressions matter,” Jen said. “Tangelo just looks and feels good — it gives our new hires confidence that they’re in good hands.”
“Tangelo has been a game-changer for our onboarding experience,” said Gabrielle Lorestani, Head of People at Midi. “It’s taken the manual lift off our plates and helped us create a smoother, more professional experience for every new hire—without adding headcount.”
Jen Ziesemer
Employee Experience Manager
From Burnout to Bandwidth: Unlocking a Better Onboarding Team
Since implementing Tangelo, the impact on Midi’s onboarding team — and new hires — has been dramatic. Jen estimates that her team has reclaimed over half of their weekly workload. That time savings has enabled them to take on new employee experience initiatives like employee recognition programs, internal communities, and even running the company swag store.
“We’re not just reacting anymore. We can finally be proactive,” Jen said. “We’re able to spend more time with people, answer questions, and build relationships — not just check boxes.”
Jen Ziesemer
Employee Experience Manager
New hires have also felt the difference. With a clear onboarding dashboard, personalized task lists, and automated communications, new clinicians report lower stress and more confidence as they ramp up. “We used to lose people during onboarding because it felt too overwhelming,” Jen shared. “Now, everything is right there — what they need to do, when it’s due, and how to do it.”
Internal stakeholders have also benefited. With Tangelo, information no longer lives in disconnected systems or in someone’s inbox. Everyone — from credentialing to scheduling — knows where to find the information they need, when they need it.
Looking back, Jen sees Tangelo as more than just a time-saving tool. “It’s an employee experience platform that actually works,” she said. “It automates what we used to do manually, helps us scale, and lets us focus on what really matters — supporting our people.”
Relieved
Manual chaos, endless follow-ups, and missed first impressions
Gained
Automated, adaptive workflows that handle complex clinician onboarding
Made Awesome
A seamless experience that saves hours and builds new-hire confidence
How Midi Health Scaled Complex Clinician Onboarding — and Got Time Back to Focus on What Matters
Customer Stories / Midi Health
Midi Health, a fast-growing virtual care clinic focused on menopause and perimenopause, was scaling at speed—bringing on clinicians and HQ teams nationwide to meet soaring patient demand. But behind the scenes, manual onboarding processes were draining hours from People teams, frustrating new hires, and putting first impressions at risk. To keep pace without burning out, Midi needed an onboarding solution that could handle the complexity of clinician ramp-up—so they turned to Tangelo.
Use Case
Automation
Industry
Healthcare
Team Size
500-1,500 employees
Published on
July 10, 2025
By Tangelo