PTO Tracking and Leave Management for Healthcare

Automated accruals, multi-level approvals, staffing-aware calendars, and mobile requests for 24/7 care teams.

  • Automated Accruals
  • Staffing‑aware Approvals
  • Vacation Calendars
  • Mobile Requests
  • Payroll Ready
  • • Setup within 5 minutes
  • • No credit card required
  • • 14-day full trial

23,000+customers since 2015

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4.7/ 5

821 people signed up this week

Automated Accruals

Policy rules for FTE, role, and tenure

Set accruals by role (RN, LPN, admin), FTE status, or tenure and let ClockIt keep balances accurate.

  • FTE‑based accruals

    Differentiate part‑time, per‑diem, and full‑time rates.

  • Tenure steps

    Auto‑increase accruals at service milestones.

  • Carryover & caps

    Apply limits and expirations to stay compliant.

  • Proration

    Handle mid‑period hires and internal transfers.

  • Audit trail

    Every accrual, deduction, and manual adjustment is logged.

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Approval Flows

Approvals with staffing safeguards

Route requests through charge nurse, department lead, and HR with staffing‑aware checks.

  • Custom routes

    Build flows by unit, shift, or location.

  • Blackout & minimums

    Block or escalate when coverage falls below targets.

  • Delegation

    Auto‑reassign when approvers are off.

  • Reminders

    Nudge overdue approvals via email or Slack.

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Reduce coverage conflicts and admin time.

Healthcare teams enforce PTO rules, maintain minimum staffing, and keep payroll accurate.

Mobile & Web

Request and approve PTO on and off shift

Clinicians submit and managers approve from any device, day or night.

One‑tap requests
Vacation, sick, and education leave in seconds.
Instant alerts
Push/email for new requests and decisions.
Offline friendly
Works during low connectivity; syncs later.
Vacation Calendars

Unit and shift calendars to prevent gaps

See who’s off by unit, role, and shift so patient care stays covered.

  • Unit & role filters

    Filter by ICU, ER, pediatrics, admin, and more.

  • Outlook/Google sync

    Subscribe to team calendars in your calendar app.

  • Holiday imports

    Load regional and facility holidays in one click.

  • Color‑coded types

    Differentiate PTO, sick, FMLA, and education days.

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Multiple PTO and Types

Support sick, FMLA, education days, and more

Configure leave types with unique rules and documentation requirements.

  • Custom categories

    FMLA, education, admin, and comp time.

  • Earn & burn rules

    Set accrual, wait periods, and minimum increments.

  • Document upload

    Collect certificates or notes when required.

  • Auto‑deductions

    Balances update on approval and payroll export.

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24/7 Support

Support for 24/7 operations

Fast onboarding, policy setup, and migration with humans available around the clock.

Live chat & email
Quick help during any shift.
Policy templates
Healthcare‑ready PTO starting points.
Migration assistance
Import employees and balances easily.
Admin training
Short sessions to ramp up managers.
Emily RodriguezOperations Manager, TechNova Solutions
The mobile app time clock has revolutionized how we manage our remote team. It's intuitive, accurate, and has saved us countless hours in payroll processing. The GPS feature ensures accountability without being intrusive. It's a game-changer for businesses with a mobile workforce.
Michael ChangFounder & CEO, Innovative Designs Co.
As a small business owner, I was skeptical about implementing a new time tracking system. But this mobile app has exceeded all my expectations. It's user-friendly, reliable, and the reporting features have given me invaluable insights into our productivity.
Sarah JohnsonHR Director, Global Tech Enterprises
The integration capabilities of this mobile time clock app are outstanding. It seamlessly connects with our existing HR and payroll systems, creating a streamlined workflow that has significantly reduced errors and improved our overall efficiency.
S MitchellHR Operations Manager, NexaTech Solutions
What we love most is the real-time data and reports, which provide clear insights into employee attendance and payroll expenses. Plus, the ease of use means less administrative burden, allowing our HR team to focus on more strategic initiatives. If you’re looking for a reliable payroll solution that enhances efficiency and accuracy, clockit.io is the perfect choice! Highly recommended!
Priya NairHead of HR, BlueWave Retail
ClockIt.io cut our timesheet corrections by more than half. Exports line up perfectly with payroll and the GPS clock-ins keep our field crews honest without creating friction.
David KimOperations Director, FreshBite Kitchens
Geofencing and kiosk mode at each site solved our late punches. Managers love the late alerts and I love closing payroll on Friday in minutes.
Laura BennettCFO, Meridian Logistics
ClockIt’s overtime rules and approvals gave us immediate savings. Clear audit trails and clean timesheets mean finance isn’t chasing people anymore.
Ahmed Al MansooriGeneral Manager, Desert Care Clinics
We schedule across multiple locations and roles. ClockIt.io handles PTO, availability, and publishes updates to everyone’s phones instantly—no more group chats.
Sofia GarciaStore Manager, UrbanFit Gyms
Our trainers swap shifts right in the app and confirm attendance. Attendance and payroll line up perfectly—ClockIt just works.
Tom O'ConnorIT Manager, GreenLeaf Services
Setup was fast and the support team was outstanding. We rolled out ClockIt to 120 staff in a week and adoption was near 100% on day one.
Jing WeiHR Business Partner, Sunrise Manufacturing
The reports in ClockIt.io make our monthly reviews painless. We finally have visibility into attendance trends and actual hours by department.
Hannah BrooksClinic Coordinator, BrightSmile Dental
Time‑off requests, approvals, and balances are all in one place. Doctors see who’s off at a glance and we avoid coverage gaps.
Roberto SilvaOperations Manager, Pacifica Transport
For crews on the move, ClockIt’s GPS punch-ins and site-based rules keep things accurate. It’s the reliability we were missing before.
Grace ThompsonCEO, Willow & Co. Interiors
We tried three tools before ClockIt.io. This is the first one our team actually likes using—and it saves my admin two hours every payroll run.
James WilsonPlant Manager, Apex Manufacturing
Implementing ClockIt's biometric kiosks eliminated buddy punching overnight. The facial recognition is instant and works perfectly even in our warehouse environment. It's the most secure time tracking decision we've made.

Keep coverage strong while simplifying PTO.

Automate accruals, approvals, and staffing‑aware calendars with ClockIt for healthcare teams.

14‑day free trial • No credit card required • All features included

Frequently asked questions

  • Can we set different policies by role or FTE?

    Yes. Configure accrual rates and rules by role, department, FTE status, or location.

  • Can approvals check staffing coverage?

    Use blackout/minimum staffing rules to block or escalate requests that would leave a unit short‑staffed.

  • Do you support FMLA and education days?

    Create custom leave types with documentation requirements and separate balances if needed.

  • How do rotating shifts affect accruals?

    Accruals run on policy schedules independent of shift pattern and can be prorated for mid‑period changes.

  • Can managers request on behalf of staff?

    Yes. Supervisors can submit, edit, and approve with full audit trails.

  • What’s the setup time?

    Most clinics go live within a day using templates and spreadsheet imports for employees and balances.

  • Does it work when Wi‑Fi is unreliable?

    Mobile supports offline actions and syncs automatically later.

  • How are balances sent to payroll?

    Approvals auto‑deduct balances and appear in reports/exports for payroll.

  • Can we restrict PTO during flu season peaks?

    Add blackout periods or require escalation for critical dates.