About Royal Seaway

Why we exist

NEMT recruitment is its own discipline. The submission matters more than the volume. The temperament, the license history and the genuine commitment to the job decide whether a driver or scheduler is still on the schedule six months in. Generalist agencies treat NEMT like any other transport category and miss the signals.

Royal Seaway was set up to fix that. We are a US permanent staffing partner with one belief at the centre of the desk: a placement only works if the driver, the rider and the operator all feel served.

What we do, plainly

We place permanent NEMT drivers, transport specialists, schedulers, dispatchers, coordinators and operations managers for US non-emergency medical transport operators across ten services. Our desk is built around hires that stay - the brief, the screening, the offer support, the day-7 / 30 / 90 follow-ups.

The roles we place most often:

• NEMT drivers (CDL and non-CDL)
• Wheelchair transport specialists
• Stretcher transport drivers and assistants
• Bariatric transport drivers
• Schedulers and dispatchers
• Care transport coordinators
• Long-distance medical transport drivers
• Pediatric NEMT drivers
• Senior transport drivers
• Medical transport operations managers

Who we work for

Our clients are US NEMT operators, Medicaid-broker contracted providers, hospital-discharge transport firms and senior-living shuttle operators. Mostly mid-market with operators who want to spend less time on recruitment and more time on running the fleet.

How we screen

Every candidate goes through:

• State driver license verification
• Motor Vehicle Record (MVR) check
• Federal and state background checks
• Drug screen where the role requires it
• Reference contact (current and previous operations lead where possible)
• A temperament-led conversation about why they are in transport, how they handle difficult riders and what kept them in previous roles
• Schedule flexibility, expectations and motivation captured in writing

Our values, the short version

• Temperament first. NEMT is people work. Patience and presence are screened for, not assumed.
• Tell the truth. If the wage is below market, we will say so.
• One throat to choke. One partner per client, end to end.
• Stand behind the work. Free replacement period on every placement.
• License, MVR, background. All checked before submission.

Want to talk?

Use the contact page and we come back same business day. We are available Monday to Friday, 8am to 7pm ET.