Fractional HR services, interim HR leadership, and healthcare HR transformation from a boutique Charleston practice led by a former Head of HR at major medical centers.
ImpactCare HR Consulting is a Charleston, South Carolina HR consulting practice with one focus: healthcare. We work with academic medical centers, health systems, physician groups, and mission-driven organizations that need executive-level HR leadership and do not want to buy it from a large firm. Our home base is Charleston. Our clients are here in the Lowcountry, across South Carolina, and around the country.
The practice is led by Michelle Wiles, former Head of HR at major medical centers, with decades of executive HR experience. That background matters if you run a hospital, a specialty group, or a clinic network: the advice comes from someone who has led HR through the pressures you are living with, not from a generalist consultant learning healthcare on your time.
Organizations searching for HR outsourcing in Charleston usually mean one of two things. Some need payroll, benefits administration, and compliance handled by a vendor. Others need senior HR leadership they cannot justify hiring full time. We do the second. If you need a PEO or a payroll provider, we are not the right fit, and we will tell you that in the first conversation.
What we provide is outsourced HR leadership. As a fractional CHRO or fractional HR leader, we join your executive team on a part-time, ongoing basis, own the people strategy at that level, and coach your internal HR staff between sessions. When a senior HR role is vacant, or a merger or transformation needs someone senior driving it every day, we step in as interim or embedded HR leadership for a defined period.
For organizations that already have an HR team and need it to work differently, we provide healthcare HR consulting: diagnosing why HR is stuck in firefighting mode, redesigning the operating model, building the capability of HR business partners, and working alongside leaders on culture, workforce planning, talent acquisition, and total rewards.
Being local means we can be in the room. Executive team sessions, leadership retreats, listening sessions with clinical staff, and the difficult conversations that come with change all go better in person, and a Charleston practice can be there without a travel budget. Our clients elsewhere in the country get the same work through a mix of on-site and remote engagement.
Being boutique means you work with the principal, not a rotating bench of associates. Engagements are intentionally collaborative: we bring clear frameworks and signature methodologies that simplify complexity, and we stay embedded so your team builds the capability to sustain the work after we leave. The outcomes we focus on are the ones healthcare leaders already track: retention, engagement, leadership alignment, and operational performance.
Being healthcare-only means we understand nurse staffing pressure, physician and faculty relations, 24/7 operations, and the regulatory environment your leaders navigate daily. That is the difference between an HR consultant who works in Charleston and a healthcare HR partner who happens to be based here.
These are the engagements local healthcare leaders most often start with. Every service we offer is available to Charleston and South Carolina clients.
Fractional CHRO, CPO, HRBP, and COE leadership: executive-level healthcare HR guidance without a full-time hire.
Learn moreInterim CHRO, CPO, or HRBP support and embedded transformation leadership to stabilize HR during vacancies and rapid change.
Learn moreHR maturity diagnostics and operating model redesign that move healthcare HR from firefighting to strategic partnership.
Learn moreAdvisory and coaching for CHROs, CEOs, and executive teams: board-level HR strategy, crisis navigation, and M&A support.
Learn moreImpactCare HR Consulting is based in Charleston, South Carolina. We work with healthcare organizations across the Charleston area and South Carolina, and we serve clients nationwide.
We provide outsourced HR leadership rather than payroll or benefits administration. That means fractional CHRO and HR advisory, interim HR leadership, and project-based HR consulting for organizations that need executive-level HR without a full-time hire. If you need a PEO or payroll provider, we are not the right fit and will say so.
Fractional HR services give your organization an experienced HR executive on a part-time, ongoing basis. For Charleston organizations that is often a fractional CHRO or fractional HR leader who sits with the executive team, sets the people strategy, and coaches the internal HR team.
Healthcare is our focus: academic medical centers, health systems, physician groups, and mission-driven healthcare organizations. Our founder spent her career as Head of HR at major medical centers, and that experience shapes every engagement.
Yes. Being based in Charleston means we can be in the room with Lowcountry and South Carolina clients, and we work with clients across the United States through a mix of on-site and remote engagement.
Reach out through the contact form and tell us where your HR function is stuck. We respond within 1-2 business days and scope the engagement after an initial consultation.
Tell us about your organization and where HR is stuck. We respond within 1-2 business days, and the first conversation is about fit, not a pitch.
Schedule a ConsultationResponse within 1-2 business days