A Toronto recruiting firm took on a Patient Education Associate search for Enhanced Medical Nutrition. Rather than running phone screens one candidate at a time, they configured Virvell once and launched the entire field in a single action at 9:56 on a Friday morning. Twelve completed screens were back before noon. Roughly three quarters of the completions came from candidates who called back on their own schedule. Fifteen candidates went to interview and both openings were filled, in less than half the recruiter time the same role took in March.
| Employer | Enhanced Medical Nutrition Inc. (EMN) |
| Industry | Food as medicine, perioperative medical nutrition |
| Founded | 2016 |
| Locations | Toronto |
| Headcount | 32 full-time including co-ops, 25 full-time permanent |
| Funding | USD $5M Series A, January 2025, led by dsm-firmenich Ventures and the corporate venture arm of Ajinomoto |
| Recruiting partner | A Toronto fractional finance and HR firm |
| Role | Patient Education Associate |
| Jurisdiction | Ontario, Canada |
| Modules used | AI Pre-Screen Interviews |
| Platform operated by | The recruiting firm |
| Engagement window | June 26 to July 7, 2026 |
For a recruiting firm, the pre-screen is the least leveraged hour in the process. It is necessary, it is repetitive, and it does not scale. Every candidate needs the same questions asked the same way, and every one of those calls has to be scheduled around someone else's workday.
The role made that constraint sharper. A Patient Education Associate at EMN explains a surgical nutrition program to patients preparing for an operation. The core requirement is the ability to communicate clinical information clearly to someone who is anxious and not a clinician. That is a skill a resume cannot show and a form cannot test. It only becomes visible when the candidate speaks.
So the screening step was not a formality to get through. It was where the actual signal lived, which meant skipping candidates to save time carried a real cost.
The firm knew what that hour cost, because they had run this role before. In March, screening the Patient Education Associate field the traditional way took 5.5 hours: four on phone screens, one on updating candidate statuses in BambooHR. That is the least leveraged time in a recruiting firm's week, and it is unavoidable when every screen has to be scheduled around someone else's workday. Running the same role through Virvell in June and July took 2 hours and 15 minutes, spent reviewing pre-screen reports and updating BambooHR. The four hours of phone screens went to zero.
Seven role-specific pre-screen questions were built for the Patient Education Associate position, asked alongside the platform's standard set. Every candidate received an identical question set. Not one candidate received a different version.
This is the part that distinguishes this engagement. The firm operated the platform directly. Virvell provisioned the account and then stepped out. Every screen in this case study was initiated from the firm's own sessions, over a three week window, including a return visit two weeks after the last screen completed.
At 9:48 on the morning of Friday June 26, the firm added the candidate list. Eight minutes later, the whole field was launched at once. Every candidate received an outbound call and a callback code they could use at any hour. The first four completed screens came back between 10:05 and 10:07, candidates who simply picked up. From that point on, every completion for the rest of the day came from a candidate calling back. Twelve screens were finished before noon and sixteen by the end of the day, with nobody placing a single follow-up call. Three more arrived over the following days, the last from a candidate added on July 6.
Fourteen of the nineteen completed screens came from candidates who did not take the initial call and instead called back on their own schedule using their code. Five completed on the live outbound call.
Each completed pre-screen generated a structured report containing the candidate's responses and a summary of how completely the role's stated requirements were addressed. Nineteen of nineteen produced a report, median sixty-four seconds after the call ended.
| Metric | Result |
|---|---|
| Candidates launched | 31 |
| Candidates with valid contact details | 23 |
| Pre-screens completed | 19 of 23 (82.6%) |
| Completions from candidate callbacks | 14 of 19 (73.7%) |
| Completions on the live outbound call | 5 of 19 |
| Median time, candidate added to completed screen | 50 minutes |
| Median time, call end to written report | 64 seconds |
| Reports generated | 19 of 19 |
| Completed on the day of launch | 16 of 19 |
| Completed within two hours of launch | 12 of 19 |
| Last of the remaining three completed | July 7 |
| Total candidate speaking time captured | 163 minutes |
| EMN hours spent screening | 0 |
| Openings filled | 2 of 2 |
| Recruiter time on the role, March (traditional) | 5.5 hours |
| Recruiter time on the role, June–July (Virvell) | 2 hours 15 minutes |
Thirty-one candidates were launched. Ten had incorrect phone numbers entered at the point of upload and never connected. Those rows were corrected or removed, and two of the ten were re-added with the right number and completed their screens without issue. The nineteen completions are measured against the twenty-three candidates the platform could actually reach.
Across the nineteen completed screens, sixteen candidates answered every question in full. Two answered ten of twelve, one answered eleven of twelve.
Each report set out what the candidate said against what the role asked for, so the reviewer could see the answers side by side rather than working from call notes.
To be explicit about what this is and is not: Virvell does not score candidates, does not rank them, and does not recommend or reject anyone. Every hiring decision in this engagement was made by the recruiting firm and EMN.
Every candidate in this engagement received one outbound call at launch. Five people picked up and completed the screen on that call. Fourteen did not pick up, and later called back on their own time using the code they were left.
The screening capacity a recruiting firm normally loses to voicemail was recovered without a single follow-up call being placed.
This repeats a pattern Virvell has seen before. In an earlier engagement with a medical device manufacturer, candidates who called back completed their pre-screen at 98.1 percent against 37.1 percent for outbound calls, a 2.6 times difference across the same applicant pool and the same questions. The scheduling tax, not candidate interest, was the barrier.
The number here is smaller and comes from a single req, so the honest claim is a consistent pattern rather than a proven rate. But the direction is the same, and the operational implication for a recruiting firm is direct. The screens complete themselves when the candidate is allowed to pick the hour.
| Traditional phone screen | This engagement | |
|---|---|---|
| Recruiter hours on phone screens | 4 | 0 |
| Voicemails requiring a follow-up call | Every one | None |
| Availability | Business hours | Any hour |
| Consistency | Varies by call and by day | Identical question set for everyone |
| Time to a written summary | Hours, or never written | Median 64 seconds |
| Comparison across candidates | Notes and memory | Side by side reports |
Fifteen of the nineteen screened candidates went forward to interview. Both openings were filled, on July 23 and August 1. EMN hires two Patient Education Associates each cycle for an 8-month co-op term, so this was the full requisition closed from a single screening run.
The reports were read in the platform and exported into BambooHR, where they sat alongside the rest of the candidate record for the interview stage.
Asked whether the structured reports changed the decisions the firm would otherwise have made, the answer was no. They saved the time of getting there. That distinction is worth stating plainly: the platform did not surface a candidate the firm would have missed, and it did not talk anyone out of a shortlist they had already formed. What it did was remove four hours of phone screens and produce a written record of every answer, so the people making the decision arrived at the same judgment with the work already done.
A note on the advance rate. Fifteen of nineteen is high, and it should be read in context: this field had already been resume-screened before anyone was launched into the platform. The pre-screen was not filtering a raw applicant pool. It was confirming, in the candidate's own words, what the resumes suggested, and capturing it in a form the hiring team could compare side by side.
Engagement window: June 26 to July 7, 2026. EMN hours spent screening: zero.
The engagement operated under Ontario's Working for Workers Act requirements for AI disclosure in job postings. Candidates were informed that AI assisted in screening and that a human made all hiring decisions. Every pre-screen was recorded with a full transcript, producing a complete audit trail of what was asked and what was answered.
Virvell's published AI Acceptable Use Policy prohibits candidate scoring, ranking, and automated rejection. No candidate in this engagement was scored, ranked, or rejected by the platform.
A Toronto firm providing fractional finance and HR services to Canadian technology companies, covering bookkeeping, accounting, fractional CFO, payroll, HR, and recruitment. Their people practice runs the full hiring cycle for clients, from recruitment strategy and job postings through interview training, offers, and onboarding.
Enhanced Medical Nutrition Inc. is a food as medicine company founded in 2016, developing evidence-based medical nutrition products for surgery and critical illness. Its flagship program, ENROUTE®, is designed to help patients prepare for and recover from surgical procedures. EMN raised a USD $5M Series A in January 2025 led by dsm-firmenich Ventures and the corporate venture arm of Ajinomoto, with participation from PeakBridge, Elder Ventures, and angel investors. The company operates from Toronto.
Virvell is a screening platform combining AI voice pre-screens, AI reference checks, and background verification, with an evidence layer that cross-checks claims across sources. The platform does not score, rank, or reject candidates. Tablise Technologies Inc., Toronto.
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