Hiring + Retention Issues

We’ll Lead You to Water in the Hiring Desert

You have a wait list longer than your arm. You have families calling. 

What you don’t have are enough qualified people to provide the care.

So you post another job notice, revise it and maybe even pay Indeed to make sure everyone and their brother sees it.

Then one of three things happens:

  • No one applies.
  • The candidates aren’t right.
  • You finally hire someone, spend months training them and watch them leave just when they’re becoming truly valuable.


Hiring can feel like wandering through the desert looking for one good clinician carrying a résumé. While you’re looking:

  • Your wait list grows.
  • Your current staff gets stretched thinner.
  • More work lands back on you.

Hiring Someone Isn’t the Same as Hiring the Right Person

When you’ve been short-staffed for months, it’s tempting to see a license and a pulse and say, “When can you start?”

We understand.

But desperation can get expensive. A bad hire can:

  • Create staff problems
  • Frustrate families
  • Lower productivity
  • Take months to correct


Then you’re right back where you started—only more tired.

You need reliable SOPs to:

  • Attract qualified candidates
  • Determine whether they’re truly a good fit
  • Present your practice as a place they’ll want to work


Hospitals and schools may offer higher salaries, bigger benefits or different schedules. You may not be able to beat every offer dollar for dollar.

But compensation isn’t the only reason good people choose a job—or stay.

You need to know what makes your practice the place to work in your area.

Keeping Good People Takes More Than a Paycheck

Hiring is only half the problem.

Then you have to keep the good people you worked so hard to find.

Employees need:

  • Clear expectations
  • Strong onboarding
  • Useful training and support
  • A clear understanding of what good performance looks like
  • Opportunities to grow inside the practice


A qualified employee may want to develop a specialty, become a mentor, take on more responsibility or move into leadership.

When they can’t see how to grow with you, they start looking for someplace else to grow. Retention starts long before someone hands you a resignation letter.

You Shouldn’t Have to Be Afraid of Losing Your Staff

When qualified employees are hard to replace, owners sometimes become so afraid of losing people that they stop managing them. They may:

  • Avoid difficult conversations
  • Accept arrangements that don’t work
  • Tolerate performance they know isn’t good enough
  • Allow employees to set the rules

Before long, you own the practice, but your staff are calling the shots.

Strong employees don’t need a boss who walks on eggshells.

They need fair standards, clear expectations, useful feedback and a workplace where good people can succeed. You can appreciate your employees and treat them like gold without handing them the keys to the building.

We Find Out What’s Really Causing the Problem

There usually isn’t one single reason a practice struggles to hire and retain good staff.

The real problem may be:

  • No hiring SOPs
  • Job postings that don’t attract the right people
  • An interview process that doesn’t uncover whether someone is truly a fit
  • An unclear compensation structure
  • Onboarding that leaves new hires confused
  • Managers who don’t know how to support or hold people accountable
  • Strong employees who can’t see a future with the company


That’s why we don’t hand every owner the same cookie-cutter solution.

We look at what’s happening inside your practice, find the underlying cause and recommend the right help to remedy it.

Depending on what we uncover, that may include:

  • Our comprehensive Hiring & Retention program
  • Our focused Hiring a Clinician programette
  • Customized Accountability Coaching


The help is customized because the problem is customized.

We Help You Build a Practice That Keeps Good People

The goal isn’t just to put a warm body in an empty chair. It’s to:

  • Find qualified people who are right for your practice
  • Make smarter hiring decisions
  • Help new employees get up to speed and become part of the team
  • Give your best people good reasons to stay
  • Build a practice where quality employees can grow, contribute and make their professional home

Let’s Talk!

Let’s figure out what’s making it so darn hard to hire and keep good people—and fix it for good.

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What obstacles are you currently experiencing in your practice?