Case study: post-acute

From 33% to 71% retention in under six months

One post-acute community in Cottonwood Heights, UT stopped hiring CNAs it had never seen work. Retention more than doubled, with a modeled $164K to $178K in annual hard-cost impact.

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Caregiver comforting an older resident

How did a post-acute community improve retention from 33% to 71%?

It stopped hiring CNAs it had never seen work. With MedicalMatch, the Healthcare Workforce Operating System with a marketplace solution embedded, open shifts reached the community’s own staff and compliance-verified independent clinicians at the same time. Leaders watched clinicians work in their building, then hired the ones who fit through Recruit2Hire, with $0 hire-away fees.

33% to 71%

Retention, in under six months

$0

Hire-away fees when the community hires a clinician it has worked with

$164K to $178K

Modeled annual hard-cost impact, built from the community’s own data

Result reported by community leadership, Cottonwood Heights, UT.

What changed

One workflow from open shift to permanent hire.

Every shift, one view

Open shifts went to the community’s own staff and to compliance-verified independent clinicians at the same time.

Onboarded before day one

Each clinician completed facility-specific onboarding before working a shift.

Hire who fits

Leaders saw who showed up and how they worked with residents, then extended permanent offers directly.

What is it worth to one community?

We modeled the annual hard-cost impact using the community’s own hiring, payroll, and overtime data, including its own $5,000 cost per separation.

Cost leverBuilt fromModeled annual impact
Fewer hires lost in the first 90 daysAnnual hiring volume at $5,000 all-in cost per hire$72K to $84K
Replacement cost avoided$5,000 per separation$65K
Recruiting time savedScreening and interview hours, job board spend$16K
Overtime reducedMonthly overtime spend$11K to $13K
Total hard-cost impactOne community, per year$164K to $178K

Beyond hard costs: memory care capacity

  • Leadership reports that being fully staffed let the community admit more memory care residents.
  • Each memory care resident represents about $66K to $84K in annual revenue at public market rates for the area.

Modeled, not guaranteed. Hard-cost figures use the community’s own confirmed data, including its $5,000 cost per separation. Memory care rates from public assisted living listings for the Cottonwood Heights market.

What the team says

“We get to see CNAs perform in our building before deciding to hire. You do not get that when you hire from the outside.”

Monique Allison, Resident Care Coordinator, Cottonwood Heights, UT

“Hiring isn’t a guess anymore. We are not wasting hours chasing candidates who might not be a fit.”

Jenn Wilburn, Executive Director, Cottonwood Heights, UT

Hire the people you have already seen work.

The same approach works at system scale: show each open shift to every qualified clinician, internal and external, and choose by skill and cost.

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