08/31/2026
Most healthcare organizations treat a signed offer as the finish line.
From what we see again and again, that's exactly where retention risk starts.
Across more than two decades of healthcare recruitment, we've watched this play out at every level, from healthcare aides to nursing leaders to senior executives.
Once a strong candidate accepts an offer, the usual move is to close the vacancy, archive the file, and turn to the next open role.
Our experience says otherwise. The first 30 to 90 days after placement are the highest-risk window for an early departure.
When onboarding is unstructured, the candidate's values alignment gets tested against the daily reality of the organization. If those two don't line up, the new hire often leaves quietly before the six-month mark.
Because McKenzie specializes in long-term professional relationships, we pay attention to what happens well after the hire is made. That's where the real signal lives.
Protecting a placement takes deliberate check-ins, a clear first-90-days framework, and a named internal anchor for the new hire.
Organizations that treat placement day as the starting line keep their people longer. That's where retention work actually begins.