The Investigation
Interviews
New hires shared their level of confidence after training and what portions of training felt most relevant once they were on the job.
Company recruiters outlined their process for onboarding new employees.
Observation
Watched recordings of high and low performing employees
Cataloged the day to day practices of 5 high performing and 5 low performing Care Coordinators
Analysis
Analyzed workplace behaviors and performance patterns
Identified personal history and previous employment trends of those people with the greatest longevity and highest performance rates.
What We Learned
Success Predictors Were Unexpected
Top performers often came from customer service and communication-heavy backgrounds rather than traditional healthcare backgrounds.
Performance ≠ Call Volume
Bilingual CCs supporting non-English speaking patients took more time per call and reached fewer people per day.
However they provide crucial, culturally attuned care.
Work Habits Predicted Success
When reviewing recordings, I could identify top performers within seconds—just by how their desktops were arranged.
High performers consistently organized windows by task priority, and minimized visual clutter.
High Performers Created Their Own Systems
They developed ad-hoc practices to work more efficiently. However, this knowledge was not widely disseminated.
Using Research to Change Hiring and Onboarding
Hiring Profiles
Problem: Hiring focused on healthcare experience rather than communication ability.
Solution: Created behavioral hiring profiles based on traits shared by successful coordinators.
Onboarding Redesign
Problem: New hires felt unprepared once training ended.
Solution: Extended shadowing and shifted QA from punitive scoring to coaching.
Performance Coaching
Problem: High-performing behaviors were individual and invisible.
Solution: Turned observed work habits into coaching and peer-learning practices./p>
Impact
Organizational Impact
Hiring
Improved candidate-role alignment
Onboarding
Reduced early turnover
Operations
Created shared standards and coaching practices