Getting IN the Room (When They've Already Seen You Leave)
- Nikki Patton
- Jul 20
- 4 min read
Updated: 5 days ago
She didn't ask me how to build relationships. She already knew how to do that.
She asked me the harder question — the one that sits in the gut of every liaison who's walked back into a building wearing a different badge.
"They know me. But I left. And then I left again. How do I get back in?"
Let's talk about what nobody in our industry wants to say out loud. Sometimes you leave a company because it was the right call. Sometimes the organization wasn't what they promised. Sometimes the culture was toxic. Sometimes you chased a better opportunity and it didn't pan out. Sometimes it happened twice in eighteen months.
And now you're walking back into the same ALF, the same SNF, the same hospital discharge office — and the social worker at the front desk remembers your name but not which company you're with anymore.
That's not a referral problem. That's a credibility problem. And it's fixable — but only if you're willing to be honest about it.
The Elephant in the Hallway
Here's what most liaisons do when they show up with a new badge: they act like it didn't happen. They walk in, smile, lead with their new company's name and clinical differentiators, and pretend everything is business as usual.
The referral partner smiles back. And then doesn't call.
Because here's what they're actually thinking: Are you going to be here in six months? Should I invest in this relationship again? I referred families to you last time and then you disappeared. Why would I do that again?
They won't say it to your face. But it's sitting in the room every time you walk in.
So you have a choice. You can keep pretending the elephant isn't there, or you can sit down next to it.
Do You Say Why You Left? Really Say?
Short answer: yes. But not the way you think.
You don't need to trash your former employer. You don't need to give a ten-minute explanation. You don't need to justify yourself. But you do need to name it.
Something like: "I know my badge has changed, and I know that matters to you. I want you to know — I didn't leave because I stopped caring about the work. I left because the fit wasn't right. And I'm not here to pretend that didn't happen. I'm here because this is where I want to be, and I want to earn your trust back."
That's it. That's the whole speech. Thirty seconds of honesty that every other liaison in your market is too afraid to say.
You're not apologizing. You're acknowledging reality. And in a field built on trust, that acknowledgment is everything.
What About Twice in Eighteen Months?
I'm not going to sugarcoat this. Two moves in a year and a half makes people wonder. Not because they think you're bad at your job — most of them saw you do great work. They wonder if you're settled. They wonder if it's worth rebuilding.
Here's how you address it without over-explaining:
"I know I've moved. Twice. I'm not going to pretend that doesn't raise a question. What I can tell you is that I learned what I need from an organization to do this work the way it should be done — and I found it. I'm not going anywhere."
Then you prove it. Not with words. With presence.
Earning the Room Back
The good news about going back to buildings where they already know you? They already know what you bring. They've seen you in the room. They've watched you sit with families. They know you're good.
What they don't trust yet is your stability.
So here's the play:
Show up consistently. Same buildings, same days, same times. Not once — every week. You're not just rebuilding trust in your ability. You're rebuilding trust in your presence. Every time they see your face on a Tuesday, you're answering the question they're not asking: She's still here.
Don't lead with your new company. They don't care about your new org's differentiators right now. They care about you. Lead with the relationship you already have. "How's Mrs. Patterson doing? Last time we talked, her daughter was struggling with the transition." Show them your memory is longer than your badge.
Solve a problem before you ask for anything. Bring value on your first three visits. An article on a diagnosis they're seeing a lot of. An answer to a question they mentioned last month. A resource for a family they're worried about. Prove that your commitment to their building didn't change with your lanyard.
Let them bring up the referral. This is the hardest part. When you've changed companies — especially more than once — you cannot push. The referral has to come from them. And it will, once they believe you're staying. Your job is to make that easy to believe.
What You're Really Rebuilding
It's not your reputation. Your reputation followed you. The social workers remember the families you helped. The nurses remember how you showed up.
What you're rebuilding is their willingness to bet on you again.
Every referral is a bet. They're putting a family in your hands and telling that family, "This person will take care of you." When you've changed organizations, they need to know you're going to be the one who shows up — not a replacement they've never met.
Give them reasons to believe that. Every single visit.
You're Not Damaged. You're Experienced.
If you've changed companies and you're walking back into buildings feeling like you have something to prove — you do. But not because you're broken. Because you're asking people to trust you again, and trust has to be earned more than once sometimes.
The liaisons who rebuild fastest are the ones who name what happened, show up with consistency, and lead with the relationship — not the logo on their badge.
The room is still there. They remember what you brought to it. Now show them you're staying long enough to bring it again.
If this resonated, go deeper with me on my podcast, In the Field with Nikki Patton — I'd love to hear your take.
Have you ever walked back into a building wearing a different badge? What did you say? Tell me in the comments — I want to hear the real version.



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