A graphic of three individuals standing on gold coins while speaking into megaphones
Referrals Are an Art, Not a Science
by Valerie VanBooven

Over the years, I’ve been lucky to work with some of the best marketers and business development experts in homecare. These professionals head to hospitals, skilled nursing facilities, assisted living facilities and senior communities every week. They know the staff on a first-name basis. They’re not just dropping off flyers—they’re there to actually make a difference.
And here’s something I’ve noticed: The agencies that really grow are the ones who view referrals as a mix of what happens both online and in person.

How Referrals Really Work in Homecare

Referrals are the lifeblood of homecare. They come from hospitals, rehab centers, doctors, senior centers and sometimes even from past clients who want to share their good experiences.

But every referral is about more than paperwork—it’s about people. Sometimes it’s a social worker trying to get someone home safely. Other times, it’s a worried family looking for real help.

Truly great marketers in this industry know this. They don’t just talk about services—they actually help solve problems. They make life easier for their referral partners and build up their reputation by being steady and reliable.


More Than Just Brochures

We see a lot of homecare reps “brochure bombing,” or leaving behind as many papers and pens as possible and hoping for calls. Those days are gone. These days, what gets your agency noticed is trust, being seen, being creative and showing up.

The best marketers walk in and ask, “How can I help make your job easier today?”

They don’t start with a sales pitch. They look for ways to help, and they make the effort to really understand what referral partners need. That’s what builds real, long-lasting connections.

Online Presence Matters

Here’s where many agencies stall: Even referrals that happen face-to-face are still affected by what people see online. If a hospital discharge planner gives a family your agency’s name, the first thing that family does is search for you online. They look at reviews, your website and your social media.

If what they find online looks vague, sloppy or uncaring, it ruins the trust your marketers worked so hard to build in person. That’s why it’s so important to connect online marketing and in-person efforts. One side creates visibility and trust before the referral. The other builds a real relationship afterward. When you do both, your agency becomes the  easy choice for both professionals and for families.


Trust Is Built One Action at a Time

Referrals aren’t something to take for granted; they’re fragile. One missed call or dropped ball can derail months of hard work. The agencies that succeed are the ones that do the simple things really, really well. They return calls fast. They schedule client assessments right away. And they keep referral partners informed without being asked.

These habits create what I call a “referral reflex,” or the instinct for partners to call your agency first because they know you’ll always deliver. You don’t need fancy campaigns, just consistency and clear communication.

Using Data to Strengthen Connections

We love tracking numbers, and we always tell homecare marketers to track referrals as carefully as client leads. With today’s tools, you can log every visit  and outcome.

When you can tell a rehab director that 92% of their patients got care within a day of referral, you’re not just selling, you’re proving your value.

Data helps turn connections into true partnerships. It shows owners what works and helps marketers know when they’re making a difference. Numbers can’t replace relationships, but they do make them stronger.


The People Who Make It Happen

If you’ve ever spent time with a top homecare marketer, you know they play many roles: problem solver, diplomat, even marathon runner! They visit a bunch of facilities each week, handle last-minute changes and still make time for clients and caregivers. Their secret? They really care about people.

They remember birthdays, celebrate when someone goes home and check in after a client passes away. They aren’t just representing the agency—they’re building trust.

What really sets them apart isn’t just personality, but that they show up again and again, even when it’s not easy.

Combining Marketing With Your Mission

When we train teams, we remind them that their mission and their marketing are linked. How your marketer shows 
up in your community tells people  more about your agency than an ad ever could. But the digital stuff matters, too. Your Google profile, online reviews, search engine optimization and website either back up what you say in meeting—or they don’t.

An agency that does both well creates a smooth experience:


  • A marketer introduces the agency in person.
  • The family checks you out online.
  • Your care team proves you’re the real deal.
  • That’s what keeps the referral engine running.

Ethics & Integrity

You should always earn referrals the right way, with honesty rather than gimmicks or gifts. I’ve seen marketers lose trust by pushing too hard or crossing ethical lines. The best agencies build trust by doing what’s right for every client, family and partner. When you have a reputation for reliability and doing the right thing, business grows by itself.

This kind of trust can’t be bought—it’s earned, one good action at a time.

Building a Referral-Focused Culture

Referrals don’t belong only to the marketing team. They’re everyone’s responsibility, from the person answering the phone, to intake, to caregivers, to owners.

Some of the best agencies have quick weekly “referral huddles” to check on each case, share thanks and listen to feedback. It’s a simple way to keep everyone working together.

At the end of the day, referrals aren’t just numbers. They’re relationships built through teamwork, trust and good communication.

Closing Thoughts

Homecare is deeply personal. We’re not just promoting services—we’re giving families peace of mind. Referrals bridge the gap between need and trust. When your agency combines strong online presence with genuine, real-life connection, you don’t have to chase leads—people will choose you because they believe in you.

Because in the end, professionals and consumers refer to humans they trust. Be that trusted human, and you win the client.



Valerie VanBooven, RN, BSN, co-owns Approved Senior Network, a national homecare marketing and sales training agency. Her team helps agencies grow through a mix of online visibility and relationship-based referral strategies. Visit asnhomecaremarketing.com.