Appropriate starting NP wage

  1. 0 While I am sure that this has been discussed before-I got a job offer and will be negotiating pay/etc with the recruiter tomorrow. This is a my first NP job-and in looking at the salaries out there-I am a bit discouraged. I thought $80k was reasonable given my new NP grad status-this is a job with a company that covers nursing home residents-tough work, long hours, a lot of responsibility. As for my background-I have 17 years of critical care experience. I just passed boards. I got straight A's in NP school. I am mortified of this job, but excited at the same time. Any advice? I was told by a few to negotiate higher. Thoughts? Many thanks!
  2. Visit  DuckFan23 profile page

    About DuckFan23

    DuckFan23 has '16' year(s) of experience and specializes in 'Critical Care, telemetry, Legal'. From 'Portland, OR, US'; Joined Jan '12; Posts: 23; Likes: 12.

    11 Comments so far...

  3. Visit  traumaRUs profile page
    1
    Much depends on the area of the country. I live in central IL and have been an APN for 6 years at the same practice. When I started, I had 14 years nursing experience (12 as an RN: 10 in a level one trauma center and 2 in an adult ICU and 2 years LTC experience as an LPN). I started at $75,000. Six years later, we are not only in a hiring freeze (with many more pts coming in the door) but we are also not offering $75,000 anymore. The economy still stinks in my area unfortunately.

    If you can't immediately negotiate a better contract some things to consider:

    1. Have a review in six months with set conditions: seeing X amt of pts and/or billing X amt and then you will get an X amt of raise.

    2. Negotiate bonuses for decreased hospitalization rates.

    3. Agree to see a certain amt of pts in the first six months with the idea that you will expand to include other NH as possible.

    4. Agree to see hospitalized NH pts in order to continue with continuity of care. (Many NH pts are now admitted to hospitalists anyway).

    5. Expand your practice to include routine end-of-life discussions - this can be billed separately per Medicare rules.

    Best of luck with the negotiations.
    Tinabeanrn likes this.
  4. Visit  DuckFan23 profile page
    1
    Thank you TraumaRus. They have already said d/t me being a new grad my case load will start at about half what the usual is. They did say bonuses are already offered, and they do end-of-life discussions all the time. I'll see what the recruiter says. This company is growing and expanding, they are under the United Healthcare umbrella, so solid company. Here in Oregon things are a bit better with the economy, etc., but in the way of NP jobs, a bit sparse. A lot of specialty depts asking for them (neurovascular, GYN, peds, psych-especially). Interesting to see the differing conditions around the country.

    Thanks again!
    traumaRUs likes this.
  5. Visit  Tinabeanrn profile page
    0
    Hey Duckfan, I know you are nervous, but I know you will be just fine. As far as your pay, is it starting at 80k? That sounds pretty good to me to start. Get your experience and the money will be there eventually. As you said, jobs are sparse so you don't want to pass one up that is right up your alley. My preceptor has been an NP for 6 years and she was making 77k doing what you are doing (ECFs) but the perks was she made her own ours and only worked 4 "ten" hour shifts a week. Which ended up being more like 7 or 8 hours per day.
  6. Visit  alfredar profile page
    0
    Hello I to am starting a new role as a NP in pain management and was offered 80k and 85k after 6 months. I also thought that this was a resonable salary for a new grad with m-th 9hr shifts and 4 hr on fri I am afraid of stepping into this new role and want to stay in my current position pt is this crazyof me until i am comfortable
  7. Visit  gettingbsn2msn profile page
    1
    Has anybody worked locum tenems as a new grad? I called today and they said they take new grads. I have been a travel nurse for awhile and love the extra learning I get at new places. Does anyone think this is a good idea? I just do not know if I should work 2 years and them go locum. I know that is what I did when I was a new RN.
    Tinabeanrn likes this.
  8. Visit  NewNurse12 profile page
    0
    Hi traumaRUs,
    I'm a nursing student and was wondering if I can interview you for a class assignment.
    Thank You
  9. Visit  DuckFan23 profile page
    1
    Has anyone worked for Evercare? I accepted the job with them-they do what I truly wanted to do. My starting wage was above and beyond what I ever dreamed of, especially for a new NP grad. It will be hard work and I am mortified of this being so new to me, but I am excited. The benefits and pay are outstanding.
    Tinabeanrn likes this.
  10. Visit  Tinabeanrn profile page
    0
    I am so Happy for you Duck fan! You will rock it out. Trust me. Just look up what you dont know, you will do just fine. Your on your way! AWE...
  11. Visit  TX RN profile page
    0
    Quote from DuckFan23
    Has anyone worked for Evercare? I accepted the job with them-they do what I truly wanted to do. My starting wage was above and beyond what I ever dreamed of, especially for a new NP grad. It will be hard work and I am mortified of this being so new to me, but I am excited. The benefits and pay are outstanding.
    So are you employed by Evercare?

    I see Evercare patients now, combo Medicare state Medicaid policy holders.
  12. Visit  WagsNP profile page
    0
    Hello,
    I was just offered 80,000 for a hematology/oncology practice that is 2 miles from my home today. I was called by an office manager and I asked if the salary was negotiable. She said sure and that she would communicate this to the doctors. The figure I had in my head was 85,000 and now I am feeling as though I sounded greedy and I hope that I don't turn them off by my request. I was surprised that the person that called me with the offer couldn't tell me about the CME's, bonuses or other benefits. That makes a huge difference. I will probably accept this offer even if they turn me down because entry level NP jobs are very hard to find these days.
  13. Visit  traumaRUs profile page
    1
    Congrats! No fears with negotiating.
    CCRNDiva likes this.


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