In House LNC positions are rare. COnsultant LNC work is becoming hard to come by due to the overhyping of some overpriced LNC programs and owners.
I have been told on more than one occasion, and by more than one attorney, that LNCs are a dime a dozen. It was a lucrative career when I started 15 years ago, but since then everybody and their brother wants to be an LNC.
It is attractive, in that one does not need to go back to school, and start a new career, but you can take a short program, (if you want to- I didn't), work at home, claim your house as a tax deduction, (which I do), and make out pretty well.
Alot has changed, the career field is over run and flooded with LNC wannabees. Bedside nursing has made nursing a less than attractive long term career choice. Nurses are running away from the bedside to what they perceive to be an easily attainable and lucrative career.
If you do not have alot of quality bedside nursing experience, you will probably not be very successful as an LNC. If you cannot, "read beteen the lines", of medical records, and know what is going on in certain situations, you will not be successful as an LNC. You have to be able to write well, and be able to articulate your findings to an attorney who has probably not taken a science class since they were in the 8th grade.
All of the high priced LNC programs will not buy your credibility with an attorney. There is alot of marketing that goes on to be successful. It is a business, and most nurses do not have the background to do that. There is too much low balling of LNC services by nurses who have no idea how to put a price on their education, knowledge, and expertise. You have to account in you fees, for taxes, which are not being taken out but what you will have to pay, insurance, supplies, your house or apartment to do your work, pay into your retirement plan, the utilities that run you equipment, and house, etc. As you can see, there is alot to consider when you come up with a fee. The IRS requires you to make a profit to call yourself a business. You cannot charge the $30 an hour that you make in the hospital, and expect to make a profit, and be able to meet IRS requirements.
I hope that I have not scared anyone. There is alot of things that go into running a business. Again, I would look into taking inexpensive business classes at a local community college and meet with the Small Business Association to get some pointers.
You can take inexpensive business classes at a local state community college, or meet with members of the Small Business Association, to learn from them.
It is a long road to be an LNC.
JMHO and my NY $0.02
lindarn, RN, BSN, CCRN
Somewhere in the PACNW