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This is a discussion on Compensation Questions in Nurse Practitioners (NP), part of Advanced Practice Nursing ... I know, it's about a LOT more than the money. Having never negotiated a contract before, I want to...by mammac5 Aug 2, '11I know, it's about a LOT more than the money. Having never negotiated a contract before, I want to know what the more experienced NPs here think.
Two weeks of vacation
One week for CME
$1500 for CME annually
Profit-sharing quarterly bonus IF I meet billing goals (not likely to happen the first year or two I'm working)
No health/dental/short-term or long-term disability; no life insurance
Paid malpractice insurance
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- Aug 3, '11 by traumaRUsHmm - most practices in my area, central IL, pay for the NPs health, dental insurance premiums (100%). Disability can be had easily and cheaply enough.
I started out with $1500/yr/CME 5 years ago but the price of conferences has really gone thru the roof - I would ask for $2000/yr.
Paid malpractice just means you are added to your practice's policy. I would still opt for individual coverage that you pay for. If you get sued, the practice's policy WILL cover the incident. However, if a settlement is paid on your behalf (whether guilty or innocent), it IS reported to the BON and BON hearings/defense is NOT covered by your practice's policy. Word to the wise
- Aug 3, '11 by mammac5Thanks. The malpractice is on the doc's policy so I would need my own, as well as "tail coverage" if/when I leave there.
I'm trying to get an idea of whether this offer is sufficient to pursue further negotiations on the salary.
- Aug 3, '11 by 79TangoWhat kind of salary are they offering? Have you thought about negotiating as an independent contractor or as 1099 status?
- Aug 3, '11 by linearthinkerDo you know what is the norm for your area? I ask because that is hella better than anything around here, with salaries in the 60s. I'd be thrilled with a contract like that, but in some other areas it would be terrible, lol. I think you need to know the market. Better yet, have an attorney who knows the market!
- Aug 3, '11 by mammac5It's a small town and nobody's talking about these things! The salary was a very low-ball offer and I'm sure he realizes we have lots of negotiating to do there. Frankly I didn't want to waste his and my time negotiating if the rest of what was offered was crap.
It's my first offer but - small town - I would like to see where it goes.
- Sep 21, '11 by globalRNI thought health and dental benefits are usually pretty standard
what about 3 wks vacation? paid stat holidays?
how bout registration certification costs?
- Sep 21, '11 by mammac5globalRN
What is "standard" goes out the window if you're talking about a one- or two-physician practice. Small businesses just can't always offer what bigger organizations can.
This particular offer did not include paid holidays or any $$$ toward recert/licensure fees. Altogether a weak offer, I thought, and no room for negotiation. Now that I've passed ANCC (and taken a well-deserved vacation!) I'm looking at other possibilities.
- Sep 29, '11 by texasfnpIf it is a tough job market, I would take it and stay about a year. After that, it will be a lot easier to move on. If the job market is more friendly in your area, I would not take it. No health insurance is unacceptable, and as a newbie it is very hard to make the goals to earn any profit-sharing. The doc needs to add you to his malpractice policy at his expense.
So, if there are no other options, I would take it for the experience only. Otherwise, keep looking.
- Sep 29, '11 by mammac5UPDATE: Have since had some good activity on the job-hunt front. Had a wonderful offer for a job I could only have dreamed of and accepted that one after a bit of salary negotiation. Very excited to get started in a few weeks.