Chiros depending on NPs for their new practice model: watch out!

Specialties NP

Published

Okay, so now we have chiropractors veiling themselves by creating new professional corporations that do not identify themselves as chiropractors but as medical business owners. They call their clinics integrative medical practices and hire (or try to hire) a NP to bill all services and perform everything but manipulations. So if I read this clearly, we NPs are their oxygen to survive financially yet the pay is roughly 50$ an hour. What a joke. Any NP who even considers this position needs to get at least 100$ an hour plus a medical director fee of at least 1000$ (especially if you work in an unrestrictive state). Better yet, NPs should set up their own practices and perform the same or better service and keep the profits.

Just really frustrated seeing these nps work for peanuts and being taken advantage of. Pass the word around.

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Specializes in Family Nurse Practitioner.

Just really frustrated seeing these nps work for peanuts and being taken advantage of.

"these nps" and so many others. Thanks for the reminder that we reap what we sow.

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Specializes in Nephrology, Cardiology, ER, ICU.

You know this comes in a timely manner for me as one of my friends (fellow APN) just took a job like this...

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"these nps" and so many others. Thanks for the reminder that we reap what we sow.

Could you explain what you mean by the reap what we sow comment ? I honestly don't understand.

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Specializes in Family Nurse Practitioner.
Could you explain what you mean by the reap what we sow comment ? I honestly don't understand.

Sure. My opinion is that many nurses? women? tend to have little interest in treating their career like a business. They have minimal knowledge of how businesses operate, how to negotiate and even things as simplistic as the the implications of working 1099 vs as an employee. They want "mommy friendly" jobs, are willing to work for low wages in the interest of "getting their foot in the door", work late without compensation or take work home because they spend too much time doing additional duties that are not their responsibility all the while whining about how mean the physicians are and how hard they work. They are willing to accept whatever compensation is offered, many not much more than RN rates, which drives all our wages down. Many are not willing to discuss their salaries or contracts with peers which serves only to keep us in the dark. If I had a dollar for every time a codependent nurse justified their crappy salary or stifling working conditions I'd be able to retire a year sooner. I feel they have reaped what they sowed.

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Better yet, NPs should set up their own practices and perform the same or better service and keep the profits.

This^

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Specializes in psychiatric.

This is a bit OT but Jules is right. My class (various NP tracks) was very good about sharing job offers and negotiations. The FNP's were getting offers from 70k to 120k.

A local facility offered a male FNP 100k and a female FNP 90k for pretty much the same position and they had similar experience as RN's. My job lowballed me below the FNP's (I am a Psych NP). I negotiated hard and had another offer in hand for 25k more at another facility. I did my homework and knew my worth, they ended up offering me 130k with an excellent benefit package.

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Specializes in Family Nurse Practitioner.
I negotiated hard and had another offer in hand for 25k more at another facility.

Kudos, this happens all the time and to think people in our pay range are willing to take a similar job compared to a peer for $25,000 less a year is unfathomable and embarrassing. The pay spread I was aware of in my graduating PMHNP class was $60,000 a year. In the course of 5 years assuming we got similar standard pay increases thats $300,000, in only 5 years! That this is accepted will never cease to amaze me and I guarantee it wouldn't fly if nursing was a male dominated field. For those who don't know me I'm not just griping. I advocate on here as well as to my peers, a few who actually have a lightbulb flip on, but it mostly feels like pissing in the wind with defensive excuses as to why they are happy making peanuts, taking vital signs and doing their own prior auths.

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They have minimal knowledge of how businesses operate, how to negotiate and even things as simplistic as the the implications of working 1099 vs as an employee.

I am getting ready to start my hybrid NP program and yes I am a working mom but by no means do I want to be taken advantage of, how would you suggest we students gain the knowledge we are lacking? My curriculum doesn't offer business classes as it relates to the NP profession. The other major problem I think is beside nursing has gotten so bad that many new NP are taking whatever offer just to get out of bedside nursing. While others that I have seen wait longer for the "right" job do better. And I have to agree nurses on a whole do not share salary information so many new NP's have no idea what the going rate is and therefore take the $85k for exmaple in Central FL while many others are earning $95k with good benefits. If it wasn't for websites like this one ...I would have no clue about many details in the NP profession....Just my 2 cents

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Specializes in Family Practice, Primary Care.

Take business classes at a local community college. I've been doing that for the past year in preparation for an MBA program and it helps you learn how businesses work and will help you understand healthcare as a business and your worth.

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You should a thread I just wrote on another dq

mid you can't find it PM me

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And that number should just keep going up

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