Published Apr 18, 2013
nikkimimi84
5 Posts
Good Morning All,
I just wanted an opinion on a contract I was offered by a hospitalist group in Austin TX. I'm an ANP with 2 years of acute care experience and I was looking for a per diem position. The director states that he mainly needs me for Saturday and Sundays with 15 follow up progress notes but he is only offering a $200/day per diem.
My concern is that it will take me 5-6 hours to do follow ups on these patients which is roughly $33-40 an hour.
At my previous position I saw 15 patients in 8 hours and collected a full salary
Given that they do not have to pay health insurance, vacation, sick leave or anything else (besides malpractice) I think this is very low ball.
What do you guys think?
Thanx!
JMEMNRN
35 Posts
I wouldn't... granted I will not graduate until next summer, I make more than that as a RN. I would say the pay is rather offensive especially for a weekend.
kguill975, MSN, APRN, NP
258 Posts
Here in Houston, most per diem work pays per pt, usually $30/pt during weekday hours. For a weekend gig, I would start at $40/pt and negotiate down. It's all a matter of how much they want their weekends to themselves. No one wants to pay more, but if there are no other biters (it is a weekend), then they'll probably agree to something better than what was offered.
Thank You so much for this info! Thats a far cry from what I'm offered! When I spoke with the Medical Director he did mention that by their hospital rules a physician must round on all midlevels' patients, so I would be lightening the load for them instead of giving them the day off. I know when I worked inpatient care (in Houston also) I could see a patient, write a note and bill on my own without physical supervision but I guess hospital rules vary. I've done research on the NP salary in Austin and it's not that different either.
Very valuable information. Thanks for giving me info to form my negotiations :)
NPAlby
231 Posts
Not sure what the going rate is in your area but that just does not sound right. I made $200/day as an RN, granted it was 8hr shift but less liability. AND its weekend coverage? They need to cough up some more money.
mammac5
727 Posts
I would come back with a much higher number. First of all, sounds like they want to bring you in so their usual NPs can work fewer weekends (which is awesome) and that means they need you to keep their valued employees happy and satisfied. That makes YOU valuable. In addition, it's weekends and that makes it harder to find someone who wants the job. That makes YOU valuable. Third, you have experience and would require less training/orientation time than someone without hospital experience. That makes YOU valuable. They aren't on the hook for any PTO, holidays, other expensive benefits. That makes YOU valuable.
I'd start at $50 an hour or a per-patient flat rate as someone else mentioned. I work some PRN hours in an inpatient department and I'm paid $47 an hour for that...mostly wkends or other shifts their usual NPs in that department find undesirable.