Job Offer Details

babyNP., APRN · Jan 29, 2018

On call 24/7 with no extra pay? I'd hate to have to never enjoy wine except during vacation...what an insulting offer this is to NPs...

Freedomsong, NP · Jan 29, 2018

Yes. When I asked about extra pay for call I was flat out told No. That's the #1 reason I will not give this job further consideration.

FullGlass, BSN, MSN, NP · Jan 29, 2018

Salary also varies by location. Where is this job located?

Freedomsong, NP · Jan 29, 2018

In the deep South, MS to be exact :)

babyNP., APRN · Jan 30, 2018

Yes. When I asked about extra pay for call I was flat out told No. That's the #1 reason I will not give this job further consideration.

Good for you! Thank you for sticking up for yourself and other NPs : )

KelRN215, BSN, RN · Jan 31, 2018

I'm not an NP but I make more than that as an RN and no way would I accept a position that involved 24 hr on-call with no extra pay. That's one of the reasons I left my last job, actually. When we were rolling out a new computer system, our COO (who was in no way clinical) expected all clinical managers to be on-call 24/7 for issues without pay- when they had hired a consultant specifically for this program roll-out/to be the resource for problems.

aprnKate · Jan 31, 2018

Wanted to get feedback on this job offer. I am not pressed for work as I am currently employed, however I like to keep my options open. I do not plan on taking this position but wanted to post it here for the purpose of keeping NPs informed of some of the offers being made and how we can better negotiate.
Offer made by private company that hires NPs to be on site 4 days a week at nursing home facilities. There are 2 NHs, (one has 80 beds - no rehab beds, the other has 90 beds - 20 rehab beds). NP expected to be on site 2 days/week at each facility. Expected to see 20/25 patients/day. Fridays are used as administrative days, and can be done from home. Also expected to be on call 24/7 for the 2 facilities, (per interviewer phone calls only).
Salary: 88k/year
PTO: 5.5 weeks/year (this includes holidays, vacation, sick, etc...)
CME: $250/year (no additional days off)
Health insurance, short-term/long-term at low cost, Life insurance paid by company
401k with matching after 1 year of service
Company pays all licensure renewal fees and malpractice insurance
Cell phone reimbursement $100/month
**No additional pay for being on call 24/7**

This offer is a JOKE! now go back and tell them this is a Funny Joke and ask them what they are really offering! because I wouldn't touch this package even if I was a new grad. Don't waste your time with this private company and take your awesome NP skills elsewhere where you will be considered a valuable asset and will be paid for what your worth! This job is low pay and you'll see 25 patients a day with call. sounds like a job where one can get easily burned, also i wouldn't do it for that kind of pay.

They also forgot to put mileage on the 2 facilities that you will have to drive to. I get you are not impressed with your current employer but don't jump into another job where its also sounds like a total mess and this one definitely does.

djmatte, ADN, MSN, RN, NP · Jan 31, 2018

I will say the pay and duty structure and patient requirements is a joke, but the call requirement for nursing homes isn't far outside the norm. My wife works in senior living and I remember her first job her being on call 24/7 with no pay bump. Though she was paid in the high 70s which at the time was good for am ADN. Most of these facilities only hire one RN depending on the size and they typically operate as a care manager more than actually doing patient care. Her call consisted of mostly making judgement calls over the phone. Calls so she was aware of an incident, instructions to send a patient who had an unwitnessed fall to the ed, etc. Now granted she was always cognizant of what she was doing and rarely drank. Many of these residents had single doctors responsible for their orders and if any md needed to be informed as well, that md got a call anytime. Everything typically dealt with over the phone.

So bear in mind that nursing facilities aren't hospitals or clinics and often operate in a whole other level of rules and expectations. This isn't a suggestion to consider it without some significant changes in that job description. Just food for thought.

SpankedInPittsburgh, DNP, RN · Jan 31, 2018

"Thank You for Your Consideration but I can't accept". How is one always on call & also get to have a life?

Qing · Jan 31, 2018

Yeah, I do not know if this is a good offer. Its a lot to take on and you don't get paid extra for being on call 24/7? How are you going to have a life and not feel like you left something out or you are not doing a good enough job? The last thing you want is burnout and then other issues could come up then. It is nice they pay for license renewals and malpractice, but to be on call for 2 facilities with no extra pay is an overload.

allnurses Guide · Jan 31, 2018

This is a pretty lousy offer. I made more than that over 8 years ago as a new grad. Call 24/7 without compensation is ridiculous, and $250 for CME is pretty much worthless. I'm glad you're not considering this offer.