Jump to content

Job Offers

Posted

As I am comparing different job offers for new grad CNM's, I am curious about the working conditions and compensation for other new grads in this field. The offer I am considering taking:

Full-scope CNM position in a supportive environment with opportunity to train to advanced skills such as ultrasound, colposcopy, first assist.

$89,000 salary, $5,000 signing bonus

$2200 continuing education

Full paid benefits (medical, dental, life, short/long-term disability)

401K matching after 1 year employment

Malpractice insurance with tail coverage

Licensure and DEA covered

Work 4 8hr clinic days, on-call one 24hr a week (take call while in clinic), weekends 1:5 but the weekend is a 72 hour call shift.

My question for others who have taken new grad positions: Does this sound comparable to what is offered out there? The positions my classmates are considering sound like 2-3 clinic days a week, either 2x 12hr call shifts or 1x 24hr call shifts a week, 1:3-1:5 weekend call of 24-48 hours.

Congrats on graduating!

Would you mind sharing what part of the country you're talking about? 89,000$ is a bit low, albeit the good benefits. But again, it depends on what area you're in. 90k is low for California but average for say, Tennessee.

Congrats on graduating!

Would you mind sharing what part of the country you're talking about? 89,000$ is a bit low, albeit the good benefits. But again, it depends on what area you're in. 90k is low for California but average for say, Tennessee.

I am graduating somewhat soon, this upcoming Feb. I am wanting to live in the Oregon or Washington areas, do you know what i could expect to be offered as a new grad? would 89,000 be low for those 2 states? thanks

Just graduated from the Portland area. There, new grads start between $85-95,000. I'm in Washington State.

The Bureau of Labor Statistics lists the mean annual wage as $95,860-101,840. That includes all midwives - new grads or 30 years of experience. The median national wage for CNM's is $96,970.

Of course, the whole package of benefits is part of the equation. I have 19 years of experience in L&D, Mother-Baby, and NICU. I am a new grad CNM, but taking this job would be a pay cut from my RN wage while doubling my work hours.

My question is for those who have taken new-grad positions. Does this offer sound reasonable for new grads?

LibraSunCNM, MSN

Specializes in OB. Has 10 years experience.

For that amount of call, I would want closer to $95,000 (or more) if that's the upper limit of the normal range for new grads in your area. That's slightly more hours than I would want to work so I would need more $ to make it happen.

cashCNMFNP

Has 5 years experience.

I took a similar offer in Illinois. However, I call it the "burnout" schedule because at 85k and that many hours, I would have come out better as a floor nurse again. After 5 months at the schedule proposed to you, I asked for my call day to not be in clinic but to be on L & D. While on L & D, I do outpatient visits with those patient who present for evaluations, assist with c sections if necessary, and act as a laborist to inductions and those who present in spontaneous labor. I also have time to catch up on charting if necessary. The problem with the call day while being in clinic is that I was seeing consistently 30-40 patients while being called from the hospital regarding outpatient clients and running back and forth managing labors. I did not have a post call day off. People think that this is doable until you realize that you still have to chart on all of these patients. I was spending my evenings charting away and missing out on my home life. My biggest suggestion is to look at their patient load. Also, know that if you are staffing L & D, those are billable outpatient visits if they are seen by a provider. Your practice can earn that money back.

So my current schedule is 4 days clinic, 1 call day per week (staffing L & D during the day and taking call at night from home), 1 call weekend per month (Fri, Sat, Sun). Of note, on my Friday call day, I do see patients in the clinic simultaneously. I did receive a pay increase after 6 months (well deserved might I add). I'm going on a year here soon and will stay at this practice.

So I ended up taking the position. The offer got better as I discussed the contract with them. They are getting up to 1:7 call, so on the months I work the weekend, I only have two other 24 hour shifts. The months I don't work the weekend, I have 3-4 24 hour shifts.

The clinic is an 8 hour patient day, seeing 16-20 patients. If I get called to L&D, the clinic shuffles my patients to other providers (and I will get some of their load when they get called to a birth).

They also offer call and delivery pay. $200 for call M-F, $250 for WE call day. Plus, $150 per birth. This brought the compensation to over $105,000 annually.

It is also qualifies for federal loan repayment, so they will help me with the paperwork during the next cycle and hopefully I will be granted repayment.

I'm pretty excited, and after meeting the team, I feel this is a team I can work with well.

Thanks for all the comments!

LibraSunCNM, MSN

Specializes in OB. Has 10 years experience.

That sounds much more doable, and the extra money for call and deliveries is awesome. Congrats!

klone, MSN, RN

Specializes in Women's Health/OB Leadership. Has 15 years experience.

Congrats! And 16-20 patients in an 8-hour clinic shift is definitely doable! I know there are some practices where you're expected to see 30+ patients a day! Ridiculous!