Job Offers

DreamerMW · Jun 21, 2015

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.

seattleguy · Jun 21, 2015

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seattleguy · Jun 21, 2015

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

Simplyroses · Jun 21, 2015

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, BSN, MSN, CNM** · Jun 23, 2015

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, MSN, APRN, NP, CNM · Jul 3, 2015

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.

Simplyroses · Jul 4, 2015

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, BSN, MSN, CNM** · Jul 5, 2015

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

klone, MSN, RN · Jul 8, 2015

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!