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Discussion

Need advice

I have a dilemma. I was offered a NP job that is about 25 minutes from home with a salary of about 60000/ yr for first year. Second year, salary would be based on # of patients I saw and the amount billed, I would get 40% of that. No money for CME. MD would give money for me to find and pay for my own health insurance. 2 weeks of paid vacation. The thing is I have another offer that is paying almost double this amount with 3 weeks paid vacation, CME, health/dental/vision, and 401k, but not close to home, involves traveling, but mileage, lodging and meals reimbursed. I have to make a decision soon. Any advice is appreciated.

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    • Featured Replies

    Is this a real question ? You should take the 60000 job and negotiate a pay cut for 30000

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    $60,000??? I made more than that as a new grad RN. I would obviously take the second offer.

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    • Experts

    Much depends on the area of the country you are in. I live in central IL and the going rate for new grad NPs is $85k. What is the going rate in your area?

    And...no offense but I would want something in writing as insurance is expensive. CME is necessary to keep your license and its expensive so its an important benefit. Does he have other NPs working for him?

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    Would you be getting 40% of the amount billed ALONG with 60K salary? or Is this the base? Is this a FT or a PT position? LPN's make 60K where I am (NYC).

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    • Author

    I live in the south and the average starting salary varies from the mid 70's to mid 80k. He has another NP in the office with him as well. It is a small clinic.

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    • Author

    No the 60k is for the first year, but starting the second year I would be getting 40% of amount billed only.

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    • Author

    My dilemma is that I feel bad because I told him I would take the offer and he seems like he is really looking forward to me joining the clinic, but this is before I got the higher paying offer. I guess what I really want to know is how would you professionally decline the low offer.

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    Can you counter his offer? Say you want to work for him but need adequate compensation. I know I live on the west coast but I make 100k as a RN...

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    Second offer, hands down.

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    Were you happy with the 60K initially when you said yes? Its kind of tricky now that you accepted it. Maybe counter offer, but the sooner you do it, the better.

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    60K?? I think a Walmart greeter makes more!!

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    Absolutely not. $60k is a JOKE!!!

    Don't feel bad about backing out. He dangled this tiny salary hoping you would take it as a desperate new grad NP. He's taking advantage of you in an enormous way and I would completely insulted if a doctor offered me this.

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