Need help deciding between job offers

[Eydyey, NP]

I am fortunate to have received 5 offers as a new grad FNP. I basically narrowed down my choices to just two. They are both for an urgent care setting in two of the biggest healthcare systems in the pacific northwest. My dilemma is choosing between the two, for the purposes of comparison I would use A nd B. The major difference is between the ff categories:

Compensation

Both are salary position. A is about $30,000 annually higher than B in terms of base pay, but B offers paid CME days that A doesn't have. With productivity bonus, on-call, and picking up 2 extra shifts / month, A can potentially be $50,000 higher in total than B which only has up to $6,000/year bonus based on performance with no on-call and rarely an opportunity for extra shifts. Benefits for both are almost identical, so that's not an issue.

Resources

A is more of a retail urgent care and B is more of a traditional urgent care, B has more in-house resources (i.e., POC chem panel, etc.) and functions almost like a mini-ED (they only transferred 2% of their patients to the ED last year.) They try to function as an ED as much as possible (They do IV hydration and antibiotics, etc.), which I think is great because I feel like I will have more opportunities to experience, learn, and do a wider scope compared to the retail clinic "we don't have the proper resources, therefore you need to go to the ED" mindset. B also has 2 RNs who do the triage and help with procedures if needed with 2-3 Medical assistants and 2-3 providers in each building depending on throughput, while A has only 1-2 providers and 3-4 MA's with no RNs, and does not do the higher-level services that B provides.

Productivity

A is a float position rotating between 3 UC centers not too far away from each other and is a lot busier than B. A expects their providers to see 25-30 patients per 12-hr shift and B expects 15-20 patients per day. The medical director of B told me she expects me to see 2 patients per hour and A told me it is a standard to see 3-4 patients per hour.

Any opinion about this matter helps. I feel like a would want B but I can't ignore the $50,000 potential difference. Thank you in advance!

[traumaRUs, MSN, APRN]

Congrats on so many opportunities. Some things to consider:

1. Your experience and comfort level with urgent care pts. Do you have solid ED skills? Ability to quickly think on your feet?

2. Orientation - how much, how soon will you be expected to meet the patients/hour demands?

3. Support - will you have the ability to do curbside consults? Or..are you expected to be fully functional without oversight or assistance?

Best wishes in your choice

[djmatte, ADN, MSN, RN, NP]

As a new grad, I wouldn't want to float. I would want to be in a position where I can develop steadily and get a solid patient panel. 2 per hour is a dream by most primary care standards. But someone more driven might be better with a busier schedule.

[Power2020]

No job is guaranteed

always go for the job you can get the most knowledge because lets say you get laid off from the job that offers 50 K more...after a year and time passes... you now are back in the market but didnt learn much. You will surely feel

less confident!

[tekialove]

Hi there, I would really like to know the area or state you are in. I am a Board Certified new grad FNP. I have been searching for a job for over a year. I am located in Memphis Tn and have reached out to everyone I know. I have called all managers from my past, friends that are NP's and even clinical preceptors. I have applied for every job on Indeed that I could and it's always... (Unfortunately..) This is so Depressing. Any input on areas to look. I also got licensed in Texas and have a California pending.

Thanks

[traumaRUs, MSN, APRN]

10 hours ago, tekialove said:

Hi there, I would really like to know the area or state you are in. I am a Board Certified new grad FNP. I have been searching for a job for over a year. I am located in Memphis Tn and have reached out to everyone I know. I have called all managers from my past, friends that are NP's and even clinical preceptors. I have applied for every job on Indeed that I could and it's always... (Unfortunately..) This is so Depressing. Any input on areas to look. I also got licensed in Texas and have a California pending.

Thanks

What type of job are you looking for?

[tekialove]

Hi there, I am open to any position at this point. Just so ready to get started.

[ICU2NP]

Congrats! How nice to be able to choose exactly which job you would like. From the information you presented, I believe I would be choosing B. To me, in house resources and appropriate ancillary staff win out. Although, I am still in school so take that with a grain of salt.... but, I've been lucky to have a great variety of clinical sites and the ones that don't have appropriate resources or staff were just, not great experiences. Good luck!