Negotiating my salary is exhausting!

Specialties NP

Published

I was offered a full time job at an IM clinic. I asked for $48 per hour compensation with full benefits because i thought this was reasonable for a new grad in southern CA. The average is $44-46/hr.

On my second day of orientation, my boss told me that she is going to switch my pay to salary. She said she will offer me 75k per year. I was really shocked!

I told her that at the hospital, although without benefits, I get paid $52 per hour. Then she said that i shouldn't expect that much because being a nurse is different from being an NP. She also has to train me and that will take time. Then i countered and said i am willing to meet her at $88k. Then she said she can only offer up to $80k. Then i said i also have to make ends meet at home so I will think about it over the weekend.

Then she said she will call me back this weekend for a final offer.

Any suggestion or tips on how to handle this negotiation when she calls me back? Should i walk away from a low ball offer? Or is it worth it to get that experience for a year then go? This negotiating acitvity is exhausting! ;-)

I want to get an offer of at least 86-88k. I am better off working at the weight loss clinic at $60/hr :(

Thank you!

Keep the job and find something better. They deserve a brief commitment from you. I would not want to work there longer than I have to.

My job changed me from hourly to pay per visit on day one. A year later I found out my PPV rate was the same as the LPN visit rate. They compensated me (somewhat) and decreased my hourly non productive time rate. They nickel and dime the employees constantly. The mileage rate changes every month. Our workplace is 10% patient focused, 90% bottom line.

This is the writing on the wall.

I understand where you are coming from. But since I am paid well as an RN for 8-9 years, it is very hard for me to accept this kind of low offer. Yes, i know i am new but i at least deserve an average starting NP salary.

I have this whole day to think about all of this. I wish i could arrive at my best decision. I am also waiting for her final offer via phone today.

If you do decide to stay with the promise, in writing, to renegotiate in a few months, then you should be able to review how much revenue you are generating for the clinic. It may not be much in the first few months of training, but if you're doing a lot of procedures and seeing that many patients, then that clinic should eventually be making a lot of money from your work. You deserve to be compensated for that.

Specializes in Peri-op/Sub-Acute ANP.

They are absolutely correct, NPs are different from RNs. As an NP they will be making money off of you, as an RN you are an expense. Don't forget this!

If you do decide to stay with the promise, in writing, to renegotiate in a few months, then you should be able to review how much revenue you are generating for the clinic. It may not be much in the first few months of training, but if you're doing a lot of procedures and seeing that many patients, then that clinic should eventually be making a lot of money from your work. You deserve to be compensated for that.

Yes, great option! So glad I came to AN for advice. Instead of having only one option (to walk away), i have written 4 options for her to choose from. I already know that she won't accept my counteroffer of 88k as it is. So i have to be ready for more options that i'd be willing to accept at least for 6 months.

Thank you, everyone! So glad i can count on fellow NPs and nurses all over the nation ;-) The nurses and NPs (and hubby) are giving me advice that i already know, lol.

They are absolutely correct, NPs are different from RNs. As an NP they will be making money off of you, as an RN you are an expense. Don't forget this!

YES, no kidding!!! This made me laugh a little bit.

Thank you!

Once you are salary they can definitely take advantage of you on the hours worked,

Once you are salary they can definitely take advantage of you on the hours worked,

Yes, agreed!

Unfortunately, the offer letter was not signed by her yet when i received it. The letter was sent to me by the office manager. The manager said she will tell the doctor to sign it. Then i got a call from the doctor saying that we will talk about my pay the next day, in person.

I really want to talk about my pay in person so i came back. Then we got busy with all the patients so i followed her all day until she had the time to talk to me in private. I understand she shouldn't change what was talked about but unfortunately, the offer was only made verbally. I am still waiting for her call (as she promised, she will call me back for her final offer) but I know that i can't go back on Monday without knowing my definite salary... In writing.

Yikes! the offer letter was not signed? that's a big no no for me. I think two parties have to agree to the deal and I wouldn't accepted the offer unless it was signed. I think they are really taking advantaged of the situation. I mean understand its business but she still shouldn't have changed what was talked about. So perhaps, you can't do certain skills yet but that doesn't mean you can't treat and diagnose patients that don't need procedures. Perhaps what you could do is come up with a contract to re-evaluate/re-negotiate your salary every quarterly for the first year and then every 6 months after that. I realize that they do have to invest time in training you and at the same time as a new grad you also have need to gain confidence in your training. I think that perhaps after 3-6 months you will be able to handle your own patient flow. Besides, I don't think its unreasonable for you to come up with that type of re-negotiation of salary agreement with them if their excuse for paying you that low is that you are a new grad and basically have no skills. Just be sure to keep up how many patients you have seen and their acuity and as well as the procedures you have done that way when it comes to re-negotiation you have proof that you have improved from where you were.

Specializes in ER/Tele, Med-Surg, Faculty, Urgent Care.

Keep the weight loss clinic job. Consider finding another or more part time job. Definitely we all learn how to negotiate as we go. If you can make more as RN, then consider doing that, prn to pay the bills while you continue to look. I agree that if you are salaried, you can be taken advantage of unless your contract (did you mention a contract?) specifies number of hours, if you are on call etc. Contract should also specify how many days for CME and how much employer will pay for attending conferences, vacation/sick leave etc.

You bring a lot to the table, don't forget this. While you are a new grad, you bring current clinical guidelines, enthusiasm and willingness to learn new skills. I currently have 5 part time jobs. I did not plan this, it just evolved. I have been doing this for past 1.5 years. When one job is no longer fitting my needs, I have been fortunate to find another. I work 2 days per week for an allergy/immunology doc, pt doing urgent care/after hours walk ins at another clinic, 1-2 Sundays/month at another urgent care, 3-7 shifts doing health assessments and recently started one weekend per month at psych hospital doing H&Ps on new admits & urgent consults. 2 jobs I am 1099 independent contractor and the rest I'm employee. No benefits but feel I am in control of my time. The previous 2 jobs I had I felt like a slave, working 9-10 hours daily, on call/weekend visits. If you can get ahold of a copy of Carolyn Buppert's NP Business Practice & legal guide is a great resource for all NPs.

I agree with all the posters that have responded to you

All I can say is WOW! I'm in the wrong field. :banghead:

I agree that it's wrong of them to try and flip on you and I'd decline after that experience.

I'm thinking she meant she can't offer you more as a new grad because although you have nursing experience, you're new to NP practice?

I have no idea if that logic is reasonable or not since I don't have any experience, but that's probably how they're justifying themselves.

But if you're offered more elsewhere there's no need to allow this place to be cheap with you. And they're allowed to just switch your pay status around like that?

im in ky and the travel nurses (rns) here get paid more than that.

+ Add a Comment