Unfortunately, recent circumstances led me to resigning from my current position and leaving the company I have been at for the past 7 years. These circumstances had greatly impacted my mental health in a negative way, so it was a choice that had to be made.
I have just recently received a couple of job offers. One is a clinical manager position in a SNF that is about 20-25 minutes away from where I live. Drive isn't bad when the whether is nice, but could be a problem in the Winter. I would be working with several people that I have previously had a positive working relationship with. It would be a pay increase of $3/hr and would be hourly vs salary despite being a management position. On-call would be reduced from 7 days in a row to one weekend a month. However, this facility is currently being run by the state department of health. It's also not clear whether or not a retirement plan would be available as part of their benefits. I would also be primarily located on a LTC unit and would prefer the short-term rehab side. Facility has a nursing-home like feel to it. I would be using the EHR that I am familiar with. Likely, I would probably have to move to the town this facility is located in. The housing is affordable, but is also located in zones with high flood ratings. I have already started paperwork, but haven't officially accepted the job description.
The other is a SNF clinical manager position that is in a facility about 8-10 minutes away from my home. The location is definitely more ideal as it would not require driving on the highway during the Winter months. I have not worked with any of the employees previously, but did get good vibes during both my first and second interviews. I feel like these would be people that I could work well with. Facility is more home-like than nursing-home like feel. Would require learning a new EHR; however, I am quite competent in learning new computer programs so I'm not too worried about this. I would also be in the rehab area of the building, which would be more of my interest. The pay would be a 60 cent decrease from my previous position. It would also be salary vs. hourly. On-call would be Friday through Sunday instead of just Saturday and Sunday. The facility does have a well-established benefit plan with good insurance and a retirement account available. Overall, I feel that employment may be more stable due to it not being under the control of the state department.
I was looking forward to working with some old friends and feel bad about having started some paperwork, but I am feeling that the second option may overall be better logistic wise.
Take the first job. If for no other reason that it is just far enough away that you are considering moving to that town, Time to leave the nest and move out of your family home.
How concerned should I be that the first facility is under state receivership due to financial issues?
Look at it this way. You can be part of the positive change that facility needs and you'll be learning the job under the close supervision of the state. Guaranteed the current management won't be training you in the ways to cut corners when under the watchful eyes of state supervision. You'll be starting on the right foot, doing the job the way it should be done.
Specializes in New Critical care NP, Critical care, Med-surg, LTC.
Your initial post reads as if you're looking for people to tell you to take job #2, you point out many negatives at job #1 (flood zones, state run, feels like a nursing home), that you present as almost outweighing the positives, like knowing some of the people, the EHR system, the better oncall situation and the raise. Who knows how much snow you'll get, who knows what will happen with a state facility? I understand wanting to consider all aspects of a job, but you're really the one ultimately taking the job.
Either way, it's a clean slate and I hope it works out well for you. I hope you don't find yourself constantly pointing out that what you have isn't what you want. Like you prefer short term rehab, okay, that's not the job so it doesn't matter. And you like doing discharges and paperwork, but if they're not the job, that doesn't matter. Whatever you decide I hope it's a positive move for you. Good luck.
Your initial post reads as if you're looking for people to tell you to take job #2, you point out many negatives at job #1 (flood zones, state run, feels like a nursing home), that you present as almost outweighing the positives, like knowing some of the people, the EHR system, the better oncall situation and the raise. Who knows how much snow you'll get, who knows what will happen with a state facility? I understand wanting to consider all aspects of a job, but you're really the one ultimately taking the job.
Either way, it's a clean slate and I hope it works out well for you. I hope you don't find yourself constantly pointing out that what you have isn't what you want. Like you prefer short term rehab, okay, that's not the job so it doesn't matter. And you like doing discharges and paperwork, but if they're not the job, that doesn't matter. Whatever you decide I hope it's a positive move for you. Good luck.
Good point. I had attempted to try and present both pros and cons for each position, but I may have let a little bias slip through for the one that is closer to home. There's not much for housing in the town for job #1, although there are a few townhomes for rent that might be nice if I can get into them. A lot of the apartments are income based, and at $44/hr, I wouldn't qualify for any of those.
Yes, the pay increase is great...but how are they going to pay if they're already known to have financial issues?
I've been checking into this and it is becoming a common issue across the country where the nursing homes are close to bankruptcy so the state takes over allowing it time to hopefully get loan modifications/concessions to keep the places open or perhaps to allow another company to take it over.
While the nursing home industry will complain it's because of poor medicare/medicaid funding, I will say it is probably more so another consequence of the feds jacking interest rates up and many businesses are struggling, some declaring bankruptcy, some going out of business altogether to being bought out, from banks to all sort of businesses. This is because most businesses rely on debt as that is usually tax effective, but no one was ready for interest rates to spike as fast and high as they just did! While most homeowners rely on the standard 15 or 30 year fixed rate mortgage, commercial real estate loans are adjustable so this affects their bottom line. This had lead to banks collapsing, airlines and retail businesses such as Bed, Bath & Beyond and Tuesday Morning.
Of course, the nursing homes are looking for a government bailout as well and hoping for increase of medicare/medicaid financing. Time will tell what happens.
Also many corporate nursing homes run their places like a shell game, outsourcing to third parties they either own or have ownership stakes in, leasing the building, anything to make them look poor on paper, while reaping big profits for the CEO! Check out this expose! I would say Ascension does similar tactics to increase their profit as well.
There's not much for housing in the town for job #1, although there are a few townhomes for rent that might be nice if I can get into them. A lot of the apartments are income based, and at $44/hr, I wouldn't qualify for any of those.
This comment is confusing to me. Are you thinking you need to qualify for the subsidy to rent there? Weren't you looking at buying a home in the last year or two?
A lot of people find it exhilarating to move to another city, get a job in or around that city, explore what there is to do there while making friends. I did it and it changed my life. I am forever grateful I did it. How about doing this? Getting out of your parents house will open a new world for you (weren't you married before? you learned self-sufficiency then and now.)
This comment is confusing to me. Are you thinking you need to qualify for the subsidy to rent there? Weren't you looking at buying a home in the last year or two?
A lot of people find it exhilarating to move to another city, get a job in or around that city, explore what there is to do there while making friends. I did it and it changed my life. I am forever grateful I did it. How about doing this? Getting out of your parents house will open a new world for you (weren't you married before? you learned self-sufficiency then and now.)
I believe that with some of these apartments you cannot reside in them if you make above a certain amount. I have/had also been looking at houses, but just trying to keep options open. Some of the houses are in a flood zone, which was why I was trying to expand my options.
The town I would be moving to would be very small, so I'm not sure how exhilarating it might be. But it probably would be good to move out. I actually haven't ever been married. I was in a steady relationship a few years back, but that didn't end up working out.
Specializes in Psych, Addictions, SOL (Student of Life).
SilverBells said:
.................probably would be good to move out.
From what you've shared about your parents, it must be miserable. You world right now is very small. It's just work and a miserable situation at home. Een a small town will be bigge. Don't assume the subsidized housing is out of the question actually check them out. If you choose to go with a house research when the last flood was and rent don't buy. Get renters insurance and try living on your own now.
Thank heavens I was praying for this day. So glad to see your out of there! Hey, do something different. What about home health or hospice? Then you're really only responsible for yourself.
kbrn2002, ADN, RN
3,972 Posts
Take the first job. If for no other reason that it is just far enough away that you are considering moving to that town, Time to leave the nest and move out of your family home.