Members are discussing the salaries and job opportunities for nurse practitioners in different specialties, such as primary care and psychiatric mental health. Some members are comparing the pay differences between different NP specialties, while others are sharing their personal experiences and reasons for choosing a specific specialty. Overall, the discussion revolves around the factors influencing NP career choices, including salary, job satisfaction, and personal interest in a particular field.
Transparency is important so we can negotiate. As a new grad nurse practitioner I accepted a ridiculously low paying position and I assumed that was the pay in the new city I move to. I have grown over the past couple years and I understand I was taken advantage of. I hope that this doesn't happen to others. Therefore, I believe it is critical we know what other nurse practitioners are being compensated so we are able to negotiate our salary and benefits packages.
I'm an FNP-C in Houston area working in Surgery (first assist, preop, and follow up post op care) Salary is 110k (negotiating to 115k), 3 weeks pto, 9 paid holidays, 1500 CME/yr, paid DEA, malpractice, 401k without match, 4 day work week (40-50hrs), on-call practically all the time (but only get calls on surgery days 2-3days/week). Overall I'm happy with the work I do.
New grad. Hospital medicine. 127k starting 5 weeks vacation, 8 holiday, 2 weeks cme 2500$, sick days, 1 week conference. Full medical benefits, pension. 3% annual raise. Work 3 days a week.
Thanks. I had to crawl through the muck before I got this job, working for a large volume practice, seeing 30+ patients a day all over a decently sized city, and barely was scratching 6 figures. It prepared me very well for my job, but it's proof that experience pays off. I would have never landed my current gig as a new NP, and it's important to remember for new NP's out there, that their starting pay out of school will most certainly not be what you are making down the road. Even in saturated markets, practice groups and larger companies will pay for experience.
Incredible experience.....how long did it take you to get to this level, btw?
9 years of RN experience, 1 year of NP experience. This is my new grad job. Vascular surgery NP here, only work in the outpatient office seeing vascular medicine patients, post ops, etc. No time in the hospital. M-F 8-5, $95k per year, 5 days PTO per year, no reimbursement for CEU, DEA, or licensing fees. No call. No benefits offered, no 401k. No raises or cost of living increases offered. Have to do all of the NP work in the office as well as all of the RN work and help at the reception desk.
I will be starting my first job in vascular surgery as well. How do you like it? Any tips for anyone starting out?
I love the specialty but my work environment is toxic. Look into researching TCAR, EVAR, and pedal angiography. Try to find ways to explain narrowed arteries that is approachable to patients. I use an analogy to traffic personally.
I love the specialty but my work environment is toxic. Look into researching TCAR, EVAR, and pedal angiography. Try to find ways to explain narrowed arteries that is approachable to patients. I use an analogy to traffic personally.
Yep. My entire job was a bait and switch.
I mean, that's a joke. I'd just start putting in requests beyond 5 days. It's like they expect you to never go on vacation again?
I mean, that's a joke. I'd just start putting in requests beyond 5 days. It's like they expect you to never go on vacation again?
I mean that’s their ideal situation, that I just never have days off. I am allowed to take unpaid days off, so that’s what I have to do to get a vacation this year.
I mean that's their ideal situation, that I just never have days off. I am allowed to take unpaid days off, so that's what I have to do to get a vacation this year.
Hopefully you will be moving to a different position ASAP
Specializes in Psychiatric and Mental Health NP (PMHNP).
I started out as a primary care NP (AGPCNP). My first year's compensation was $125K. After 2 years, I switched to mental health and was paid $75 per hour for 1 year. I just completed 1.5 years with my employer, have earned my PMHNP and I negotiated pay raise to $90 per hour = $187K per year. I am in Bakersfield, CA.
I started out as a primary care NP (AGPCNP). My first year's compensation was $125K. After 2 years, I switched to mental health and was paid $75 per hour for 1 year. I just completed 1.5 years with my employer, have earned my PMHNP and I negotiated pay raise to $90 per hour = $187K per year. I am in Bakersfield, CA.
That is great. So happy for you. Can you please comment on how were you able to work with a AGPCNP certification in mental health and get paid, before your PMHNP certification?
Specializes in Psychiatric and Mental Health NP (PMHNP).
22 hours ago, Sun1 said:
That is great. So happy for you. Can you please comment on how were you able to work with a AGPCNP certification in mental health and get paid, before your PMHNP certification?
Thanks!
There is a terrible shortage of mental health care providers in California, so some organizations will hire an NP and give them the title "Behavioral Health NP." However, it is harder to find these jobs.
New grad FNP, FHQC-130K with 6 wks PTO and extended long term sick pay. 2k CME + 1 wk PTO on top of vacation/sick. 5 8's with one day tele-health from home and half day admin, with promise to re-evaluate for 4 10's when it is feasible. 25k sign on bonus with 10k relocation stipend. Rooming MA and scribe with paid license, uptodate etc. Also qualifies for loan repayment
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JWEMT
173 Posts
New grad. Hospital medicine. 127k starting 5 weeks vacation, 8 holiday, 2 weeks cme 2500$, sick days, 1 week conference. Full medical benefits, pension. 3% annual raise. Work 3 days a week.