missdeevah

Hi, I just had an interview with a recruiter, but I cannot find any online experience reviews about working there as a provider. Does anyone work here? They are multi-state, and I'm hoping to find someone who could give me some insight as to what a day looks like. Hopefully a current or past provider can help me. Feel free to PM me as well. Thanks!

Being a nurse is different from being a provider. I'm not talking about the obvious person in distress that needs to go to the ER. I'm talking about treating someone that shows up on a virtual visit with a chief complaint of pink eye, and you deciding whether to treat or decide they need to be seen immediately for orbital vs periorbital cellulitis. A brand new provider may not know this. There's not much time in a virtual visit to research issues while the patient waits. I'm not talking about the person that shows up with obviously low BP or SOB that any prudent nurse would say go to the ER/ call 911 stat. Lastly a new provider may also feel uncomfortable with things that could be treated on a virtual visit with some precautions given, and instead send them to be seen in clinic. This could happen far too many times than is necessary.

I do pediatric telemedicine. The one thing I can't stress enough is that you need to have experience. You need to intuitively be able to tell when you should send them to an ER, and when you should send them to an in clinic evaluation.

Thanks Davey Do. Well, I hope that all is well with her.

How did this go? Did you get a job with them?

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For anyone doing telehealth/virtual visits only, either full time or PRN: Could you possibly give me insight on what pay is like? How much, per visit, or per hour, or salary? How long are the shifts, how many patients per day, etc? Are you credentialed in multiple States? I'm in the middle of negotiation, and would appreciate your input. I realize that this may vary greatly by location, etc...just trying to get an idea of what it's like out there.

I absolutely would recommend it. I graduated in 2017. They will also help with clinical placement if needed.

Thanks for you input!

Nice! Thanks for sharing

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Any insight on pay?

Does anyone work in these areas as an NP? How did you get into it, what was your prior experience as an NP and as an RN? Any advice on how to get started? I have been in family for 2 years (But clinic operates like urgent care, seeing chronic and acute, walk-ins, minor procedures such as lacerations, I&D, on site lab abd Xrays). Prior to that I did pre and post op for pain management procedures and also for day surgery, ED overflow, telemetry, PCU, peds, rehab, and skilled nursing facility.

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Your thoughts? I have a potential phone interview next week for a job I really want. The CEO of the company is in my LinkedIn, though I don't know him personally. Would it be inappropriate to reach out to him with my resume and a cover letter?

Those of us in TX have got to make our voices heard by the TMB. We can't take steps back, we're already behind. We need to write them and get them to see the light.

Congratulations...that's some perseverance!

Awww...love it! How cool is that?

I did not have a written job description. However, during the interview process, I asked what exactly a day would look like for me, and they basically described what I felt described an NP role...seeing patients. I didn't ask about MA's because I have never not known any providers to not have one. Maybe that was my rookie mistake.

Update: lunch went well. They talked about how they we're looking forward to me seeing patients, and having my own office/rooms, apologizing for how they've not really been organized, and thanking me for my patience with them. It was mainly pleasantries, and the president telling me not to ever hesitate to reach out to him should I need to. Fast forward...I've been seeing patients for about 4 weeks now, but the most I've seen in a day is 5 patients (not by choice, that's all that's been put on my schedule). I'm not sure how quickly other NPs usually have their patient numbers go up. I'm looking on the bright side, and taking my time to thoroughly prepare and research patients that I'm going to see. Problem; because my numbers are not up, they want me to start off without an MA once I move to my own area next week (I've been using my collaborating physician's staff, or those of whichever doc might be out). I've been totally opposed to this, and I'm waiting to see how it plays out. The nurse manager, and COO agree that I need one, but I guess the docs who are partners in the organization feel that it's not financially feasible since my numbers are not up. But I know my numbers will never be up if I have to do everything by myself, not to mention that if all the 60 docs have an MA, and a nurse, I should at least have an MA.

How did she manage to see that many without an MA?

Wow..how did she see that many??

Does anyone have to room their own patients, or does everyone have an MA? If you room your own patients and do MA duties, what are the circumstances? How many patients did/do you see per day?

How about urgent care? Especially PRN if you don't need the benefits. Plus, during the week, you could sign up for shorter shifts if your schedule allows. I've talked to people who said that they sign up for 4, and 6 hour shifts sometimes. Plus weekends pay more. I would take a skills class (suturing, I&D, etc) to make you more marketable to urgent care. These classes can typically be done in 2 days.

Update: I had a sit-down with the CEO. She explained how a doc that they had given an offer letter had gone MIA until a day before the offer was up, and suddenly appeared and accepted her offer out of the blue, so they had to take her . So now they figure it won't be fair for me to try to compete with 2 MD's in trying to build a patient panel (plus I just know they have no room for me there). Fast forward to a week ago, I'm asked if I want to go to a different clinic with 2 MD's. I'm excited cause it's 10 minutes closer to home. Lo and behold, one of the MDs is unsure of a "mid-level," as he's never worked with one. Turns out they now want an MD there, even though they had told me they couldn't afford an MD there just yet. So a different clinic has 2 out of 8 MD's out for the week, do I want to go there for that time? Yes, I say...I'll be with an MD that I precepted with and that I like...I show up 2 days ago, only to be ambushed by the CEO, and end up signing a new collaborative agreement with an MD that I knew nothing about. Apparently it's now the permanent solution. I didn't find out until after the realization that as the MD is talking to me, the plan sounds permanent. I did make it clear, that I don't want to be stuck doing all HRA and Medicare annual wellness assessments only, which the MD wants me to help her with. I've never done them, but they told me that they take long, (as long as an hour), have higher RVU's (for my bonuses), and I would do maybe 2 in the morning, and 1 or 2 in the afternoon. I plan on doing a couple before I can agree on how many I want to do per day. I made it clear that I need to get experience in seeing regular patients, and they agreed. Also, they would convert a certain area if the building for me into an office, and 3 patient rooms each, for me, and another doc that is moving there. I fully intend to ask for the $1000 to decorate my area/rooms (plus they ended up also giving me 2 lab jackets, just like the 2 new MDs, though the finance person was quite surprised that I would also need one. I got 2, just to show that i expect to be treated pretty similar to other providers..yay for small victories). The nurse manager told me later that she thought this may be the best bet for me. She didn't like how things had been handled so far, plus once I proved myself, and had more MDs understanding how useful an NP could be, I could probably move to another clinic, if I so wished. They are willing to work with my schedule so I can come in earlier, and leave earlier on one day of the week, as this would more closely have mirrored my original schedule that I was hired for. Btw, an MD at this clinic that sees over 40-50 (yes, forty-fifty, plus hospital rounds) patients/day is retiring at the end of the year, so it might work in my favor as most MDs see about half as many as he does. I'm meeting with the president, CEO, and COO for lunch today, and I'm wondering whether I should let them all know how I think their communication skills suck, or just shut up, see how it all goes, and jump ship after I get experience if I don't like it in a year. The new location is about 5 min farther than the previous one, which was already about 10 min farther than where I was hired for. Sigh...