tnfnp

I say negotiate, worst that can happen is they say no! Ask for 50

I live near Knoxville and work part time for a hospice agency and I also do aesthetics. I have friends that live in Nashville and there seems to good job opportunities for NPs in middle TN. I can speak only for East TN but the market here is a bit saturated. There are 6 or 7 NP programs in the Knoxville area in addition to at least 3 PA programs. The only jobs I ever see advertised are jobs no one really wants like minute clinic and Walgreens clinic. Pay is my area is 80-90k average for full time work depending on what area you are working in. NPs working ED and inpatient seem to be more in the 95-100k range. Weather here is a great and you can't beat living in the south! Good luck!

Patty, First of all, know that what you are feeling is absolutely normal and actually reassuring. If you started your first NP job without any trepidation and thought you knew everything, that would be cause for concern. Your new role as an NP will be a learning experience everyday and I agree with above poster about up to date. This has always been my go to reference and it will be your lifesaver!! Good luck!

Thanks so much everyone for your replies. Great advice!

I would like to get some advice from fellow NP's on applying for jobs in specialties without experience. I have been an FNP for 3 years, working primarily in family practice. Has anyone had experience applying for jobs in specialties without any experience in that specialty if the job posting says requires experience? How do you ever break into a specialty if they aren't willing to train? Should I apply anyway or am I wasting my time? Appreciate any advice!!

LubbockNP- I actually got a call back 2 days ago for my references, but as it turns out my husband received an unexpected job offer in another city so I decided to withdraw my name for the position. It looks as if we may be making a move this fall, and to be honest I have had some reservations about the job since the interview and didn't feel like it was the right path for me. I am still curious to see how things turn out for you so please keep us posted!!

Hmm.... Strange. What was their rationale? You would think they would want you to shadow and be sure the job is something that is a good fit before you officially accept. I had my interview a week ago, over the phone and I feel that it went well. I am not 100 percent confident that the job would be a good fit for me after asking some questions of the panel during the interview. My biggest concern was having to travel to cover other regions and they said I would be driving 1k miles per month at least. I live in a rural area and not sure I want to be stuck in he middle of a cow pasture with no cell service at 5pm on a Friday! Ha

Wildcatarnp- Would love to hear an update from you! I can relate to what you are saying as I left primary care about 8 months ago to work part time in a weight loss clinic. I also do medical aesthetics ( Botox, dermal fillers etc) we do not do laser hair removal but at times I miss the personal relationships I developed in primary care and I miss actually using my brain! Hang in there. If you want another job just be patient and keep looking, something will open up. Otherwise, ride it out and look at the bright side of what you are doing. Low stress, great money and happy patients who want to be there to see you! Stay positive!

Thanks for the update! I am surprised they did not elaborate on the actual job more during the interview process. I received a call for an interview today for the HBPC position in my area. Please keep me posted!!

LubbockNP- where in the pay range does a nurse III place you? Somewhere in the middle? Just curious. Obviously the salaries they list for NP positions are pretty broad and I am a bit concerned about a pay cut as well. I have only been an NP for 3.5 years.

Reimbursement will depend on what exactly you are billing for? I am not a PMHNP but it sounds as if they will have you doing therapy in addition to assessment, diagnosis, treatment etc. I would assume a therapy only visit will be billed much differently than a mental health eval visit. I have worked in a integrated health system with both mental health and medical, we had a PMHNP and she did not do any therapy. We had social workers who did all the therapy with the clients. I would be sure to get specifics about what you willl be doing and what is expected before the job. I would also be sure you have a concrete salary agreement to protect yourself.

I would definitely ask for licensure and DEA certificate compensation! Good luck!

Congrats LubbockNP! Excited for you! Did you have a chance to find out anything specific about the job? I'm pretty sure I am going to apply for the position in my area as the federal benefits seem too good to pass up!!

I was curious if anyone had any details about the VA's HBPC program. How many patients do you see per day? Do you have a company vehicle or use your own vehicle? How are patients selected for HBPC? There is a job opening in my area and I am considering applying for this position. Any info is appreciated!

I work per diem for a hospice agency performing face to face visits which are required my medicare after a hospice patient reaches a new benefit period. This is pretty straight forward work where I complete a history and physical with emphasis on functional decline secondary to their disease process. In my role, I dont actually manage medications, or take call. I do make suggestions on meds or treatmentx if I see something that needs attention. I am paid per visit and travel to assisted living facilities, nursing homes and patient's homes. I really enjoy the work and if a full time opportunity presented itself, I would definitely do it. I hope this helps in some way.