Tesses

I hope you got a new job??? Regardless of how much you are paid at this job, remember: quality of life is important. Been there, done it, don't ever want to go back!

Post your resume on nursingjobcafe.com. Recruiters will contact you!

I can imagine! What state are you? Tidy up your resume with a great introductory letter and walk into as many clinics as you can. Attend your local NP meeting and request that they let you talk fir 2mins. I am assuming you are already some form of NP...so, being 'precepted' in a clinic will mostly translate to 'seeing' their patients which generates more revenue.

That means they need it then. See the copy &paste info from their site. The nurse reviewer puts in all kinds of requirements. Just check everyday to see if any new thing added so you can stay abreast of it all. I will say you email it to them so you can refernce the email when you try to get update on it. Please submit a legible photocopy of your current national certification document demonstrating that you hold current certification/recertification in the advanced practice role and population focus area for which you are applying. Your national certification/recertification document must include an expiration date. You may submit this information via: Fax Number:*512-305-8101* E-mail Address:*[email protected]* Mailing Address: Texas Board of Nursing, Attn: APRN Office 333 Guadalupe, Suite 3-460 Austin, TX 78701 Please be sure to include your name and RN license number or Social Security number on your correspondence to our office. Please be aware that if the document is illegible due to fax transmission or photocopying issues, we will request that you resubmit this document. Illegible documents or documents that do not bear an expiration date may delay application processing and approvals. * *

You typically don't need the board certification. They may request verification of program from your program director if you don't have it yet. It takes average of 4-8weeks depending on what the 'nurse reviewer' needs again! You can't talk to anyone on phone (APRN unit) you have to leave voicemail or send email which takes 2-3days to get response....that's what makes it longer! Goodluck!

In my recent searches and actual offers in Texas....I don't think I came across 60k offer! There were offers for 80/90k for new grads and 6 figure salary for 1-2yrs experience in Dallas, Fort Worth, Austin, Houstin, Midland and so on. It is very typical for most (not all preceptors) to offer you jobs with low pay. Sometimes, it is better to expand your search and compare before you settle for that first offer (esp if it's quite low).The business aspect of our profession has to do with understanding negotiation. Carolyn Buppet is a good author.....you may want to check her books out. If you settle for 60k, don't be surprised that your colleague (hired same day as you) will be earning 90k....Honestly, 60k would have probably sounded ok 3yrs ago before affordable care act!.....not anymore.......we are REALLY valuable and we should be adequately compensated. Even if all you do daily is annual wellness exam on 8 patients @ average of $80 reimbursement (average)....you will pull in $640/day.....in 52weeks, you will bring in $166k to that clinic......you get 60k, maybe 40k goes into overhead (that's even too much but let's just leave it there).......your employer walks away with $60k!...Too much!!!!! You should still be entitled to at least 20k of that left over 60k. Goodluck!

Yes...emoloyers know what they are doing really! While I fought for pay adjustment with my employer + review of benefits, I discovered a coworker is given $250 CME allowance while I get X10 of that amount.....maybe he didnt negotiate. ..who knows....so step up & take 'being a new grad' out of the equation too

Counter the offer with a higher amount and request for benefits.....if the figure is still too low (depending on your area), give yourself more time & keep searching. Regardless of area, I would say NPs should'nt take less than $73k annual salary+ benefits (that's in a worst case scenario). Things have improved a lot especially with the affordable healthcare act. Latest news on CMS is also in favor of a new Medicare payment system which is favorable. Goodluck

I do hope things are getting better after your initial post. It is very normal to get nervous as a new grad but please, don't overwhelm yourself. Out of all the resources you have, just stick to 2/3 of them. You may find the 5min clinical consult to be your best friend for acute problems, then use the national guideline clearing house website as a back up for recommended practice guidelines. I go directly to 'recommendation' to get what I need quickly. Then...medscape/epocrates for dosing guideline. As you see each patient with successful outcomes, you will use that as a tool for a similar patient next time. Also, don't be afraid to take a little extra time to find your answers.......even after assessing the patient, if you feel your initial plan before coming in to the room won't work, excuse yourself from the room and go make further research! It will get easier with time. Make sure you are making progress weekly. Goodluck!

I guess that's been our 'fight' that they are not any better than us......I dont think I will give in to the fact that she is 'better equipped/prepared' than us. There are many horrible providers across the board

I don't know much about california, however, $50/hr doesn't sound too bad......but consider/ask how many patients are you expected to see per day? You don't want to be burnt out seeing 30patients/day for $50/hr. Clarify the numbers! You haven't signed any contract, so I don't think anything is binding yet....you have room to request for other things.....I believe. CEU: $1500-2500 vacation:2-3 weeks CEU/conference attendance :5days ...and other benefits.

I would say your letter may just be very brief without stating the reason in it. However, prepare to discuss the reason with your supervisor/HR verbally- also very professionally, while you make sure to state that you also like the job & you are grateful for the opportunity. I am sure there will be an offer

Like you said, she is a new MD grad.....still a lot to learn in clinical practice. MD title does not make her any better than a new grad NP. You can call your patients and have them make sooner appointments without mentioning to them that the MD did something wrong/not recommended......just for the sake of professionalism.

It is possible to get done on time especially if your EMR has built in templates for most things. I have really never stayed an hour behind for charting except for my first month on the job....8-5.....and Im done!..and yes. ...notes completed! Medications sent right before patients leave the room as well. To the main topic of the thread: you need to have the desire to move on to the provider role.... then everything else becomes secondary for the period you are working on the degree. Started MSN few months after childbirth and we toughed it together through sleepless nights and nanny disappointments....today, He is my MSN baby! :)

Thanks all for your input....I am actually moving on from this practice. The pay structure became less attractive to me by the day. Really love all the employees & my boss but ......got to go!Leaving on very good terms....new job with very strong base salary+productivity bonus and many lovely benefits!.... Lesson for anyone who comes across this topic here: dont agree to being paid per patient.....it sucks life out of you. while you continue to 'chase numbers' to make decent salary, your employer is relaxing with tripple revenue flowing in. God bless!

Start by applying for TX RN license, except you live in one of the compact state. Then, begin working on th NP license.....TX takes a little while. Sit for your boards and apply for TX license, having to transfer will cost more. Post your resume on indeed, simply hired, e.t.c.....recruiters will contact you!..Just make sure you 'sell' yourself on that resume!...Look for less patient load, decent base salary + productivity bonus+benefits ( trust me, I've learned that the hard way). Breathe, stay positive....you will get a job!

Sounds great to me! Make your clinic more accessible, same day appointment, walk-ins.....even offer 'discounts' for cash paying patients. DOT physicals are not insurance reimbursed, most clinics charge $150.... charge $140/$145 for yours and offer coupon for referrals. Healthcare is becoming interesting and anything works! Sports physical? You can decide to bill insurance or just charge small fee out of pocket- there are some parents who don't want to wait for long appointments with the pediatrician. Tap into opportunities and never get discouraged!

Yes I do, Like I said, offices differ. 14 is a darn good number!!!..I personally see more than that (25-30/day for productivity reasons)...private practice: the more you see, the higher your earning potential. I made 6 figures this past year.I interviewed some friends in the same city, no one else made close to what I made. With Base salary in the 80s and quarterly bonuses, I think its a fair deal too.....too much hard work burn you out.

Low salary range for those parts of Florida. Expect offers in the 70s (for 0-1yr exp). With 2 yrs experience, you may get better shot (80s). However, don't underestimate what you can get....your case may be an exception if employer decides a different method of payment- productivity/ profit sharing/ bonuses. Private practices want to see high productivity+efficiency. Whatever job you end up interviewing for, make sure you negotiate very well. No controlled substance in FL, yes!.....it's yuck!:***:. Goodluck

Yea...$16/patient....there is a very low base salary $2850 biweekly....if total number of patient for 2weeks falls below $2850, I will be paid $2850. If it's higher, I earn the higher pay...hence, I need to work my butts off to make above $2850/2 weeks!!! yes PE are billed as you said....I hardly do PE without attending to other chronic/acute problems!!..just the way the practice is.

Thanks BostonFNP.....truly...I consider the $16 low.....how does the RVU system work?Ive seen some posts on it but I don't understand it. Does it mean you have a base salary and still get set $$$ for RVU per pay period/month? If if things don't change for me at this practice, at least I have idea of what to put across the table for the next practice....I know I won't agree to see 30patients on a Fixed salary Anyone with brief explanation on productivity pay and RVU should PLS enlighten me. I feel I'm making too much money for this practice without being adequately compensated... PS: I have some other skills:minor suturing, joint/trigger injection, cryotherapy, foreign object removal from nose, ears....and so on.....

Been at the job for about 2yrs. Offered this pay because I'm considered fast & efficient...Co-see patients with the doc...in essence, patients can be seen by either myself or Doc. Facility bills 'incident-to'...so 100%. The Doc sees less patients than I do. By 99215...I'm mostly referring to annual physicals. My question for this forum is: is it really worth continuing on this path or opting for base salary +productivity bonus?..I find myself working REALLY/ TOO hard to make an annual salary of maybe 95k (no 401k, no health insurance, no extra bonus) ...whereas, I could choose a path of 20patients/less with base salary+productivity.....anything more than 20patients to be an additional compensation. Yes the pay is somewhat attractive...but quality of life?....appreciation bonus? (If there's anything like that) ...and yes! My 99214s are almost half of daily patient load....scheduling is crazy at this practice...double, tripple booking just to meet up the numbers...so I may see 2 99214s and 3 99213s within an hour! Some days, I have 39 patients scheduled upfront and as they cancel, urgent visits/ follow ups are added.....

Employer came up with a raw figure of $16/patient payment. It is supposed to 'encourage' me improve my numbers. States it's from the 'medicare pay per productivity formula'.....Average daily patient load is 25...there are many days with 30-35patients! (average of 10. 99214, 5 99215 & the rest are 99213 with maybe 2/3 new patients).The only other compensation is CEU 'up to 2k'. I am made to understand that I'm earning a lot......I believe the benefit is more for the employer while the employee works too hard to meet up with the desired pay (Family practice in south FL.)Anyone knows if this is a fair deal? Too much hard work I think! Anyone knows what's the best way out?