Self-Employment

I am looking for any nurses who are self-employed providing services to the elderly. I am especially interested in sharing effective business/marketing strategies with this population.

I have been an independent nurse for about 2 years, I just joined NAIN about 2 months ago, they offer ideals and support. I am a MDS Nurse and I go from nursing home to nursing home either as an Interim MDS Nurse or just to relieve someone on vacation or maternity leave or for what ever reason. I really like being independent, that was I can take as much time off as I want to. :balloons:

I'm just wondering if the money is just as good when your self employed. I have often thought about doing that. I worked for a month with a company called para-med. They provide home nursing.

A family wanted me to sit in a room with there 80 some year old mom and watch her sleep.. in the dark... for 12 hours lol. Sorry I had to share that. :rotfl:

I sent a letter to all the nursing homes within a 75 mile radius of where I live, saying what I specialized in and that I would like to work on a as needed bases. As they contacted me I made appointments with them and quoted a salary to them, if they accepted than I worte up a contract and we both signed it. Now each of thoses facilities call me and if I am available that I go to work for them. Each time a new job is started I sign a new contract saying what my rate of pay is and the length of time I will work. I set my salary sort of high. I try to figure how much their nurses would get paid if they didn't take the benifits plus $8.00 an hour for any extra expence that I may occur.If I don't add on the $8.00/hour and I have to stay out of town they they pay me so must a day expence for motel and etc. Hope this helps.

I am looking at doing this too; promoting myself directly with the facility. Have any of you had a problem in receiving your payment via invoice. I have heard, though I am not sure I beleive it to be factual, that facilities, particularly Nursing Homes pay past the customary 30 days. My business consultant recommends a discount offering if the submitted bill is paid within 30 days.

I want to start an elder nail care business. Any suggestions? I don't want anyone to think I am practicing medicine I am not of course. I am an RN with lots of experience in home care and Long term care. I know that this service is really needed in our community. I also know that nail clinics are connected to other health care entities, like podiatrist. Please any advice or help would be appreciated. tinkle

I'm responding to your message on self employment and it sounds just like what I am working towards. I have been an RN for 7 years with cardiac care and some ICU experience. I am in the beginning phase of forming my agency incorporation. My next stage is drafting my first contract with local hospitals. Would you mind reposting your contract on the forum, I have not seen it? Could you also give me advice on how you approach hospitals and other facillities before contracting with them. Do you call them up first, who do you ask to speak with, or do you just present yourself to HR? I'm a little nervous about this. My other question is this, I plan on expanding the business to neighboring states, would I be required to hold another business licence in those states? Thank you in advance.

moto:

Keep in mind, most of this post is quite old. The Thread started in 1999.

What has become popular is subcontracting your service through an Agency / Vendor who has existing contracts through the facilites and postiitions you are interested in. You are then paid on a 1099. There are several.

Unless you are working for a federal facility in a different state then your home licensed state, you will need a license for each state. Exceptions to this rule are with a home state in a Compact State with other participating Compact States.

Please do take the time to read through the Enptrepreneural Forums with many questions answered that you may want to know about. In particular, the Thread on Business Planning may be of help to you.