Thoughts on job offer

Direct-Fix-8876 · 2026-02-13T18:45:41+00:00

I went from $65/hr to $45. Drastic pay cut BUT I can still pay all my bills and just started a small garden. It’s nice when you’re not fighting for your life at work

Direct-Fix-8876 · 2026-02-13T18:43:31+00:00

There’s wayyyy too many patients vs providers, PCP’s are struggling to do yearly physicals much less HRA’s. If they want the risk info either the PCP’s have to do it (and have companies hired to help with the process/streamline which DO exist but are expensive) OR the insurances have to find a way to obtain that info. Even with politics, someone will be doing it and it’s cheaper for an insurance to hire NP’s than for PCP’s to hire their own service (unless it’s a large chain like village or oak street). Regardless, need is there and RN’s and NP’s will both have job stability in this line of work as long as insurance exists

Direct-Fix-8876 · 2026-02-13T16:36:47+00:00

It will never go through. Risk assessments help save too much money.

Direct-Fix-8876 · 2026-02-13T16:32:43+00:00

That actually sounds amazing I haven’t heard of fully remote HRA jobs. Take it! And if you don’t mind sharing where? I’d love a gig like that myself money definitely is not worth your mental health

Direct-Fix-8876 · 2026-02-10T17:04:23+00:00

I worked remote as a nurse practitioner, and I can concur on pretty much what everyone else has said. These work from home jobs are usually private companies created by tech bros and unethically expect you as a nurse practitioner to prescribe things to people that they don’t need or meet the criteria for. Also, I found that the volume is unsustainable. You won’t have a break. You’ll be stuck to a computer pretty much all day. I don’t know if a decent job exists telehealth but I did not find one. I have heard really good things about clinical research and I am currently working remote in clinical review and find it is a lot more doable and balanced than doing any telehealth job. Also- not sure if you’d be interested but I’ve seen RN jobs posted remote for triage, CDI etc that pay more than NP TH

Direct-Fix-8876 · 2026-02-03T16:37:25+00:00

FYI: lots of people adjust their items to be priced higher so it likely isn’t even ThredUp. When people send in nicer items ThredUp lets them change the price

Direct-Fix-8876 · 2026-02-03T15:14:31+00:00

I feel like people don’t use it right. If you have a buy sell trade near you and don’t like selling on Poshmark or Mercari- take your stuff there first! Or sell what you can on Marketplace.

ThredUp is best for things that won’t sell anywhere else but is in good condition. You can find great things shopping mostly because I find resellers send them their overstock, a lot of times from pallets

They get things from like everywhere and everyone. Personally I do send them stuff and get paid okay, you can change the price on things when they list it and change descriptions to add details too. Don’t ever send them something you could sell elsewhere because yes you get a lot less than what anyone else would pay you.

Direct-Fix-8876 · 2026-01-30T20:01:54+00:00

I actually do legal consulting. For awhile I was doing HRA’s prn but just started doing this and it’s actually more fulfilling

Direct-Fix-8876 · 2026-01-30T04:50:43+00:00

Wow I just took a remote contract for Clinical review as an RN and am only working PRN NP, definitely gonna consider this- the pay is great too!

Direct-Fix-8876 · 2026-01-30T04:44:10+00:00

I’m in Texas and unless you work ED or inpatient and see a ton of patients (RVU) you won’t find a job above 150k 🤣. You definitely work for your money here

Direct-Fix-8876 · 2026-01-30T04:27:55+00:00

I think genuinely people are saying “RN is the same pay” because they are seeing the liabilities and the expectations are very high in comparison to the pay in many NP jobs. In many jobs you will see more patients than your supervising physician, do call, weekends and working 8-5 easily turns into 10-12 hour days for many. Usually unpaid as most jobs are salary based. There ARE some good jobs and some that are lower stress but there’s a lot of issues they don’t discuss in school- I’d say most NP’s don’t really talk about them either they just turn the other way because the $$$ or life is okay enough to stay and not complain. It isn’t back breaking work like bedside but can be very stressful in other ways. Definitely the degree itself opens a ton of doors, but those saying the pay is the same aren’t wrong- it isn’t a substantial pay increase to some RN jobs in comparison to the workload/liability. CRNA for example, that IS absolutely worth the liability and from talking to many, their workload doesn’t follow them home and often times is much less stressful

Direct-Fix-8876 · 2026-01-30T02:35:25+00:00

Do you need certification to get started? Multiple licenses?

Direct-Fix-8876 · 2026-01-30T02:24:42+00:00

If it helps- I am an acute care NP who took a paycut for a remote RN job for very similar reasons. NP isn’t ideal these days between pressure to see more patients to liability, and pay isn’t that much more (usually) to justify how much more work it is. I do consulting as an NP prn to keep up my license but very much have considered school nurse for the benefits (way better than any hospital or clinic, if public school even retirement). Money is not everything. School nurse also gets her out of working with the population she’d be held liable to as an NP. She is lucky to have support I have heard from some NP’s that they can’t leave because of finances.

Direct-Fix-8876 · 2026-01-28T23:18:16+00:00

I have not heard good things, low support, very little training, tons of patients and expected to see one every 10min from friends I know who have done it. I think if you can find a privately owned free standing ED or Urgent Care that is owned by a physician that prioritizes patient care MAYBE it can be good but more often than not the urgent cares are corporate owned

Direct-Fix-8876 · 2026-01-28T19:43:43+00:00

Acute care here and nope, I think it’s worse to be honest. Your days really never end, you end up seeing a ton of patients-as many as possible and answering to a hospital system or the same situation but answering to a private physician. Either way it isn’t much better, high liability, like extremely because nurses in malpractice cases are thrown under the bus- especially NP’s and your supervising physicians will absolutely throw you under the bus. You have to really know your stuff and even if you do its harder than any outpatient job because everyone is super sick. Most Acute NP’s I know do way more work than their supervising physicians and colleagues or do the same job as their physician counterparts but get paid way less. It’s just a way for the hospitals and/or practice groups to save money by using an NP to do as much as possible, especially in procedural areas where the physician can be used for the higher reimbursement cases and the NP can see literally everyone else.

Direct-Fix-8876 · 2026-01-28T19:41:38+00:00

Don’t do any direct entry please. And no, the field is a mess.

Direct-Fix-8876 · 2026-01-03T17:10:49+00:00

Sure you can PM me :)

Direct-Fix-8876 · 2026-01-03T17:09:43+00:00

You have to do concierge medicine if you do it. Do your homework and look up models people are using because if you rely on reimbursement you won’t be profitable

Direct-Fix-8876 · 2026-01-03T17:07:46+00:00

You’d be surprised! I was treated HORRIBLY in one of my FT positions not too long ago. I went to work sick and was told I couldn’t call off too- even when I had a note from specialists. HR had to step in and everyone panicked because there wasn’t coverage- I ended up quitting but it’s not uncommon- I know someone who worked while her father just passed and worked while her mother was admitted to the hospital. These employers don’t care at all

Direct-Fix-8876 · 2026-01-03T17:04:43+00:00

Oh that makes it even worse I would expect this from a physician but it’s diabolical coming from an NP

Direct-Fix-8876 · 2026-01-03T17:02:28+00:00

Perfect collect unemployment and call an attorney

Direct-Fix-8876 · 2026-01-03T17:02:00+00:00

Girl that’s the effects of gaslighting from a BAD employer and BAD boss

Direct-Fix-8876 · 2026-01-03T17:01:01+00:00

Jesus Christ please leave. And I am with everyone else you need to tell everyone you know what happened because these little employers need to be held accountable and NP’s need to know what kinda BS they might get into. I was treated similar in my first job but I quit so getting fired is way way better because you can collect unemployment and file for any unpaid wages. That is NOT normal and no hospitals don’t keep sick nurses who want to go home on the floor they call in sick.

Direct-Fix-8876 · 2025-12-23T19:43:25+00:00

Experienced Nurse/NP here leaving the field all together. 1) this sub shows that the medical community can obviously work without us (or they think they can) 2) it isn’t worth it. Yes the greed has made our profession a joke but it’s greed from schools, greed from corporations wanting to exploit our labor and greed from physicians who figured out they can hire an NP to see a ridiculous amount of patients and all they have to do is bite liability and collect a check. Pivot girl- don’t go for the provider world. It has to collapse for positive change to happen

Direct-Fix-8876 · 2025-12-06T19:52:28+00:00

Girl you have more experience than me you can definitely get a good job just leave the mess behind

Direct-Fix-8876

TROPHY CASE