Wow. Nurse manager position at 226k/yr

[ventana]

https://www.indeed.com/m/viewjob?jk=53232f9dbe07faa5&advn=3764587371272879&adid=386445713&ad=-6NYlbfkN0ABJ9HH5wM6dqPqxt16p2Wg4f736QQirCeYrch3n1bJ0Sk--0RGUUVn7uAfN35IQOs4aGiEUN6FTLdWOfY7GnXPrcF-S5n4WDBOtBJjltzKRrCcC0pwqY8Tnwhh0AfGl8vp7MOaS4wLeo0IH5q939zyyDZStzuar4A8qlnTfa9_DUrzhYBIq5IAMsyBNQT_0Z1YXh8qSrVGMsNnWVV61KFreck2B5-41Jrl2KiJuOHleVec2GcfII1Fn-Xwqfx_CmRYyleJRbGIXSH6PJeei5OSpExDWj8yIltjTc6_gihp3hX6BcBKPFopmdJiryPVAYH6rio9sRRUAeWIdVtUuhy1nfi4MoCUPDnSMnc2yS6lvW3xQJjg4Bo1KPAXjBfqlt8w2usEgeKWkweXnM1ZCbdBf_-LGV6aN2E%3D&from=serp%2CiaBackPress&dest=http%3A%2F%2Fwww.indeed.com%2Fjob%2Fobstetrics-clinical-care-manager-dayspittsfield-ma-4358wk-urgent-53232f9dbe07faa5&desth=fcf75c8669080cc6f981436fd0e12b06&prevUrl=https%3A%2F%2Fwww.indeed.com%2Fm%2Fjobs%3Fq%3D%24100%2C000%26l%3DPittsfield%2C%20MA%26radius%3D25%26from%3DsearchOnSerp%26sameL%3D1&tk=1fv6uva5ljp32800&dupclk=1&acatk=1fv6uvkscs7fj800&pub=6917c08ec3ecf6012dd26f3773156e870cace3277f6b99df
 

 

healthcare is messed up. 
I bring in 350-400k per year and make just over 50% of what this nurse manager will earn as a manager.  

[mgriffiths]

This is a travel position...and is the world of travel nursing.  It is insane right now.

[rtPA20]

If you don't mind me asking, how is it that you have such a high salary? Is that supplemented by secondary job? I'm going into psychiatry and I don't think I would even touch that amount - not that money is everything, but that much money is the equivalent of an intensivist attending physician on the lower end. 

[iconic]

2 hours ago, rtPA20 said:

If you don't mind me asking, how is it that you have such a high salary? Is that supplemented by secondary job? I'm going into psychiatry and I don't think I would even touch that amount - not that money is everything, but that much money is the equivalent of an intensivist attending physician on the lower end. 

I think the OP meant that they make practice 400k but bring just over 50% of posted salary. On an unrelated note, NPs in Psych can make 200k which is a lot more than PAs in Psych make. This is due to supervision laws, insurance imparity, etc. We need to get our heads out of the sand..

[Hope2PA]

4 hours ago, iconic said:This is due to supervision laws, insurance imparity, etc. We need to get our heads out of the sand..

I work with a satellite hospital clinic, 1 physician one recently hired, very experienced PA. I had been very impressed with this physician pushing for  PA over the hospital choice of NP. He originally said, which I believe to be true, he wanted the person he knew could do the job based on education and knowledge. Then he added, plus I get a piece of their pie (the PAs salary) because they require supervision, which would t be true for NP(in this FPA state). Made my blood boil! 
Don’t  get the idea this is a good thing for PA jobs. It worked for this PA, but the  hospital hires NP more 10-1 over PA, seldom will consider PA for any position including surgery. They use surg techs or RNFA with NP for pre and post op follow up and screening. 

[kettle]

Yea it's high pay, but I'd rather make 25% of that and not be a middle manager. Some jobs pay a lot for expertise/education, some pay a lot because no one wants to do them.

[mgriffiths]

1 hour ago, kettle said:

Yea it's high pay, but I'd rather make 25% of that and not be a middle manager. Some jobs pay a lot for expertise/education, some pay a lot because no one wants to do them.

You can't be serious.  Adding $100k to my annual income would decrease my stress outside of work so much...and would speed up my retirement plans by a few decades.  I work in medicine...I'm good at compartmentalizing.  Work sucks?  Ok...I have the money to not have to be concerned about finances.

[rev ronin]

5 hours ago, kettle said:

Yea it's high pay, but I'd rather make 25% of that and not be a middle manager. Some jobs pay a lot for expertise/education, some pay a lot because no one wants to do them.

This cannot be overstated. While I appreciate mgriffiths' contrary perspective, I am happy making what I'm making knowing that I have a very, very low chance of missing anything important or hurting anyone, and a very high sense of purpose and contribution to my patients' well-being. I sleep well at night, knowing that there's no chance I'm talking anyone into anything for my company's financial benefit: I make more money talking to people and doing paperwork than any of my procedures. The fact that I have income potential north of $200k/year doesn't mean I remotely want to go there; I'd rather keep it scaled back and connect with my patients individually.  Of course, the fact that I worked in tech, married a wonderfully frugal wife, and am allergic to debt has also served me well to get me to the point where I can make those choices.

[EMEDPA]

14 hours ago, mgriffiths said:

You can't be serious.  Adding $100k to my annual income would decrease my stress outside of work so much...and would speed up my retirement plans by a few decades.  I work in medicine...I'm good at compartmentalizing.  Work sucks?  Ok...I have the money to not have to be concerned about finances.

I think I was happier working less and making less money. I am not happier at 250k than I was at 150k. I am trying to get that work/life balance thing under control. Yes, money is nice, but free time to spend as you choose with the people you want is better. I mostly pick up shifts to help folks out or help staff the dept for sick calls, etc without thinking about the money. I don't need to make a top 5% PA salary to survive. Medicine is 90% + of my life. Yes, it makes me experienced, but it also means having downtime is almost nonexistent. 

[TheFatMan]

kind of apples to oranges imo

[mgriffiths]

6 hours ago, EMEDPA said:

I think I was happier working less and making less money. I am not happier at 250k than I was at 150k. I am trying to get that work/life balance thing under control. Yes, money is nice, but free time to spend as you choose with the people you want is better.

Oh this is definitely true.  I'm not looking to sacrifice all day, every day to make a higher salary.  But if the switch is a one-to-one on the hours...I'm ok with more stress to make essentially double my income.

I turned down a job offer recently that would have been a 15% pay raise...for working at minimum 50% more hours.  Right now I work anywhere 30-40 hours per week...usually closer to 30.  The new job would have been minimum 45...probably closer to 55 if truly realistic.  That's not worth it, so I politely declined.  I explained it and I still don't think they understand.

I'm not blindly looking for a higher paying job.  It's a balance between income and lifestyle.  Right now, outside of systemic issues within healthcare and how my employer has treated me recently, my gig isn't terrible.  But, it is frustrating to see everyone (and I do mean EVERYONE) have their income increase over the last two years and my salary is decreasing come 4/1.  They're basically dropping our base salaries to put more emphasis on productivity bonuses.  Overall I'll make the same...but I HATE the stress of having more and more emphasis placed on productivity bonuses and an ever increasing focus on nebulous "quality measures" that the quality department can't even explain how to achieve...oh and let's not forget press ganey's.  To add to it they recently offered retention bonuses.  Office managers received $15,000, while providers were offered $1,500.  Even MAs and front desk workers were offered $5,000.  It's just a complete slap in the face... but I'll stop before I lose control and ruin the rest of my evening.

[EMEDPA]

I like all 4 of my clinical jobs and my teaching job. Problem is, that works out to 272 hrs next month. 

[Cideous]

Time is the only thing of true value.  Everything else is negotiable.

[SedRate]

On 3/30/2022 at 8:31 PM, mgriffiths said:

You can't be serious.  Adding $100k to my annual income would decrease my stress outside of work so much...and would speed up my retirement plans by a few decades.  I work in medicine...I'm good at compartmentalizing.  Work sucks?  Ok...I have the money to not have to be concerned about finances.

Mo money, mo problems

[turnedintoamartian]

On 3/31/2022 at 8:09 PM, mgriffiths said:

Oh this is definitely true.  I'm not looking to sacrifice all day, every day to make a higher salary.  But if the switch is a one-to-one on the hours...I'm ok with more stress to make essentially double my income.

I turned down a job offer recently that would have been a 15% pay raise...for working at minimum 50% more hours.  Right now I work anywhere 30-40 hours per week...usually closer to 30.  The new job would have been minimum 45...probably closer to 55 if truly realistic.  That's not worth it, so I politely declined.  I explained it and I still don't think they understand.

I'm not blindly looking for a higher paying job.  It's a balance between income and lifestyle.  Right now, outside of systemic issues within healthcare and how my employer has treated me recently, my gig isn't terrible.  But, it is frustrating to see everyone (and I do mean EVERYONE) have their income increase over the last two years and my salary is decreasing come 4/1.  They're basically dropping our base salaries to put more emphasis on productivity bonuses.  Overall I'll make the same...but I HATE the stress of having more and more emphasis placed on productivity bonuses and an ever increasing focus on nebulous "quality measures" that the quality department can't even explain how to achieve...oh and let's not forget press ganey's.  To add to it they recently offered retention bonuses.  Office managers received $15,000, while providers were offered $1,500.  Even MAs and front desk workers were offered $5,000.  It's just a complete slap in the face... but I'll stop before I lose control and ruin the rest of my evening.

I’m gonna jump in here but specifically just in relation to clinician pay. Our organization (largest non-profit hospital chain in the country) has been saying for 1 year they want to increase compensation for primary care clinicians.

After 1 year of debating how they gave us a one time 2.5% bump to base pay. We are compensated via a base rate and then RVU production bonus. Base increases are very rare and it’s universally known if you want more money you see more patients. The 2.5% increase is welcomed but a complete joke considering their stated goal. They have also stated they want to move beyond productivity based pay but their first step in that direction is to give us straight pay…based on the previous year’s production.