Current job market

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Coffee PRN said:
1099, $400/hr.
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Ha! Makes sense.

That’s why I harken back to no idiot should take a w2 job 5 days a week for 42-44 weeks out of the year and that job likely pays 500k no calls no weekend.

50 hr x 400/hr x 46 weeks =920k
60 hr x 400/hr x 46 weeks equals 1.1 million.

Those daytime jobs are trash at 500k w2 5 days a week these days with 8-10 weeks off

Maybe 6-7 years ago. It was desirable.

But people want time off (20 weeks/500k/40 hr) or want to get paid big money like you make to work 5 days a week.
 
southie said:
Any insight on Sacramento?
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My buddy high tail out of sacromento in 2022 and that’s his hometown. Crappy job. Trauma he was doing. Working 50-65 a week.

Gave up 20% of the billing. Partners make between 600-800k. But he only made 450k since he was new.

Roseville out, it had OB and level 2 trauma. Sacramento had cardiac and OB

The other was Sutter Medical Center Sacramento

Sutter Medical Center Roseville

Homeboy chillin in Florida now with me 15 min from my house. He’s much happier. His wife is much happier. And so are his 3 kids.
 
NightyNight said:
Meaning like the new grad will quit in a 1 year or so? I’ve heard that a small yet significant portion of youngins are resigning in Chicago area megacorp jobs like Advocate. Thus the cycle of locums continues.
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Why at these places in Chicago? Bad pay or too much supervision/direction with incompetent staff
 
aneftp said:
Wow. More power to u. As long as it’s 1099. That’s fine. W2 is no good with the 7-5/7-7p schedule.

I can’t do that anymore. (The 5 days a week in a row 10/12 hrs a day) w2 wise. Must be hourly.

I like my time off as well.

I’m off 7 weeks in summer alone
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Same for me. My coworkers clear 1m easily. But I only do 7-5 for 4 days, 10weeks off
 
aneftp said:
My buddy high tail out of sacromento in 2022 and that’s his hometown. Crappy job. Trauma he was doing. Working 50-65 a week.

Gave up 20% of the billing. Partners make between 600-800k. But he only made 450k since he was new.

Roseville out, it had OB and level 2 trauma. Sacramento had cardiac and OB

The other was Sutter Medical Center Sacramento

Sutter Medical Center Roseville

Homeboy chillin in Florida now with me 15 min from my house. He’s much happier. His wife is much happier. And so are his 3 kids.
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What was the name of the group?
 
DazedWanderer said:
$4000 for a crazy busy 24hr OB call is highway robbery.
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Suckers born everyday who will take it. Remember many docs and even crnas don’t check message boards. Many think it’s still 2016 in terms of work/pay. People don’t understand market conditions.

But these companies/hospitals also depend on complacent providers who either don’t want to drive more than 30 minutes or too lazy to look elsewhere.
 
I get $8400 per 24hr/OB shift in house and on my last shift did a single epidural, no OR cases. Granted that was a light day but even a heavy day would be ~ 3 c sections and 3 epidurals. $4000 for crazy busy volume is getting majorly ripped off. That's like $166/hr for in house call. There are RNs that can make that. Who signs up for these jobs?
 
pirate_doc said:
I get $8400 per 24hr/OB shift in house and on my last shift did a single epidural, no OR cases. Granted that was a light day but even a heavy day would be ~ 3 c sections and 3 epidurals. $4000 for crazy busy volume is getting majorly ripped off. That's like $166/hr for in house call. There are RNs that can make that. Who signs up for these jobs?
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City jobs. Established predatory groups.
 
pirate_doc said:
I get $8400 per 24hr/OB shift in house and on my last shift did a single epidural, no OR cases. Granted that was a light day but even a heavy day would be ~ 3 c sections and 3 epidurals. $4000 for crazy busy volume is getting majorly ripped off. That's like $166/hr for in house call. There are RNs that can make that. Who signs up for these jobs?
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My place 24ob > 10k. Busy place though.
 
Another 2 weeks of pay locums pay. This was newer grad who sees the light.

Beeper call. Easy cash. Continuous billing. Bill like divorce lawyers who bill you while on the toilet at their own home $350-hr. That’s why I tell people. The hourly rate doesn’t matter to me as much as how many continuous hours I can bill. I’d take $350/hr continuous vs $450/hr non continuous. Plus the work is easy. You aren’t getting up in the middle of the night.

50k a week is becoming the new standard for locums work bros.

Don’t settle.

This wasn’t even in Florida. You can find it closer to where you live if you look hard enough

This is the current job market.
 

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I’d imagine these are the hospitals in jeopardy if the new bill to cut funding to Medicare goes through
 
amyl said:
I’d imagine these are the hospitals in jeopardy if the new bill to cut funding to Medicare goes through
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We have way too many Hospitals rural and urban

It’s ridiculous I have 4 full service in patient hospital within 15-20 of where I live. Hearts crani etc

These rural hospitals need to close down ob services. Yes it sucks to send a woman 45 min away to nearby town. But most rural places are within 45 min of the nearest fuller service hospital

Question. are they getting rid of crna Medicare pass through as well?? Aana lobbied hard to keep it. Becuase you know. Crna are cheaper than md. Wink wink
 
aneftp said:
We have way too many Hospitals rural and urban

It’s ridiculous I have 4 full service in patient hospital within 15-20 of where I live. Hearts crani etc

These rural hospitals need to close down ob services. Yes it sucks to send a woman 45 min away to nearby town. But most rural places are within 45 min of the nearest fuller service hospital

Question. are they getting rid of crna Medicare pass through as well?? Aana lobbied hard to keep it. Becuase you know. Crna are cheaper than md. Wink wink
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seriously...they want their cake and eat it too. they claim to save money but still want the money.
 
aneftp said:
We have way too many Hospitals rural and urban

It’s ridiculous I have 4 full service in patient hospital within 15-20 of where I live. Hearts crani etc

These rural hospitals need to close down ob services. Yes it sucks to send a woman 45 min away to nearby town. But most rural places are within 45 min of the nearest fuller service hospital

Question. are they getting rid of crna Medicare pass through as well?? Aana lobbied hard to keep it. Becuase you know. Crna are cheaper than md. Wink wink
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The mentally dull cannot fathom you have to pay both at near equivalent rates in today's market. Savings from all CRNA practice is offset by malpractice payouts.
 
TheLoneWolf said:
The mentally dull cannot fathom you have to pay both at near equivalent rates in today's market. Savings from all CRNA practice is offset by malpractice payouts.
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Aana no long promotes crna cost savings. Just independent practice.

Which shows you crna offer close to zero cost savings.

Independent crna $300/325/hr at rural hospital plus Medicare pass through. Continuous billing

Asa. Where are you?? You can argue the Crna in fact is more expensive than the doc with Medicare pass through
 
aneftp said:
Aana no long promotes crna cost savings. Just independent practice.

Which shows you crna offer close to zero cost savings.

Independent crna $300/325/hr at rural hospital plus Medicare pass through. Continuous billing

Asa. Where are you?? You can argue the Crna in fact is more expensive than the doc with Medicare pass through
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Don't get me started. Our locum CRNAs make more than any day doc in the city. Almost none agree to covering vascular, OB, or high volume rooms (GI). Also, I don't know how some casually make every 15 minute break a half hour and insist on a lunch when they had 45 minutes between cases.

Say what you want but CRNAs make their demands up front and clear.
 
aneftp said:
Another 2 weeks of pay locums pay. This was newer grad who sees the light.

Beeper call. Easy cash. Continuous billing. Bill like divorce lawyers who bill you while on the toilet at their own home $350-hr. That’s why I tell people. The hourly rate doesn’t matter to me as much as how many continuous hours I can bill. I’d take $350/hr continuous vs $450/hr non continuous. Plus the work is easy. You aren’t getting up in the middle of the night.

50k a week is becoming the new standard for locums work bros.

Don’t settle.

This wasn’t even in Florida. You can find it closer to where you live if you look hard enough

This is the current job market.
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So this guy was on call every day for 2 weeks?
 
aneftp said:
m

you got it! But work load isn’t what you think.

Thad’s why working. 7-3 (5 days a week) w2 is no good.
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Agreed, if someone wants to take that route, just work per diem or locum. Potentially up to double the pay for the same hours
 
TheLoneWolf said:
Agreed, if someone wants to take that route, just work per diem or locum. Potentially up to double the pay for the same hours
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Yeah. Many ways to make money these days.

But the way to rack up the money is to sleep while billing full price from the hotel. That’s the best working money way

Obviously the best ways to make money is just to let ur investments grow and not even working. But it takes a while to get to that point.

Even my point who 30 plus year private group dissolved a couple of years ago in Los Angeles proper. Even in their best years and they work hard like 60/65 hrs MD ob and cardiac etc only made 65k

So the hospital took over and is punishing the former group members by letting them have 100k a month 1099. Lol

It’s so freaking hilarious. Fire the private group. And now pay them double and the former private group doesn’t have to deal with blended units/subsidies.

That’s why I tell the Iowa practice Des Moines. Let the admin figure it out. Take the easy cash.

These admin all attend the same business courses that are outdated. They were doing blockbuster video business practice and bleeding money Becuase they don’t know how to run a modern anesthesia surgery practice.
 
aneftp said:
Another 2 weeks of pay locums pay. This was newer grad who sees the light.

Beeper call. Easy cash. Continuous billing. Bill like divorce lawyers who bill you while on the toilet at their own home $350-hr. That’s why I tell people. The hourly rate doesn’t matter to me as much as how many continuous hours I can bill. I’d take $350/hr continuous vs $450/hr non continuous. Plus the work is easy. You aren’t getting up in the middle of the night.

50k a week is becoming the new standard for locums work bros.

Don’t settle.

This wasn’t even in Florida. You can find it closer to where you live if you look hard enough

This is the current job market.
Click to expand...
Man this is the way. I have people in my group picking up in house shifts on weekends for 300/hr. 12hr day July 5th for “new increased rate” $3600 lol
 
ERRES2288 said:
Man this is the way. I have people in my group picking up in house shifts on weekends for 300/hr. 12hr day July 5th for “new increased rate” $3600 lol
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Depends how easy the work is. $300/hr w2 with crna supervision is ok for extra cash.
1. You don’t have to drive far
2. You are at familiar place that you know.

Remember. You want to not kill yourself working. You want as less stress as possible.

$300/hr w2 solo for extra pay doing junk trauma /tertiary care Medicaid case. No. I’ll pass.
 
aneftp said:
Aana no long promotes crna cost savings. Just independent practice.

Which shows you crna offer close to zero cost savings.

Independent crna $300/325/hr at rural hospital plus Medicare pass through. Continuous billing

Asa. Where are you?? You can argue the Crna in fact is more expensive than the doc with Medicare pass through
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The crNas are now battling AAs. They’re unhappy because AAs are getting paid the same as them. Their salvo is “but they don’t have anywhere near the clinical or critical experience as we do…”. LMFAO🤣🤣🤣🤣. I’m glad their unhappy.
 
centdoc said:
The crNas are now battling AAs. They’re unhappy because AAs are getting paid the same as them. Their salvo is “but they don’t have anywhere near the clinical or critical experience as we do…”. LMFAO🤣🤣🤣🤣. I’m glad their unhappy.
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I do have tons of crnas friends. We hang out outside of work. I always tell them there is plenty of work for everyone. I troll them as well. Just like I troll you guys here. It’s all good. They hook me up with some places and I hook them up with work.

AAs are doing locums as well and bragging about it on TikTok and instagram.
 
abolt18 said:
One of our AAs was telling me he's got locums offers for $300/hr ~an hour away from our hospital.
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Love it. Keep it going up and up. Lots of money to pass around.

$270/hr was what this AA in central Florida made in the Midwest he told me. It completely pisses of the crna which i kinda of find funny. I’m telling them they can go and make the same money.
 
more power to you but I think it’s not half as easy as you make it out to be. You’ve had great success but it hasn’t panned out for most I know. I’ve responded to 20-30 locums positions in southeast. I know others who have replied to double digit postings as well. I’m full time w2 but tons time off if I want and will do locums if it’s a place I know people and want to go. I responded to those who have beeper or hotel call as you put it with the request of 300-350/hr just to hold beeper although they are only offering a $1000 or less to hold or something but 400+ if called back in. Not one hospital went with that and they found someone who took the $1000 plus call back only instead. I’ve done locums before with good recs and was told it was that someone else would take the lump sum beeper payment instead. Now none of these positions were in Florida, some were desirable mid size places but several were smaller less desirable.

Point being is these positions you speak of where you just get to sit in hotel at $300+ an hour are not that easy to find at least from my and my colleagues experiences.. Locums positions are easy to find though and ones that pay good for in house call (I’ve done some for 15k 24 hour weekend in house calll) -but this $300+/hr for holding beeper with low call back I can not find.

There are way too many hospitals and that is the problem. Seems like you’ve cornered the Florida market at least and have made magic happen. Just want to give some realistic feedback from someone who can’t find these magic places you speak of
 
Porky_Pork_Chop said:
Why at these places in Chicago? Bad pay or too much supervision/direction with incompetent staff
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The compensation number looks good. But when factoring in the number of calls, it’s not pretty anymore. Backup call is a big hidden then obvious factor once you get called in enough or are staying late. You might work til 8pm but then as one of the first to go, you leave 2pm the next day. Plus there’s a climb towards more rooms running until 530pm on a non call day.

The new generation rightfully so doesn’t want their time harvested into evening hours. Most people want to be done by 4pm. Most people only want one type of call max per week. They expect more docs to make that happen. Nobody wants to supervise 4 rooms everyday and then get a CRNA out at 3 or 5pm. The pay differential is not enough.
 
NightyNight said:
The compensation number looks good. But when factoring in the number of calls, it’s not pretty anymore. Backup call is a big hidden then obvious factor once you get called in enough or are staying late. You might work til 8pm but then as one of the first to go, you leave 2pm the next day. Plus there’s a climb towards more rooms running until 530pm on a non call day.

The new generation rightfully so doesn’t want their time harvested into evening hours. Most people want to be done by 4pm. Most people only want one type of call max per week. They expect more docs to make that happen. Nobody wants to supervise 4 rooms everyday and then get a CRNA out at 3 or 5pm. The pay differential is not enough.
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20-26 weeks off gets the w2 employees to sign on the dotted line plus limit their work hours.

Average 40-45 hours for 500k for those 20-26 weeks u work. It’s really only around 350-400/hr if u do the math for the time they are working.

One weekend every 5 weeks. If you are in Chicago. Too much federal and state income tax is exposed as w2. So i would not be interested in high w2 wages at the expense of time off.

It’s very simple math even at a trauma 2 hospital I’m covering w2. (I have tons of side gigs) so I know it’s gets confusing whether I’m talking about locums o w2. But I’ve have a w2 job in addition to lots of 1099 gigs.
 
Howard888 said:
more power to you but I think it’s not half as easy as you make it out to be. You’ve had great success but it hasn’t panned out for most I know. I’ve responded to 20-30 locums positions in southeast. I know others who have replied to double digit postings as well. I’m full time w2 but tons time off if I want and will do locums if it’s a place I know people and want to go. I responded to those who have beeper or hotel call as you put it with the request of 300-350/hr just to hold beeper although they are only offering a $1000 or less to hold or something but 400+ if called back in. Not one hospital went with that and they found someone who took the $1000 plus call back only instead. I’ve done locums before with good recs and was told it was that someone else would take the lump sum beeper payment instead. Now none of these positions were in Florida, some were desirable mid size places but several were smaller less desirable.

Point being is these positions you speak of where you just get to sit in hotel at $300+ an hour are not that easy to find at least from my and my colleagues experiences.. Locums positions are easy to find though and ones that pay good for in house call (I’ve done some for 15k 24 hour weekend in house calll) -but this $300+/hr for holding beeper with low call back I can not find.

There are way too many hospitals and that is the problem. Seems like you’ve cornered the Florida market at least and have made magic happen. Just want to give some realistic feedback from someone who can’t find these magic places you speak of
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Thank you for saying this, as my experience mirrors yours. I am all for negotiating best rates but I feel like some of this poster's info is exaggerated, or maybe very important details removed for shock value. I have worked on both sides of this game, and I am an excellent negotiator, but there is no way any site I have worked now or previous would pay me 350/hr for beeper call. Some sites in my local area would require negotiation for that rate during working hours!

If someone is actually getting this rate there is more to this story. Personal connection with the hospital COO, extreme unsavory conditions within the hospital, something. And it's not going to be a long term relationship. Because once someone else finds that spot and offers their services at $250 or some lower number why wouldn't they just dump the expensive guy?

My point is, to the young guys reading this, I wouldn't come in with an opening offer of 350/hr beeper and expect the conversation to continue much longer.
 
aneftp said:
20-26 weeks off gets the w2 employees to sign on the dotted line plus limit their work hours.

Average 40-45 hours for 500k for those 20-26 weeks u work. It’s really only around 350-400/hr if u do the math for the time they are working.

One weekend every 5 weeks. If you are in Chicago. Too much federal and state income tax is exposed as w2. So i would not be interested in high w2 wages at the expense of time off.

It’s very simple math even at a trauma 2 hospital I’m covering w2. (I have tons of side gigs) so I know it’s gets confusing whether I’m talking about locums o w2. But I’ve have a w2 job in addition to lots of 1099 gigs.
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Thus part time W2 and do 1099 when feel like it. Are you working 30 weeks a year for 500k W2? F!! That ain’t happening anytime soon in IL close to Chicago. 30 weeks is closer to half. Can blame the megacorp dominance bringing down the average a lot.
 
NightyNight said:
Thus part time W2 and do 1099 when feel like it. Are you working 30 weeks a year for 500k W2? F!! That ain’t happening anytime soon in IL close to Chicago. 30 weeks is closer to half. Can blame the megacorp dominance bringing down the average a lot.
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Only make 475k with 30 weeks off. So I’m working 22 weeks out of 52 weeks. Md only at night

518k with 20 weeks off (different hospital) so work 32 weeks. But that’s no ob with crna with u.

So many variations of these jobs. Becoming very popular.

It’s considered 1.0 fte
 
aneftp said:
Only make 475k with 30 weeks off. So I’m working 22 weeks out of 52 weeks. Md only at night

518k with 20 weeks off (different hospital) so work 32 weeks. But that’s no ob with crna with u.

So many variations of these jobs. Becoming very popular.

It’s considered 1.0 fte
Click to expand...
How much call in the 22 weeks? Like one week on. Then not.
 
Ihee
DolphinVA said:
Thank you for saying this, as my experience mirrors yours. I am all for negotiating best rates but I feel like some of this poster's info is exaggerated, or maybe very important details removed for shock value. I have worked on both sides of this game, and I am an excellent negotiator, but there is no way any site I have worked now or previous would pay me 350/hr for beeper call. Some sites in my local area would require negotiation for that rate during working hours!

If someone is actually getting this rate there is more to this story. Personal connection with the hospital COO, extreme unsavory conditions within the hospital, something. And it's not going to be a long term relationship. Because once someone else finds that spot and offers their services at $250 or some lower number why wouldn't they just dump the expensive guy?

My point is, to the young guys reading this, I wouldn't come in with an opening offer of 350/hr beeper and expect the conversation to continue much longer.
Click to expand...
You are correct. I don’t get $350/hr on beeper at some places

Some places pay me $333/hr beeper. Some pay $400/hr beeper. Some pay $375/hr beeper

But it averages to around $350/hr beeper.

No sugar coating it. I’ve posted numbers. It’s multiple hospitals.

Does it work at all hospitals? Of course not.
That’s why u keep digging. And it’s all about supply and demand and how desperate they get.

Me doing it for 3 and 4 years doing it seems pretty long term doing it. My other buddy doing it since 2018! Damn. That’s like a generation of doing it in locums life.
 
NightyNight said:
How much call in the 22 weeks? Like one week on. Then not.
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Nah. It’s one call every 2 days for 12 days.

You guys are working too hard. Doing 7 days in a row. Save that stuff for continuous locums billing 50k a week.

If u are w2. U want to work as little as possible

I was on “call” yesterday. Done at 430pm. Met up with my sacromento buddy who’s at another cushy w2 job with 16 weeks off and he didn’t even have to work 3 days in the week he’s suppose to work.

That why Sacramento is trash. He’s glad to be back in Florida

He works less than me. He rarely works past 3pm on call.

Is the hospital bleeding money? Sure. But it’s not our money.

As a w2. Your goal is to work as little as possible
 
Again no one else on this forum has seen these jobs. We’ve dug. Negotiated. Someone always takes the beeper call for $1000 or less plus callback. How many aren’t in Florida that you’re doing? Any? I can tell you I’ve talked to Georgia SC NC TN Virginia Kentucky, no one is paying that. They can find cheaper.

Again this board needs realistic expectations. I believe you have arranged this in Florida. When the certificate of need went away in FL they built way to many hospitals annd way way too many anscs and the amcs in Florida have driven many in our field out. I expect many of these ascs to eventually close or consolidate in future. Maybe hospitals too.

Desperation is the answer here as you said. I’m sure Des Moines would pay this…but short term. Maybe Sacramento right now. Very few places will pay this long term. So yeah maybe you and a few others have enough contacts to play the game well and get first dibs on desperate sites or these sites come to you. Or you just have enough freedom to jump at the most desperate. My W2 job pays very well. Not $350/hr beeper call but above that for in house. So I don’t jump to go live in a hotel…I expect this ability to go on a dime is a must to find these places.

lastly I want to be clear I applaud what you are doing. I don’t think we should be taking less than $350/hr for beeper call guaranteed. It’s on the hospitals for overbuilding and being stupid, keep doing what you are doing. Please keep doing it. This needs to be the norm for our field. Time is time. Inflation is real.

Just saying for now what you are presenting is not easy to do
 
DolphinVA said:
Thank you for saying this, as my experience mirrors yours. I am all for negotiating best rates but I feel like some of this poster's info is exaggerated, or maybe very important details removed for shock value. I have worked on both sides of this game, and I am an excellent negotiator, but there is no way any site I have worked now or previous would pay me 350/hr for beeper call. Some sites in my local area would require negotiation for that rate during working hours!

If someone is actually getting this rate there is more to this story. Personal connection with the hospital COO, extreme unsavory conditions within the hospital, something. And it's not going to be a long term relationship. Because once someone else finds that spot and offers their services at $250 or some lower number why wouldn't they just dump the expensive guy?

My point is, to the young guys reading this, I wouldn't come in with an opening offer of 350/hr beeper and expect the conversation to continue much longer.
Click to expand...
As long as you got people willing to accept less. That’s the rate limiting step. That’s the free market.

There are places near me docs are willing to work for $225/hr extra. The docs! I’m literally telling them to go work at a place 30 min away for $400/hr. They are comfortable driving 10-min to their $225-hr job.

That’s what I talk about complacency. 30 min drive ain’t nothing in most cities and suburbs to drive

There are crnas willing to take $165/hr also. And I’m telling them to demand at least $190/hr. I can get them $210/hr. They are just too complacent to drive far. But than again. Time is money. 60-70 min saved round Trip is worth money. Vs 20 min round trip.

I’d drive 60 min each way if the job is easy. Covering 1:1 eyeballs topical all day with crna at the then taking over another docs room at 430pm-7pm for 12 hrs of work. I’m listening to music anyways during my drive.
 
aneftp said:
As long as you got people willing to accept less. That’s the rate limiting step. That’s the free market.

There are places near me docs are willing to work for $225/hr extra. The docs! I’m literally telling them to go work at a place 30 min away for $400/hr. They are comfortable driving 10-min to their $225-hr job.

That’s what I talk about complacency. 30 min drive ain’t nothing in most cities and suburbs to drive

There are crnas willing to take $165/hr also. And I’m telling them to demand at least $190/hr. I can get them $210/hr. They are just too complacent to drive far. But than again. Time is money. 60-70 min saved round Trip is worth money. Vs 20 min round trip.

I’d drive 60 min each way if the job is easy. Covering 1:1 eyeballs topical all day with crna at the then taking over another docs room at 430pm-7pm for 12 hrs of work. I’m listening to music anyways during my drive.
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Completely agree that I’d rather be in my car for 1 hour extra daily versus an extra couple or few hours in an OR. However my own limit is a 45 min drive each way. Once it’s over an hour, it gets old quick even with a big playlist. Maybe if it’s only 3 days a week, I’d do longer commutes.
 
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