Highest paying hospitalist gigs

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cureious

Cureious
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What is the most money you can make for hospitalist gigs?

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Suburb areas that are 20-30 miles out from my big city center (>1 million population) I get night shift and daytime admitter rates of 200-275/hr. Highest I got was 300/hr for a last minute fill. Not locums, all I did was aggressively ask around multiple hospitals if there was any moonlighting needs. I work a ton (~200 hr/mo) and have been clearing 45 to 50k a month (pretax)

Previous city I lived in, the highest rate I got was 175/hr for night shift. Geography matters a lot.

Anyway to answer your question specifically and “realistically.” If someone worked all 365 days in a year at 12 hr shifts of 250/hr rate, that comes out to 1.1million.
 
I live downtown top 10 population Midwest city. Hospital 15 min drive from condo. After PTO and sick days accounted for and pace of moonlighting (4-5 extra shifts month at roughly $1800 per shift, no overnights, only day shifts and swing shifts -10 hours each ), work about 210 shifts a year. Base salary $260K. Clear about $400K with bonus and moonlighting pay included this year. Not making $600K-$1mil like by fellowship trained friends in cardiology and GI. But I think I have the lowest stress job by far. Feel very lucky. Look for good groups they are definitely out there.
 
What do you do for the purposes of insurance and credentialing? (just self-insure, and do all the credentialing paperwork yourself for each hospital?)

I hold two base pay part time jobs and moonlighting privileges at hospitals within the same network of each.

6 shifts part time at one, 7 shifts at the other. 180/hr base, becomes 200/hr after hitting quality/productivity targets. Then I moonlight whatever I feel like at either system’s hospitals.

In this way I don’t worry about insurance, as I’m covered by the two different hospital systems already. Credentialing was not a pain at all (at least compared to my past hospital gigs in a different city)

Note: the part time jobs are nocturnist. Day time position rates are obviously much lower.
 
I hold two base pay part time jobs and moonlighting privileges at hospitals within the same network of each.

6 shifts part time at one, 7 shifts at the other. 180/hr base, becomes 200/hr after hitting quality/productivity targets. Then I moonlight whatever I feel like at either system’s hospitals.

In this way I don’t worry about insurance, as I’m covered by the two different hospital systems already. Credentialing was not a pain at all (at least compared to my past hospital gigs in a different city)

Note: the part time jobs are nocturnist. Day time position rates are obviously much lower.
Are you in a big city?
 
Why not work for one hospital system full time, and moonlight within it's network? Any particular advantage to the 'part-time' model?

Diversity of income sources, was able to aggressively negotiate rates between each other to par.

Major con: lack of control over much of your schedule. In the long term I will likely switch to full time to one of them in a couple years
 
What is the most money you can make for hospitalist gigs?

I'm a nocturnist in a community hospital in the northeast working about 55-60 hours a week. I make around 550K a year. I definitely pick up several extra shifts a month but still make time to go out to a restaurant every week and have been able to travel abroad on a monthly basis. You could easily exceed 600K if you wanted to work as much as in residency.
 
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I just received a contract offer from a national hospitalist group staffing a 260-bed hospital.
Their pay is slightly above average for the geographic region; reportedly, they only have 10 hour shift and have a low census; However, the lawyer from the hospitalist group basically refused to negotiate any change in the contract (termination clause, sick leave, including provision for bonus and raise, and increasing a sign on bonus, loan repayment)

The hospital recently got brought by a top 15 health system, and I really like the group, geography, and the medical director.
The big caveat is that the contract is highly employer-side (no waiver of due process, lengthly termination clauses, potentially limited outside moonlighting); And if the job doesn't go well, will put me a terrible spot.

I want to see being for the top 15 health system will open door for leadership position down the road. And whether working for a good director can compensate for a horrible contract.
 
I just received a contract offer from a national hospitalist group staffing a 260-bed hospital.
Their pay is slightly above average for the geographic region; reportedly, they only have 10 hour shift and have a low census; However, the lawyer from the hospitalist group basically refused to negotiate any change in the contract (termination clause, sick leave, including provision for bonus and raise, and increasing a sign on bonus, loan repayment)
.

What exactly are you asking for?
 
What exactly are you asking for?

Whether working for a top 15 health system, in the setting of a bad contract, will open the door for further career opportunities (leadership, academic), down the road.
 
Whether working for a top 15 health system, in the setting of a bad contract, will open the door for further career opportunities (leadership, academic), down the road.

I feel like you could do a little shopping around and still find better. There are nice hospitals in suburbs near major cities with leadership opportunities and that won't shaft you professionally or financially.
 
I'm a nocturnist in a community hospital in the northeast working about 55-60 hours a week. I make around 550K a year. I definitely pick up several extra shifts a month but still make time to go out to a restaurant every week and have been able to travel abroad on a monthly basis. You could easily exceed 600K if you wanted to work as much as in residency.
How can you travel abroad working 60 hour weeks? Just a quick weekend jaunt or something?
 
I'm a nocturnist in a community hospital in the northeast working about 55-60 hours a week. I make around 550K a year. I definitely pick up several extra shifts a month but still make time to go out to a restaurant every week and have been able to travel abroad on a monthly basis. You could easily exceed 600K if you wanted to work as much as in residency.

BALLER
 
How can you travel abroad working 60 hour weeks? Just a quick weekend jaunt or something?

60 hours a week is obviously averaged over the month. 20 12-hour shifts a month= 240 hours monthly= 60 hours weekly. That leaves me with 10-11 days off. I largely get to set my own schedule- I'll usually work 4-6 night stretches with a day or two off in between except for that monthly trip, where I'll usually schedule 4-5 days at a time if I'm a direct flight away, or a week if I'm going to Europe. If I want to go away for longer than a week some month, I'll just pick up less extra shifts.
 
Presumably this means working 60 hours a week (on the weeks that you actually work) and then travelling on weeks off.

I work around 250 hours a month, 3000 hours yearly. Over 52 weeks it averages out to 57.7 hours weekly.
 
Can one get a hospitalist job working 4 days straight (Mon thru Thursday 7A-7P) and still make the average salary (250k-260k)? Not talking about saturated markets here like NY city, Boston, southern California, south Florida etc...
 
Can one get a hospitalist job working 4 days straight (Mon thru Thursday 7A-7P) and still make the average salary (250k-260k)? Not talking about saturated markets here like NY city, Boston, southern California, south Florida etc...
I find it doubtful but I could be wrong. I've seen M-F, 7 on 7 off, and set shifts per month but the last option usually has a set number of required weekends and/or off shifts. Would like to know more about unusual shift arrangements for research purposes tho
 
Can one get a hospitalist job working 4 days straight (Mon thru Thursday 7A-7P) and still make the average salary (250k-260k)? Not talking about saturated markets here like NY city, Boston, southern California, south Florida etc...
That’s ~16 days a month so the hours work out , maybe if you found a place using a lot of locums anyway or if you found someone who inexplicably wanted to work fri-sun every week and you both showed up as a package deal
 
Presumably this means working 60 hours a week (on the weeks that you actually work) and then travelling on weeks off.
That’s what didn’t make sense to be since that’s 5 out of 7 days worked so how can you save up days to take them off together unless you do 5 on 1 off all the other weeks? I guess it’s possible but not my cup of tea. I work 3 days a week for a more than half the pay so it seems we get the same per hour but they’re working about one and a half FT positions. Either way you need to be pretty hardcore to keep that up long term. A few of my colleagues tried it and they all gave up after two months
 
Highest hourly rate I made was $190 an hour with double pay for some days that were late notice or holidays.

That job was TERRIBLE to the point where each day I was worried about a lawsuit. There is a reason why they were willing to pay so much money.

I ran far and fast away from that hospital.
 
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