Telemoonlighting Jobs

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MrFlyGuy

MrFlyGuy

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Hi everyone,

I'm a PGY-3 that is going to start fellowship in C&A in July. My program is going to allow moonlighting on day one and I was hoping to have some opportunities lined up beforehand. If anyone here can provide tele moonlighting jobs or resources where I could find such jobs I would really appreciate it. I did already try a job search on Indeed and other popular websites without much success. I'm going to be in Texas if that matters.

Best regards,

MrFlyGuy
 
You have to reach out to residents or fellows at your program. Tele-moonlighting is incredibly rare and moonlighting in general will become rarer over time. I don't know anyone who achieved telemedicine jobs as residents or fellows.
 
Kirby said:
You have to reach out to residents or fellows at your program. Tele-moonlighting is incredibly rare and moonlighting in general will become rarer over time. I don't know anyone who achieved telemedicine jobs as residents or fellows.
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Why is moonlighting becoming rarer with time?
 
The telehealth companies are worth a shot, but probably want people at least board eligible...but maybe not just have to call and talk to the recruiter.

I think they are struggling to hire enough people to cover shifts because many are contracted as consult services which means 24/7 coverage. If they balk at hiring you initially, you could offer to pickup an 8 hour overnight shift every week which is probably what they need most because people don't want to work nights usually. And especially if you said you'd pick up a Friday overnight every week. Or maybe 2 overnights every week would sweeten the deal for them.

The hard part is they cover dozens of hospitals, so you'd end up needing privileges at maybe 50 hospitals which takes a lot of time to setup, so if you can only work 1 day a week it may not be worth it to them. And if you're not board eligible it could be hard with some hospitals being okay with you and others not approving privileges, which is just another frustrating layer where a "board certified" np with a fraction your experience can get hired to do complex consult and ED work but they won't hire you because of rules.

Daytime telepsych at outpatient clinics I don't think has the same difficulty with hiring.

The old tried and true moonlighting covering weekends on inpatient is probably your best bet. Privileges at a single hospital. Nobody wants to cover weekends so you are helping out. And if they have a history of using residents as weekend coverage it's no problem. The way to find these jobs is just find the medical director for the unit and call directly, or call the unit and ask for the medical director if you can't find a direct number online. These jobs aren't usually posted on job boards.

Starting a virtual private practice and building a very small patient panel would be a bit of risk, but could be very rewarding and pay off in the long run.

The worst option is social security disability evals, but can be a way to make some extra money at least.
 
You will find many options. Look up opportunities on Indeed
 
nexus73 said:
The hard part is they cover dozens of hospitals, so you'd end up needing privileges at maybe 50 hospitals which takes a lot of time to setup, so if you can only work 1 day a week it may not be worth it to them.
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When applying for a full time job or when re-credentialing would they have to verify all those locations? That could be a nightmare.

Anyone with experience with QLER?
 
Any Tele moonlighting jobs I've heard of involve ED coverage. I don't think there's enough money in the world for me to feel that's worth it.

I agree best thing to do is talk to the current fellows and see if there's somewhere they moonlight--internal moonlighting is always the easiest thing to arrange and figure out. Lots of places will have senior residents or fellows cover inpatient units on the weekend etc.

I moonlighted (moonlit?) a lot in residency and sympathize DEEPLY with the desire to finally earn some real money, but it's worth not rushing into things when you're moving to a new program and system.... The transition is exhausting and until you get there it's hard to know exactly how the workload will feel.
 
forchinet121 said:
Why is moonlighting becoming rarer with time?
Click to expand...

Midlevels, I presume. Where I did residency, two moonlighting gigs closed when they replaced residents with an NP for nights and weekend coverage.
 
Psychresy said:
Fwiw I moonlight a TON. To the point I'm easily outearning attendings. Tele is out there for residents, you've just got to look around.
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Where do I look around? You could private message me if you don’t want to post it publicly.
 
Psychresy said:
Inpatient and ER coverage prn, outpatient clinic, weekend inpt coverage, call from home. The clinic is good, it's tele from home, works out to about 240 an hour after the billing split.
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can i PM you about identifying these opportunities?
 
Can you see your own patients for cash as a fellow "moonlighting" or do you need some type of established outpatient center?
 
MrFlyGuy said:
Can you see your own patients for cash as a fellow "moonlighting" or do you need some type of established outpatient center?
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You could open your own practice, and I'm sure some have. However, I'd be worried about trying to manage that during fellowship. You'd be responsible for responding to phone calls and things for you practice but will be on fellowship rotations -- hard for that to not interfere. Would enough patients pay for someone not done with training and not board certified to make this profitable?
 
hamstergang said:
You could open your own practice, and I'm sure some have. However, I'd be worried about trying to manage that during fellowship. You'd be responsible for responding to phone calls and things for you practice but will be on fellowship rotations -- hard for that to not interfere. Would enough patients pay for someone not done with training and not board certified to make this profitable?
Click to expand...
MrFlyGuy said:
Can you see your own patients for cash as a fellow "moonlighting" or do you need some type of established outpatient center?
Click to expand...

You can/should do both. During my fellowship, I had like 3-4 jobs. Folded all my 1099s into my practice for tax purposes. Some people have different practice entities for different "lines of business". Consult your accountant.

Profitability is a relative thing. You'll discover what your niche is since for various services you deliver the market would be willing to pay you a rate that's fairly variable. Eventually moonlighting for facilities became the least profitable out of all my activities and as demand goes up in other domains, I was able to cut that out.
 
This is very interesting. I would definitely be open to opening my own practice, although I wish I had someone to mentor me..

Does anyone know what companies have competitive rates for malpractice insurance in TX?
 
MrFlyGuy said:
This is very interesting. I would definitely be open to opening my own practice, although I wish I had someone to mentor me..

Does anyone know what companies have competitive rates for malpractice insurance in TX?
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I used this one in my time in California, I liked that it was ocurrence-based and the rate seemed fair.
 
How the hell are you guys finding those rates for moonlighting? I can't moonlight yet, but my friends are getting $35 per follow up and I think $50 for initial eval. Tele-psych for outpatient clinic.

Also, any advice on a good state in the south/anywhere to moonlight? I need to get a license after July, can get anywhere besides Texas. Tele would be best since I wouldn't need to travel.
 
brazilianpsych said:
How the hell are you guys finding those rates for moonlighting? I can't moonlight yet, but my friends are getting $35 per follow up and I think $50 for initial eval. Tele-psych for outpatient clinic.

Also, any advice on a good state in the south/anywhere to moonlight? I need to get a license after July, can get anywhere besides Texas. Tele would be best since I wouldn't need to travel.
Click to expand...
Clearly went into the wrong line of work if you can get docs to see new psych evals for $50. Is there no cognitive dissonance for these folks making less than the people who change their tires or cut their hair?
 
brazilianpsych said:
How the hell are you guys finding those rates for moonlighting? I can't moonlight yet, but my friends are getting $35 per follow up and I think $50 for initial eval. Tele-psych for outpatient clinic.

Also, any advice on a good state in the south/anywhere to moonlight? I need to get a license after July, can get anywhere besides Texas. Tele would be best since I wouldn't need to travel.
Click to expand...
I refuse to believe this is not a troll post
 
lol I am not trolling. It is possible the numbers are wrong and it's like $60 or $70 for new evals, but it is something like that. I don't know anyone getting similar numbers from what I see at SDN. Even PGY4s are getting jobs that pay like 230-250k. Maybe my city is just really bad? Was not expecting, but maybe it is.
 
brazilianpsych said:
lol I am not trolling. It is possible the numbers are wrong and it's like $60 or $70 for new evals, but it is something like that. I don't know anyone getting similar numbers from what I see at SDN. Even PGY4s are getting jobs that pay like 230-250k. Maybe my city is just really bad? Was not expecting, but maybe it is.
Click to expand...
Are you in Brazil?
 
Psychresy said:
Inpatient and ER coverage prn, outpatient clinic, weekend inpt coverage, call from home. The clinic is good, it's tele from home, works out to about 240 an hour after the billing split.
Click to expand...

“Thoughts on this job?

ER coverage by tele. 185 per consult. 6 or 12 hour shifts. Average 1 consult per hour.

I particularly like the 7p-1a shift... Seems like a decent way to add extra income after the work day without having to give up sleep.”

Didn’t you post this in a different thread? Why would you work this ER job if you already have a ML gig that pays $240/hr?

I’m assuming because you want more? Or after residency. Idk

Regardless I’m gonna hit you up in the DMs to see what this ML gig is about.
 
yoloswagpoop42069 said:
“Thoughts on this job?

ER coverage by tele. 185 per consult. 6 or 12 hour shifts. Average 1 consult per hour.

I particularly like the 7p-1a shift... Seems like a decent way to add extra income after the work day without having to give up sleep.”

Didn’t you post this in a different thread? Why would you work this ER job if you already have a ML gig that pays $240/hr?

I’m assuming because you want more? Or after residency. Idk

Regardless I’m gonna hit you up in the DMs to see what this ML gig is about.
Click to expand...

Wanting to find a job I can do either in the evening while I am at home or I can do while I am at other jobs just kind of sitting around without much work going on.
 
Psychresy said:
Wanting to find a job I can do either in the evening while I am at home or I can do while I am at other jobs just kind of sitting around without much work going on.
Click to expand...
You want a job that you can do while you’re at your job? Wow
 
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