By The Gypsy Nurse

August 4, 2016

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Travel Nurse Pay: How Do I Know I’m Getting a ‘Fair’ Offer?

This article was provided by: Aya Healthcare

Determine your Minimum Worth

My first advice to any traveler is to know what you feel your minimum worth is.  Determine how much you need to make a travel contract worth your time and effort.  We all have bills, and expenses and knowing your absolute minimum is a great place to start.

Once you have figured out what your personal minimum amount is, you should consider the location that the position is being offered in.

Why should the Contract Location affect my pay?

The extreme differences in the cost of actually living from place to place across the country are astounding.  An easy example of this is the cost of gas from one region of the country to another.  See the map below as an example.

Click anywhere on the map for a state-by-state average list of fuel prices.

AAA Fuel Gauge Report

If I’m working a contract in Missouri, gas is as low as $3.37/gal, whereas if I am working in California, it’s as high as $4.24/gal.  This is just one example of how the actual cost of living can affect your final take-home or living money.

Based on the cost of living, I could take a contract in Missouri at my minimum pay but would be very hesitant to do so for a contract in California.

Shop Around

Please realize that this is a very touchy subject and can be somewhat unethical depending on how it’s done. I would never recommend that you give job specifics from one company to another. This will not go over well with any recruiter.  I do, however, offer a slightly different approach.  If you know that you would like to work in San Francisco and are being offered X amount from Company A, there is nothing to say that you cannot talk to companies B, C, and D and ask them what positions they have in the same city or even ask them if they have contracts at a particular hospital.  If they do, find out what they are offering.

I do not recommend that you pit one company against another when it comes to negotiations. Ensure that you are clear with all companies you are working with that it is NOT acceptable to submit you to any position without your express permission.  The last thing you want to happen is to have a low-paying company submit you when you have another company looking at the same position.

Many of the contracts out there are actually submitted through some Vendor Management. Ultimately, there may be dozens of companies, all with the same contracts at slightly different rates.

Every agency contracts with the hospital at a different rate, no different than each travelers contract is different than another travelers contract. Some companies will be able to pay you more based on their bill rate and some less.

Consider Your Relationship with the Company/Recruiter

Your relationship with your preferred companies and/or recruiters can also play a huge factor in your decision.  Perhaps company B is offering slightly more, but you have worked well with Company A, who is slightly underpaying?  Is it worth $1/hr to you to deal with a company or a recruiter that you don’t really know or fully trust?  Is it possible that with a little nudging, Company A would up the pay just a little due to your extended relationship?

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By The Gypsy Nurse

July 18, 2015

9885 Views

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New Requirements for the Travel Nurse

We recently polled our sponsor companies to see about a rumor of new credentialing requirements for college transcripts. We were shocked to learn that this is truly becoming a new requirement
for travel nurses for many hospitals.

Travel Nursing is an ever-changing field, just as nursing in general is. There are constant changes in our industry and it’s up to us to make certain that we have the most up to date information available.

These are views on the new requirements for the Travel Nurse:

Mike Spies, Client Manager at Atlas Medstaff states that “The places that do ask for these (transcripts) normally want it mailed directly from the school. It is just so rare. Hopefully, the recruiter will be aware when they are submitting you for a position if the hospital will need that. It is good to have a copy of your transcript though, just in case.” He further reports that “I would add that not all facilities are uniform. You will find facilities that will just take what’s on the background check, some will take the transcript directly from the nurse, and others that do require a transcript will only take it directly mailed from the school. The recruiter should have all the requirements that the facility requires for compliance and present them to the nurse.

Scott Smith, Recruiting Team Leader at Tailored Healthcare staffing states “We are starting to see more and more facilities requiring them. If you have a copy of your diploma, that will typically work, but if you don’t have it, they’ll ask for official transcripts.”

Julie Cerbone at Cross Country denies that she has run across requests for transcripts but reports that “some hospitals are asking for diplomas now.”

Travel Nurse, Jackie Gray reports that Banner Hospital System is requesting transcripts as well as an undisclosed hospital in Lancaster, OH.

Lissa Harris-Soto at Century Health concludes that we may “start to see the trend eventually hit nationwide as hospitals go through their lab accreditation renewals” She further reports that the requirement “is for units that do POC testing. Which includes ER, Cath Lab, and L&D. This is for facilities that have inhouse labs that are accredited by governing agencies.” Traveler, Shelly Coto Grecco backs up Lisa’s report by stating that “I needed transcript or diploma for documentation purposes to run ISTAT’s and POC testing for a CA hospital. Does not need to be official or sealed.”

No one, including recruiters, wants additional paperwork. Different facilities and different states have different requirements. Travel companies, recruiters, and nurses have to jump through the hoops imposed by the facilities. So my advice is to get a copy of both officially sealed transcripts as well as your nursing diploma for your records and add to your profile so you can easily access it to send to your agency.

By Joseph Smith @ Travel Tax

May 22, 2014

8543 Views

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Talking Travel Nurse Taxes- The State Tax Return

But I Didn’t Work There!!

…and similar comments about travel nurse taxes and state tax returns….

In previous articles, I have pointed out the difference between a permanent residence and a tax residence; and how this distinction is the main source of confusion among travelers, recruiters and staffing agencies who try to determine whether travel reimbursements can be excluded from taxable wages.

In this article, I want to focus on the permanent residence side of things and how it affects the filing of state tax returns. When travelers work in a states other than their permanent residence, a common mistake that tax preparers and travelers make is focusing too much where the income is earned vs. where the traveler is domiciled. “Domicile” and a permanent residence are closely related and for the purpose of this article, I will treat them synonymously. While they are slightly different concepts, travelers tend to have their permanent residence and domicile in the same place.

A person has domicile in the state where his legal ties are more closely aligned. A driver’s license, car registration, voter registration and resident professional licenses are significant connections to a state. These ties are often established long before a traveler begins their career and state tax agencies view these as significant proof of residency in a state. An individual files their “resident” tax return, not based on where they earn their income, but where their permanent residence/domically ties are strongest. There are three additional reasons that this applies

  1. Travelers are working “away from home”. They are not moving, but temporarily “mobilizing” to an assignment location. The fact that they do not earn income in their home state has no bearing on whether they file in their home state or not. Further, when travelers receive tax free reimbursements for lodging and meals, they are usually attesting to the agency that they maintain a residence in their home state.
  2. Almost every state has statues or regulations establishing a “presumption” that a taxpayer’s domicile will continue until the taxpayer BOTH severs all significant residential/domically ties AND establishes new domiciliary ties with their new state. It’s not enough to simply abandon a residence but establish a new one.
  3. For nurses domiciled in a compact state, the filing of a resident tax return is universally expected for renewal or validity. Nursing boards and state tax agencies readily exchange information and some states treat tax delinquency as a basis for non-renewal of a license.

The take away:

Travelers report worldwide income to their home state as full year residents and receive credits for taxes paid to other states (unless a reciprocity rule applies). If the tax rate of the home state is higher than the work state, the difference in tax must be paid to the home state. The fact that one does not work at home does not change this.


Would you like to learn more?

Check out the TOP 10 Questions for Travel Nurses on Taxes.


By The Gypsy Nurse

January 10, 2013

4337 Views

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Cervical Health Awareness Month

January is Cervical Health Awareness Month.  In support, The Gypsy Nurse will feature several articles throughout January in an attempt to raise awareness.

Cervical Health Awareness:

According to the CDC:

“All women are at risk for cervical cancer. It occurs most often in women over age 30. Long-lasting infection with certain types of human papillomavirus (HPV) is the main cause of cervical cancer. HPV is a common virus that is passed from one person to another during sex. At least half of sexually active people will have HPV at some point in their lives, but few women will get cervical cancer.”

The CDC also states that:

“Cervical cancer used to be the leading cause of cancer death for women in the United States. However, in the past 40 years, the number of cases of cervical cancer and the number of deaths from cervical cancer have decreased significantly. This decline is largely the result of many women getting regular Pap tests, which can find cervical precancer before it turns into cancer.1″

1National Institutes of Health. Cervical Cancer. NIH Consensus Statement. 1996;14(1):1–38.

 Resources:

Forums:

  •  Cancer Forums

 Blogs:

Organizations

If there are other Cervical Health Awareness resources that you use or know about and would like to recommend, please list them in the comments!

By The Gypsy Nurse

June 19, 2012

8155 Views

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Understanding the Nursing Shortage

Everyone has heard that there is a Nursing Shortage.  The nursing shortage provides a never-ending supply of Travel Nurse Assignments.  A continued nursing shortage is primarily a cause of the following factors:

  • The average age of RNs projected to 44.5 years by 2012. Nurses in their 50s are expected to become the largest segment of the nursing workforce, accounting for almost one-quarter of the RN population.
  • According to the July 2001 report, Nursing Workforce: Emerging Nurse Shortages Due to Multiple Factors (GAO-01-944), a serious shortage of nurses is expected in the future as demographic pressures influence both supply and demand. The future demand for nurses is expected to increase dramatically as the baby boomers reach their 60s and beyond.
  • Nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care.
  • According to a May 2001 report, Who Will Care for Each of Us?: America’s Coming Health Care Crisis, released by the Nursing Institute at the University of Illinois College of Nursing, the ratio of potential caregivers to the people most likely to need care, the elderly population, will decrease by 40% between 2010 and 2030. Demographic changes may limit access to health care unless the number of nurses and other caregivers grows in proportion to the rising elderly population.
  • In the March-April 2005 issue of Nursing Economics, Dr. Peter Buerhaus and colleagues found that more than 75% of RNs believe the nursing shortage presents a major problem for the quality of their work-life, the quality of patient care, and the number of time nurses can spend with patients. Looking forward, almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%), and causing nurses to leave the profession (93%).
  • According to a study in the October 2002 Journal of the American Medical Association, nurses reported greater job dissatisfaction and emotional exhaustion when they were responsible for more patients than they can safely care for. Researcher Dr. Linda Aiken concluded that “failure to retain nurses contributes to avoidable patient deaths.”

What are your thoughts on the nursing shortage?  Do you agree with the experts above?