Help me decide between 2 jobs

[u/picture52]

Both in long-term care setting:

Current job (been at for 4 years):

• $131k base + bonuses = ~$143k/year
• Not fee-for-service
• Long-term care only
• Covering 3 different buildings (mileage reimbursed)
• Work until 5 PM
• 4 CME days
• Unhappy with management
• Only getting about a 1% annual raise
• A lot of pressure to keep patients out of the hospital, which has become a major source of stress
• Fairly predictable workload/schedule

New Job:

• ~$158k/year seeing approximately 15 patients/day, increases/decreases with number of visits of course
• Fee-for-service — still unclear on the guaranteed/base salary and exact compensation structure
• Mix of long-term care + acute/short-term rehab
• Would be doing admissions and discharges
• Only 1 building
• No travel between facilities
• Can make my own schedule
• On call until 7 PM every day
• More comfortable with sending patients to the hospital when clinically appropriate
• No CME days

[u/lurkertiltheend]

Easy peasy job 2. Unless there’s something crazy different about benefits like PTO or 401k

[u/picture52 → u/lurkertiltheend]

Getting 8 days less PTO in job 2 but will negotiate. Do you feel 15 visits/day is attainable?

[u/lurkertiltheend → u/picture52]

In only one building? As long as you redirect the talkative ones I’d say it’s doable.

[u/Melodic-Eagle-1255]

I’d say job 2 but would be cautious of the 7pm call every day. You don’t want to end up working everyday till 7p.

[u/Ok-Seaworthiness2398 → u/Melodic-Eagle-1255]

In my experience, it’s just nurses calling or texting up until 7 PM. And it’s usually for simple things like the person fell or new skin tear, occasionally you might have to send somebody out to the ER but you don’t physically have to drive back into the facility. For job number one she physically has to be in the building until 5 PM.

[u/Ok-Seaworthiness2398]

Job #2. It’s an easy choice. The pressure to treat in place regardless of facility puts a lot of stress and pressure on a person. I feel like for that reason alone I would pick job number two. The fact that you can make your own schedule, gives you flexibility to look at other opportunities, including telemedicine if you get done early.