The Great Recession caused a lot of registered nurses to come out of retirement. Depending on your source, that number will be between 200,000 and 300,000 Registered Nurses. Now going into the 5th year since the Recession started hitting, we are facing a perfect storm. Why? The nurses that came out of retirement will eventually go back into retirement. Secondly, there is the group of registered nurses working towards retirement. This will cause an artificially high number of registered nurses leaving the profession within a short time window. What do you think…are the hospitals prepared for the Perfect Storm?
Looking for a local Advanced Cardiac Life Support class is getting easier. As technology penetrates healthcare, ACLS classes are now offered on-line for the healthcare provider. It is not suprising in this day and age that ACLS is now available on-line. If you think about it, it is not much different than obtaining a degree on-line. The material is good and the time is convenient. On-line classes are relatively the same cost as classroom instruction with a slight uptick in price for the convenience of getting it done according to the healthcare provider’s schedule. This added convenience is a nice security to prevent your ACLS provider card from expiring. There are several on-line ACLS providers to choose from. Here is the link to the AHA version. http://www.onlineaha.org/index.cfm?fuseaction=info.acls
Please allow us to tell you about some exciting new technology that is changing what we like to call “Job Awareness”. The technology is called My Jobs. My Jobs scours literally thousands of open jobs and reports back on only the jobs you’ve indicated you want to hear about. My Jobs is a tactical way to stay informed about hot jobs that interest you without getting bogged down by jobs that don’t!
Whether you are interested in leadership & management positions, clinical bedside positions, out-patient & ambulatory jobs, per diem opportunities or want to venture out and do a travel assignment…you set your preferences and you will only be notified about the jobs that you have indicated you want to hear about.
Here is how it works:
You sign up and set your preferences in My Jobs. When a new job opens that matches the preferences you have set, you will receive a notification email regarding the job along with a job description.
My Jobs will sort through the thousands of jobs, filter out the clutter and deliver only the jobs you want! You can quickly scan the information and make a decision without wasting time!
Plus, you will be notified immediately by email after a new job posts, so you can get ahead of the other candidates on the jobs you want!
Sign up Today by going to www.expedientmedstaff.com and click on the My Jobs Button in the Middle Right.
Tax season is just around the corner. Please note these interesting facts provided by Joseph Smith of Travel Tax. At traveling healthcare professionals should read this information.
***State Tax News
Professional practice licenses targeted more It all started in California-the practice of pulling a list of active professional practice licenses including nurses and physicians, and cross-referencing the list with state tax return filings. Any non-filer, regardless of whether they earned income in the state, was sent a letter asking for a tax return. If there was no reply within a certain period, a tax lien was filed based on the amount of income reported on the federal return. This practice is now extended to almost every state. We are encouraging clients to file what is known as “zero” returns in states in which they hold licenses, but do not have income. Since the “possibility” of earning income still exists, state tax agencies hungry for additional revenue are pursuing this.
New York no longer accepting federal extensions Most states will typically accept a federal filing extension in place of their own form. Only a few states require separate extension to be filed. New York is now among those requiring a separate extension.
***Other Tax News
Staffing firms under exam
As we mentioned in our last newsletter, there are over a dozen staffing firms under audit by the IRS. We may see some additional changes in the way agencies construct their tax residence statements. One possibility is that some may require proof of mortgage payments or rent for those travelers claiming to have a tax home. A problem that industries employing mobile professionals have had all along is the lack of consistency with screening traveler’s tax homes.
State residency Issues
We have mentioned in previous newsletters that state tax departments have become very aggressive in asserting residency on anybody remotely tied to a state. States are particularly targeting those who have moved to another state but have lingering ties to the former state. It is important to note that most states assume that your residency continues until you have not only established a residence in the new state AND shut the door behind you in regards to the former state. It’s not enough simply to move but it’s equally important to sever all ties to the former residence. Otherwise the former state of residence will have adequate justification to assert residency under their domestic laws spreading their tax net over your worldwide income.
Receiving per diem for housing while the company provides the housing One issue that is arising frequently in industries employing mobile professionals is when an employer or staffing agency provides the housing for the traveler AND pays lodging per diem, taking out their costs, and then paying the remainder the traveler tax free. This is not kosher in the eyes of the IRS. A per diem given to an employee as a reimbursement for lodging should be free of any employer involvement in the lodging cost. In other words, per diem is for the employee to use not the employer to dictate its use. When the employer is involved in the cost of lodging and pays a per diem or stipend in excess, the amount that exceeds the cost is taxable to the employee and subject to employment tax to the employer.
Another issue that is common among staffing agencies is the practice of paying a blanket per diem or allowance without allocating a portion to meals. Under the regulations, when an allowance, stipend or per diem is less than the published rates, 60% of the payment is deemed to be for lodging and 40% for meals. Since meals are only 50% deductible to the individual and employer (absent rare exceptions), allowances cannot be held out as 100% deductible payments. An employee’s tax return is also required to reflect this allocation.
We often hear from healthcare professionals that they get tired of all the paper that accompanies a job application. Some loathe the paperwork so much, that the job just isn’t worth the time and effort to apply for it. To better serve the timed taxed healthcare professional, Expedient Medstaff is proud to roll out our new 3 minute application. Matt Cahillane, President of Expedient Medstaff, states “We time studied our application process. We carved out the information we need to gather to put talented health professionals in front of the jobs they seek. We’ve done that and in our beta testing, most applicants completed our application in about 2 minutes.” Getting considered for a top paying job with flexible schedules just got incredibly easier. To fill out a 3 minute application please click on Health Care Jobs Now!
Nursing is a noble profession. It is one that requires the ranks to put others in front of self. This isn’t a skill set that everybody has, but nurses do it gallantly every day. Wages for the profession are decent but a “thank you” or the feeling of being there for a patient or family member that is “lost” and going through a life altering event is priceless. These little moments mean so much to the profession and these little moments happen every day. Some never seen…it is not done for glory, but for love of the job. Some patients and fellow staff can have challenging personalities. The work isn’t easy…if it were, more people would do it. It takes a special person to be able to deal with the challenges that face the nursing profession and still carry out their duties in pleasant and professional manner. So, this is for you nurses. We thank you for your dedication and service. You are making the world a better place. Thank you for your contributions…they have not gone unnoticed. Thank you for doing your job today and for your willingness to come back tomorrow!
Hospital Nursing Jobs in Detroit continue to have a rise in demand. Opportunity is knocking for Registered Nurses with a Michigan license in hand. Hundreds of jobs are available to nurses with a few years of experience and a good attitude. At our company, we could put over 100 RNs to work in Wayne County alone. Nurses have options. RN’s that thrive at Expedient Medstaff are RN’s that look for flexibility in work schedules and great money. The average RN earns over $1,300 per week working only 36 hours. Plus pay days are every Friday, so RN’s don’t have to wait for their money. For nurses looking for a contingent or per diem nursing job, those are plentiful too. Self scheduling does exist. We want to shout out to the nursing community and make them aware that jobs are available. Most nurses use the internet to search for their next job. We want to make nurses aware that hospital nursing jobs are available outside of hospitals. Expedient Medstaff proudly serves some of the finest health systems in country and the major systems in Detroit and the whole state of Michigan. Best wishes for success on finding your dream job.
We speak to hundreds of Registered Nurses each year about nursing jobs. A common misunderstanding is that staffing work is assumed to be short term work that lacks stability. While it is true that a staffing job can be a stepping stone between jobs or a place to go to make some extra money, it is also much more than that. Staffing firms typically live in the world of 13 weeks. Meaning, schedules are done in 13 week intervals. However, just because the schedule is done in over 13 weeks, it doesn’t mean the job ends after 13 weeks. Most assignments get extended. In fact, Expedient Medstaff has nurses that have been working the same job in the same location for over 10 years straight. So, RN staffing companies can also be a career choice. Staffing companies tend to pay more per hour and offer more flexible schedules in their jobs. Variety is also available. Want to try a different location? No problem, you can do it without changing employers. Want to take a month off then come back to work? No problem, you can get that too. Want pay days every week? We got you covered, every Friday. You will find that if you want flexible schedules, good money, and longevity…a staffing company is likely your best choice. If you want something short term or for only a few weeks, most staffing firms also offer per diem or casual jobs. We encourage you to contact us and tell us your perfect working scenerio and challenge us to make it happen. If you have good experience and a great attitude…chances are, you can write your own future.
Hospital census will rise and fall. When census rises, many hospitals will relocate a nurse from one unit to another unit in need. The industry refers to this practice as “pulling” or “floating”. Some hospitals have made it their practice to pull a nurse every 4 hours. Some nurses go willingly, others think it is unsafe and puts their professional license in jeopardy. The Joint Commission’s stance on pulling or floating is that the practice should occur to like units or to a unit where the RN has had a proper orientation and is functioning within the scope of practice of her/his license. A like unit is a unit that is similiar in patient population by diagnosis and acuity. So, from a bedside nurse’s perspective is it better to refuse the assignment or go and work as an extra pair of hands. A simple way to view what is the right thing to do is the family test. Imagine if it were your family member that was ill in the hospital. Would you want the nurse to come from a different floor /unit to take care of your loved one or would you rather them not come because they feel it is unsafe? Your answer to this question should guide your decision.
Michigan Nursing Agencies are seeing an uptick in available nursing agency jobs. It is no secret that Michigan has been one of the hardest hit states by the “Great Recession”. It has often been noted that when the auto companies sneeze, Michigan will catch a cold. Now the auto companies are headed in the right direction, Michigan is getting well and starting to flourish. This uptick in nursing job assignments has been long waited and certainly welcomed. We are encouraged by this and look forward to a prosperous 2011. If you are interested in Michigan Nursing Jobs, Michigan Travel Nursing Jobs, or Travel Nursing Jobs across the United States, please give us a call at 734-225-2111 or toll free 877-367-8770