How do I review my offer and what should I know?

Congrats! You’ve received your offer! Now what? Your offer email provides the details of your offer.

If you accept, we will follow up with a formal contract! When reviewing your offer, keep in mind that we are only able to put into our contract what is agreed upon by the facility, their Managed Service Provider (MSP), Trusted, and yourself.

A quick reminder that the MSP is the facility's point of contact who manages and supports their travel needs. Which is why they play a role in facilitating the offer and contract details.

First things first: where are you going and where are you working? This might seem like a no-brainer, but an offer can be sent to Trusted with offer details that do not align with the location or unit you applied to. This rarely happens, and usually is an oversight on their side since they work with thousands of clinicians. Still, please review the location and unit to ensure there is no discrepancy before accepting your offer.

Initial start dates listed on an offer are based on 4 main factors:

Each facility and its MSP have a set timeline for when compliance requirements must be completed, reviewed, and approved in order to clear a clinician to start their assignment. Sometimes this means that they require a clinician to be fully cleared for compliance 1-2 weeks prior to a start date. We strive to have you onboarded and ready to start day one of your contract and work hard to determine the start date based on these compliance requirements and timelines.

If your start date is pending this means one of those three parties is still waiting for approval based on the orientation schedules, facility needs, or compliance timelines.

If you are looking to start earlier than what is approved on the offer, this is unlikely as we strive to start every clinician as soon as possible every time.

Time off must be presented to the hiring manager and facility at the time of submitting your application and often times discussed further during an interview (if there was one). The reason time off requests are disclosed early on is that facilities can have specific time off requirements (either a maxed number of days or days where no time off is approved, especially around the holidays).

MSPs will get approval directly from the facility for your time off to be honored in the contract. Because of this, time off can be listed as either pending or approved on your offer. If you discussed your time off with the hiring manager during an interview, please let your Advocate know.

Call, weekend, and holiday requirements are set by the facility and MSP and we are rarely able to negotiate these details or the pay rates associated with those. Floating is within the nature of traveling and our contracts all include that clinicians may be expected to float within their scope of practice.

If you would like a more in-depth look at the holiday and call rates, please ask your Advocate!

Length and shift are subject to change based on unit needs. If your shift or assignment length differs from what you were told in the interview, please let your Advocate know so we can verify with the MSP. We understand if a change in the details you originally applied for prevents you from taking the assignment.

Cancellation policies are set by the facility and MSP, which means they are unable to be changed or negotiated. If your cancellation is listed as "n/a" in the offer, this means there is no facility or MSP specific policy. In cases where there is no policy, it defaults to Trusted’s policy which is:

Guaranteed hours do not apply during the first and last week of an assignment, during any weeks containing orientation or a holiday, and days/weeks that have approved time off (including paid sick leave). Guaranteed hours also do not apply to local contracts.

More questions? Check out this article for more information on cancellation policies and guaranteed hours.

At Trusted, our pay packages are formulated to give you as much take-home pay as possible based on a number of factors, including the facility’s bill rate, the GSA rules of the location of the facility, and other IRS rules and regulations. These are non-negotiable, because it is important to us that all of our clinicians know that they are getting the best possible deal from us, regardless of how good they or their Advocate are at negotiating!

More questions? Check out this article for more information on how rates are set.

More questions? Check out this article for more information on stipends and reimbursements.

There are two options for contracts at Trusted. Travel (receives stipends) and Local (fully taxed, does not receive stipends). Nearly any position can be taken as a local contract as long as the facility does not have any rules around accepting clinicians within a certain mile radius. There is no definitive mileage outlined by the IRS for taking a local fully taxed pay package. As a matter of practice, we do not define when a clinician is local and when they are not local. As the stipulations and variables for taxes are so specific to each person, and seeing as Trusted is not made up of qualified tax advisors, our team cannot provide advice about this.

Keep in mind that local contracts do not include guaranteed hours.

Audrey McCollough, RN, BSN and Trusted teammate wrote Your Guide to Travel Nurse Taxes, an informative blog that outlines important things to consider when determining if you qualify as a traveler for a given assignment (although it is written to nurses, it still applies to our allied health professionals)!

If all the details look great to you, let your Advocate know that you’d like to accept the offer. They will accept the offer on your behalf!

Once you verbally accept, we let the facility know! The expectation from here is that you are moving forward in signing the contract in the next 24 hours.

It is the expectation of Trusted, its partners, and the patients to whom they provide care that Trusted Clinicians make every effort to fulfill their contractual commitments. We review all contract cancellations and their impact on patient care, facility relationships, and Trusted with the utmost scrutiny, and these can lead to you becoming a Do Not Rehire (DNR) with Trusted, the facility, and the Managed Service Partner (MSP). Be sure to keep in mind the commitment you are making to Trusted and the facility before accepting a position!

Facilities and MSPs can vary slightly in what we are able to negotiate depending on the circumstances. If you have any questions or wish to discuss any of the details above, please speak with your Advocate ASAP. Advocates are well versed in offer details, negotiations, and knowing what is acceptable in each situation!

If you are not able to meet an agreement with the facility or MSP and would like to decline the offer, please let your Advocate know ASAP. Please note that excessive offer declines can be grounds for ‘Do Not Rehire’ (DNR) status with Trusted, as it is important to the facilities and MSPs that we work with that we are submitting committed candidates to these positions.