locum tenens anesthesiology
BUSINESS OF ANESTHESIA
Locum Tenens anesthesiology Where Do I Start?
Whether you’re looking for
a flexible schedule, an
opportunity to travel, or
a variety of practice options, locum
tenens practice may be right for you.
“Locum tenens” is Latin for “holding
one’s place,” and locum tenens CRNAs
work temporary assignments that may
vary from a few shifts to a few months,
or longer. If you’re considering this
option for the first time, here are some
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tips and considerations:
Licensure
There is no different state license for CRNAs who do locums work.
In any state where you want to practice as a CRNA, you need to
meet that state’s licensure requirements. When to obtain a given state
license depends on your preferences. Be mindful that the licensure
processing time varies from days to months, depending on the state.
CRNAs should consider whether to accept a job on short notice in a
state where they are not licensed, as it may not be possible to obtain
a license in time to start the position. If you are focusing on working
in a particular state or states, consider obtaining the appropriate state
licenses in advance. There is, of course, a cost involved in doing so
(both in terms of time and money). In addition, it’s important to keep
track of your licenses, and when they expire, so that you can renew or
inactivate them as appropriate. Links to every state board of nursing
website, which include application forms and contact information, are
at https://www.ncsbn.org/contactbon.htm.
Finding Jobs
Some locums CRNAs act on their own, seeking out jobs where and
when they want to work. Other CRNAs use locums agencies. Locums
agencies may also help CRNAs obtain licensure forms, remind them
to renew licenses, or handle other logistical details or administrative
tasks. The AANA site http://www.crnacareers.com/ includes links to
specific job listings, as well as listings by national and regional locums
agencies. The listings for locums agencies at this site often include a
website for the agency as well. The agency websites typically provide
some information regarding what assistance the agency provides, such
as malpractice coverage options, licensure information, or assistance
with housing. For members who attend the AANA 2014 Nurse Anesthesia
Annual Congress (http://www.aana.com/naac) in Orlando in
September, there are a number of locums agencies that exhibit in the
AANA exhibit hall that can answer your questions.
Insurance Coverage
CRNAs who have malpractice insurance issues or questions should
contact AANA Insurance Services at (800) 343-1368 or visit http://
www.aana.com/insurance/Pages/Contact-Us.aspx. AANA Insurance
Services staff is happy to discuss your issues and needs, even if you
do not have a policy with the agency and are not necessarily seeking
coverage at this time.
Another consideration for CRNAs who work
locum tenens may be the need to obtain some of
their own “employee benefits,” such as health,
disability, or life insurance, or financial advice
for retirement. The AANA provides members
access to related programs and services at
http://www.aana.com/aboutus/Pages/
AANA-Affinity-Program-Partners.aspx.
Financial and Legal Advice
For information concerning state licensure or
scope of practice, contact the AANA’s State Government
Affairs Division at sga@aana.com or (847) 655-1130. For
specific financial or legal advice related to employment or business
matters, it’s wise to contact local professionals in your state, such
as accountants or attorneys, as needed. These professionals are able
to provide you with advice that is specific to the state(s) where you
work, such as recommendations for the legal structure of your business
(e.g., options such as a partnership or incorporation), or tax
implications of various practice scenarios.
Any CRNA who runs a business, manages any aspect of their business
practice, or may consider doing so in the future, would benefit
from attending the AANA’s Business of Anesthesia Conference. This
conference includes knowledgeable, experienced speakers on such
topics as negotiating contracts, reimbursement issues, billing and coding,
and legal issues. For more information on the July 2014 Business
of Anesthesia Conference in Chicago, and for future conference dates
and locations, see http://www.aana.com/meetings/Pages/default.aspx
under “AANA Conferences.”
Locum tenens practice provides a variety of options and opportunities
for CRNAs. Keep these resources in mind if you choose to pursue
a locum tenens practice.■
By Jana Conover, BA
AANA Assistant Director,
State Government Affairs
CRNAs should consider whether to accept a job on
short notice in a state where they are not licensed,
as it may not be possible to obtain a license in time
to start the position. If you are focusing on working
in a particular state or states, consider obtaining
the appropriate state licenses in advance.
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